{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:30:46Z","timestamp":1790901046851,"version":"4.1.0"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u2018Ricerca Corrente\u2019 funding from Italian Ministry of Health to IRCCS Humanitas Research Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>A personalized pulmonary vein isolation (PVI) approach aimed at ablation index (AI) titration according to multidetector computed tomography-derived left atrial wall thickness (LAWT) maps reported high effectiveness and efficiency outcomes for persistent atrial fibrillation (PeAF) ablation. To date, no randomized trials have compared this approach with the standard CLOSE protocol. This non-inferiority randomized controlled trial sought to compare a LAWT-guided PVI with CLOSE protocol-based for PeAF (NCT05396534).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Consecutive patients referred for first-time PeAF ablation were randomized on a 1:1 basis. In the by-LAWT arm, the AI was titrated according to local LAWT, and the ablation line was personalized to avoid the thickest regions at the pulmonary vein antrum. In the CLOSE arm, LAWT information was not available to the operator; the ablation was performed according to the CLOSE study settings: AI is \u2265400 at the posterior wall and \u2265550 at the anterior wall. Primary endpoint was freedom from atrial arrhythmias recurrence. Secondary endpoints were the major complication rate, procedure time, radiofrequency time, and first-pass PVI rate. One hundred fifty-six patients were included. At 12 month follow-up, no significant difference occurred in atrial arrhythmia-free survival between groups (P = 0.50). In the by-LAWT group, a significant reduction in procedure time (60.5 vs. 80.0\u2005min; P &amp;lt; 0.01) and RF time (14.4 vs. 28.6\u2005min; P &amp;lt; 0.01) was observed. No difference was observed regarding first-pass PVI (P = 0.72) and the major complication rate (P = 0.99).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The PeAF-by-LAWT trial is the first prospective randomized study to demonstrate that a personalized LAWT-guided PVI for PeAF ablation is non-inferior to the standard CLOSE protocol in terms of arrhythmia-free survival while significantly improving procedural efficiency. The study was not powered to detect differences in safety outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euaf163","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T11:23:19Z","timestamp":1754306599000},"source":"Crossref","is-referenced-by-count":6,"title":["Personalized pulmonary vein isolation guided by left atrial wall thickness for persistent atrial fibrillation ablation: the PeAF-by-LAWT randomized trial"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7128-9911","authenticated-orcid":false,"given":"Giulio","family":"Falasconi","sequence":"first","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Facultat de Medicina i Ci\u00e8ncies de la Salut, Universitat de Barcelona (UB) , c. Casanova, 143, Barcelona 08036 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7221-4829","authenticated-orcid":false,"given":"Diego","family":"Penela","sequence":"additional","affiliation":[{"name":"Arrhythmology Department, Humanitas Research Hospital IRCCS , Rozzano, Milan ,","place":["Italy"]},{"name":"Department of Biomedical Sciences, Humanitas University , Pieve Emanuele, Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1394-6260","authenticated-orcid":false,"given":"David","family":"Soto-Iglesias","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6024-6278","authenticated-orcid":false,"given":"Alessia Chiara","family":"Latini","sequence":"additional","affiliation":[{"name":"Arrhythmology Department, Humanitas Research Hospital IRCCS , Rozzano, Milan ,","place":["Italy"]},{"name":"Department of Biomedical Sciences, Humanitas University , Pieve Emanuele, Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2106-0884","authenticated-orcid":false,"given":"Federico","family":"Landra","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Division of Cardiology, Universit\u00e0 degli Studi di Siena , Viale Bracci 4, Siena 53100 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Curti","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Department of Medicine and Surgery, University of Milano-Bicocca , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0306-7764","authenticated-orcid":false,"given":"Pietro","family":"Francia","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Department of Clinical and Molecular Medicine, St. Andrea Hospital, Sapienza University , Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9475-1507","authenticated-orcid":false,"given":"Andrea","family":"Saglietto","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Department of Medical Sciences, University of Turin , Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9579-5413","authenticated-orcid":false,"given":"Dario","family":"Turturiello","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Arrhythmia Department, Hospital El Pilar , Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8317-561X","authenticated-orcid":false,"given":"Daniel","family":"Viveros","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Facultat de Medicina i Ci\u00e8ncies de la Salut, Universitat de Barcelona (UB) , c. Casanova, 143, Barcelona 08036 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Bellido","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Arrhythmia Department, Hospital El Pilar , Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0318-5349","authenticated-orcid":false,"given":"Jose","family":"Alderete","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Facultat de Medicina i Ci\u00e8ncies de la Salut, Universitat de Barcelona (UB) , c. Casanova, 143, Barcelona 08036 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0706-1987","authenticated-orcid":false,"given":"Fatima","family":"Zaraket","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6157-058X","authenticated-orcid":false,"given":"Paula","family":"Franco-Oca\u00f1a","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8355-9894","authenticated-orcid":false,"given":"Stefano","family":"Valcher","sequence":"additional","affiliation":[{"name":"Arrhythmology Department, Humanitas Research Hospital IRCCS , Rozzano, Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3651-6765","authenticated-orcid":false,"given":"Francesco","family":"Amata","sequence":"additional","affiliation":[{"name":"Arrhythmology Department, Humanitas Research Hospital IRCCS , Rozzano, Milan ,","place":["Italy"]},{"name":"Department of Biomedical Sciences, Humanitas University , Pieve Emanuele, Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0130-6218","authenticated-orcid":false,"given":"Chiara","family":"Valeriano","sequence":"additional","affiliation":[{"name":"Arrhythmology Department, Humanitas Research Hospital IRCCS , Rozzano, Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2266-0344","authenticated-orcid":false,"given":"Carlo","family":"Gigante","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5626-0336","authenticated-orcid":false,"given":"Lucio","family":"Teresi","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Department of Clinical and Experimental Medicine, University of Messina , Messina ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Tonello","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Mea","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Department of Biomedical and Clinical Sciences, University of Milan , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6075-7795","authenticated-orcid":false,"given":"Lautaro","family":"S\u00e1nchez-Moll\u00e1","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmine","family":"De Lucia","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3524-6612","authenticated-orcid":false,"given":"Marina","family":"Huguet","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5125-6132","authenticated-orcid":false,"given":"\u00d3scar","family":"C\u00e1mara","sequence":"additional","affiliation":[{"name":"Department of Information and Communication Technologies, Pompeu Fabra University , Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8043-6055","authenticated-orcid":false,"given":"Jos\u00e9-Tom\u00e1s","family":"Ortiz-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]},{"name":"Facultat de Medicina i Ci\u00e8ncies de la Salut, Universitat de Barcelona (UB) , c. Casanova, 143, Barcelona 08036 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9927-1190","authenticated-orcid":false,"given":"Julio","family":"Mart\u00ed-Almor","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5418-383X","authenticated-orcid":false,"given":"Antonio","family":"Berruezo","sequence":"additional","affiliation":[{"name":"Arrhythmia Department, Teknon Medical Center , c. Villana, 12, Barcelona 08022 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"2025120410123225300_euaf163-B1","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1093\/europace\/euac237","article-title":"Global burden of atrial fibrillation\/atrial flutter and its attributable risk factors from 1990 to 2019","volume":"25","author":"Dong","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B2","doi-asserted-by":"crossref","first-page":"euaf019","DOI":"10.1093\/europace\/euaf019","article-title":"Atrial fibrillation burden in clinical practice, research, and technology development: a clinical consensus statement of the European Society of Cardiology Council on Stroke and the European Heart Rhythm Association","volume":"27","author":"Doehner","year":"2025","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B3","doi-asserted-by":"crossref","first-page":"euae195","DOI":"10.1093\/europace\/euae195","article-title":"Global burden of atrial fibrillation\/atrial flutter and its attributable risk factors from 1990 to 2021","volume":"26","author":"Cheng","year":"2024","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B4","doi-asserted-by":"crossref","first-page":"euae043","DOI":"10.1093\/europace\/euae043","article-title":"2024 European Heart Rhythm Association\/Heart Rhythm Society\/Asia Pacific Heart Rhythm Society\/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"26","author":"Tzeis","year":"2024","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B5","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.hrthm.2017.01.038","article-title":"Progression of paroxysmal to persistent atrial fibrillation: 10-year follow-up in the Canadian registry of atrial fibrillation","volume":"14","author":"Padfield","year":"2017","journal-title":"Heart Rhythm"},{"key":"2025120410123225300_euaf163-B6","doi-asserted-by":"crossref","first-page":"euaf037","DOI":"10.1093\/europace\/euaf037","article-title":"Persistent atrial fibrillation ablation: glimpsing the light ahead?","volume":"27","author":"Hu","year":"2025","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B7","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1056\/NEJMoa1408288","article-title":"Approaches to catheter ablation for persistent atrial fibrillation","volume":"372","author":"Verma","year":"2015","journal-title":"N Engl J Med"},{"key":"2025120410123225300_euaf163-B8","doi-asserted-by":"crossref","first-page":"euad244","DOI":"10.1093\/europace\/euad244","article-title":"Progress in atrial fibrillation ablation during 25 years of Europace journal","volume":"25","author":"Boersma","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B9","doi-asserted-by":"crossref","first-page":"e006576","DOI":"10.1161\/CIRCEP.118.006576","article-title":"Use of ablation index-guided ablation results in high rates of durable pulmonary vein isolation and freedom from arrhythmia in persistent atrial fibrillation patients: the PRAISE study results","volume":"11","author":"Hussein","year":"2018","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"2025120410123225300_euaf163-B10","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1016\/j.jacc.2023.03.418","article-title":"Procedure-related complications of catheter ablation for atrial fibrillation","volume":"81","author":"Benali","year":"2023","journal-title":"J Am Coll Cardiol"},{"key":"2025120410123225300_euaf163-B11","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.hrthm.2019.11.004","article-title":"Long-term impact of catheter ablation on arrhythmia burden in low-risk patients with paroxysmal atrial fibrillation: the CLOSE to CURE study","volume":"17","author":"Duytschaever","year":"2020","journal-title":"Heart Rhythm"},{"key":"2025120410123225300_euaf163-B12","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1093\/europace\/euab216","article-title":"Personalized paroxysmal atrial fibrillation ablation by tailoring ablation index to the left atrial wall thickness: the \u2018ablate by-LAW\u2019 single-centre study-a pilot study","volume":"24","author":"Teres","year":"2022","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B13","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1007\/s10840-024-01871-2","article-title":"The ablate-by-LAWT multicentre prospective study: personalized paroxysmal atrial fibrillation ablation with ablation index adapted to local left atrial wall thickness","volume":"67","author":"Alderete","year":"2024","journal-title":"J Interv Card Electrophysiol"},{"key":"2025120410123225300_euaf163-B14","doi-asserted-by":"crossref","first-page":"euad118","DOI":"10.1093\/europace\/euad118","article-title":"Personalized pulmonary vein antrum isolation guided by left atrial wall thickness for persistent atrial fibrillation","volume":"25","author":"Falasconi","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B15","doi-asserted-by":"crossref","first-page":"euae087","DOI":"10.1093\/europace\/euae087","article-title":"Personalized pulmonary vein isolation with very high-power short-duration lesions guided by left atrial wall thickness: the QDOT-by-LAWT randomized trial","volume":"26","author":"Falasconi","year":"2024","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B16","doi-asserted-by":"crossref","first-page":"3314","DOI":"10.1093\/eurheartj\/ehae176","article-title":"2024 ESC guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"45","author":"Van Gelder","year":"2024","journal-title":"Eur Heart J"},{"key":"2025120410123225300_euaf163-B17","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-025-02035-6","article-title":"The use of cardiac imaging in patients undergoing atrial fibrillation ablation","author":"Filiberti","year":"2025","journal-title":"J Interv Card Electrophysiol"},{"key":"2025120410123225300_euaf163-B18","doi-asserted-by":"crossref","first-page":"euad351","DOI":"10.1093\/europace\/euad351","article-title":"Assessing left atrial intramyocardial fat infiltration from computerized tomography angiography in patients with atrial fibrillation","volume":"25","author":"Saglietto","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B19","doi-asserted-by":"crossref","first-page":"euad170","DOI":"10.1093\/europace\/euad170","article-title":"Computed tomography-based identification of ganglionated plexi to guide cardioneuroablation for vasovagal syncope","volume":"25","author":"Francia","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B20","doi-asserted-by":"crossref","first-page":"euaf038","DOI":"10.1093\/europace\/euaf038","article-title":"Left atrial intramyocardial fat at pulmonary vein reconnection sites during atrial fibrillation redo ablation","volume":"27","author":"Landra","year":"2025","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B21","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s10840-023-01472-5","article-title":"Reproducibility analysis of the computerized tomography angiography-derived left atrial wall thickness maps","volume":"66","author":"Valles-Colomer","year":"2023","journal-title":"J Interv Card Electrophysiol"},{"key":"2025120410123225300_euaf163-B22","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.hrthm.2024.07.094","article-title":"High-frequency low-tidal volume ventilation improves procedural and long-term clinical outcomes in persistent atrial fibrillation ablation: prospective multicenter registry","volume":"22","author":"Osorio","year":"2025","journal-title":"Heart Rhythm"},{"key":"2025120410123225300_euaf163-B23","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s10840-021-01086-9","article-title":"A standardized stepwise zero-fluoroscopy approach with transesophageal echocardiography guidance for atrial fibrillation ablation","volume":"64","author":"Falasconi","year":"2022","journal-title":"J Interv Card Electrophysiol"},{"key":"2025120410123225300_euaf163-B24","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.hrthm.2016.12.008","article-title":"Contact-force guided single-catheter approach for pulmonary vein isolation: feasibility, outcomes, and cost-effectiveness","volume":"14","author":"Pambrun","year":"2017","journal-title":"Heart Rhythm"},{"key":"2025120410123225300_euaf163-B25","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/j.1540-8167.2008.01182.x","article-title":"The important role of pulmonary vein carina ablation as an adjunct to circumferential pulmonary vein isolation","volume":"19","author":"Udyavar","year":"2008","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2025120410123225300_euaf163-B26","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1007\/s10840-022-01302-0","article-title":"Relationship between the posterior atrial wall and the esophagus: esophageal position and temperature measurement during atrial fibrillation ablation (AWESOME-AF). A randomized controlled trial","volume":"65","author":"Teres","year":"2022","journal-title":"J Interv Card Electrophysiol"},{"key":"2025120410123225300_euaf163-B27","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jacep.2017.06.023","article-title":"Evaluation of a strategy aiming to enclose the pulmonary veins with contiguous and optimized radiofrequency lesions in paroxysmal atrial fibrillation: a pilot study","volume":"4","author":"Taghji","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"2025120410123225300_euaf163-B28","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1093\/europace\/euac194","article-title":"Rhythm monitoring, success definition, recurrence, and anticoagulation after atrial fibrillation ablation: results from an EHRA survey","volume":"25","author":"Schwab","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B29","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.jacc.2009.11.040","article-title":"Progression from paroxysmal to persistent atrial fibrillation clinical correlates and prognosis","volume":"55","author":"de Vos","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"2025120410123225300_euaf163-B30","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1056\/NEJMoa2307291","article-title":"Pulsed field or conventional thermal ablation for paroxysmal atrial fibrillation","volume":"389","author":"Reddy","year":"2023","journal-title":"N Engl J Med"},{"key":"2025120410123225300_euaf163-B31","doi-asserted-by":"crossref","first-page":"2296","DOI":"10.1001\/jama.2022.8831","article-title":"Effect of MRI-guided fibrosis ablation vs conventional catheter ablation on atrial arrhythmia recurrence in patients with persistent atrial fibrillation: the DECAAF II randomized clinical trial","volume":"327","author":"Marrouche","year":"2022","journal-title":"JAMA"},{"key":"2025120410123225300_euaf163-B32","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1016\/j.jacep.2023.05.015","article-title":"High-frequency low-tidal volume ventilation improves long-term outcomes in AF ablation: a multicenter prospective study","volume":"9","author":"Osorio","year":"2023","journal-title":"JACC Clin Electrophysiol"},{"key":"2025120410123225300_euaf163-B33","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1111\/j.1540-8167.2006.00594.x","article-title":"The impact of CT image integration into an electroanatomic mapping system on clinical outcomes of catheter ablation of atrial fibrillation","volume":"17","author":"Kistler","year":"2006","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2025120410123225300_euaf163-B34","doi-asserted-by":"crossref","first-page":"euad183","DOI":"10.1093\/europace\/euad183","article-title":"Twenty-five years of research in cardiac imaging in electrophysiology procedures for atrial and ventricular arrhythmias","volume":"25","author":"Berruezo","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B35","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1111\/pace.14222","article-title":"Left atrial wall thickness of the pulmonary vein reconnection sites during atrial fibrillation redo procedures","volume":"44","author":"Teres","year":"2021","journal-title":"Pacing Clin Electrophysiol"},{"key":"2025120410123225300_euaf163-B36","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1093\/europace\/euv073","article-title":"Three-dimensional atrial wall thickness maps to inform catheter ablation procedures for atrial fibrillation","volume":"18","author":"Bishop","year":"2016","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B37","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1093\/europace\/euac286","article-title":"A call for shorter blanking period, time to get off the ground","volume":"25","author":"Papathanasiou","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B38","doi-asserted-by":"crossref","first-page":"euaf008","DOI":"10.1093\/europace\/euaf008","article-title":"Impact of atrial fibrillation diagnosis-to-ablation time on 24-month efficacy and safety outcomes in the Cryo Global Registry","volume":"27","author":"Lawin","year":"2025","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B39","doi-asserted-by":"crossref","first-page":"euaf010","DOI":"10.1093\/europace\/euaf010","article-title":"Freeze the clock: earlier catheter ablation for atrial fibrillation delivers better outcomes","volume":"27","author":"Schiavone","year":"2025","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B40","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1093\/europace\/euac144","article-title":"Searching for atrial fibrillation: looking harder, looking longer, and in increasingly sophisticated ways. An EHRA position paper","volume":"25","author":"Kalarus","year":"2023","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B41","doi-asserted-by":"crossref","first-page":"euae247","DOI":"10.1093\/europace\/euae247","article-title":"Smartphone app-based approximation of time spent with atrial fibrillation and symptoms in patients after catheter ablation: data from the TeleCheck-AF project","volume":"26","author":"Sandgren","year":"2024","journal-title":"Europace"},{"key":"2025120410123225300_euaf163-B42","doi-asserted-by":"publisher","first-page":"S1547-5271(24)03609-9","DOI":"10.1016\/j.hrthm.2024.11.026","article-title":"Effectiveness of photoplethysmography-based rhythm monitoring after atrial fibrillation ablation using a smartphone application: DIGITOTAL study","author":"Gruwez","year":"2024","journal-title":"Heart Rhythm"}],"container-title":["Europace"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/europace\/advance-article-pdf\/doi\/10.1093\/europace\/euaf163\/63962683\/euaf163.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/27\/12\/euaf163\/63962683\/euaf163.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/27\/12\/euaf163\/63962683\/euaf163.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T15:12:42Z","timestamp":1764861162000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/doi\/10.1093\/europace\/euaf163\/8222948"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,6]]},"references-count":42,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euaf163","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,8,6]]},"article-number":"euaf163"}}