{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:11:42Z","timestamp":1760145102702,"version":"build-2065373602"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report the first use of the EnSite X system for intraoperative electrophysiological mapping during a robotic hybrid ablation (ROK-AF procedure) for long-standing persistent atrial fibrillation. Epicardial ablation targets were identified through epicardial mapping, and post-ablation electrical silencing was validated using the mapping system. Unlike conventional electrophysiological mapping systems, the orientation-independent omnipolar technology in EnSite X provides directional activation vectors, high-resolution electrograms, and peak frequency analysis, thereby enhancing substrate characterization. Post-ablation mapping confirmed the successful silencing of the posterior left atrial wall, demonstrating EnSite X\u2019s efficacy in real-time guidance for hybrid atrial fibrillation ablation and its potential to enhance robotic surgical workflows, potentially yielding more precise ablations.<\/jats:p>","DOI":"10.1093\/icvts\/ivaf194","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T17:36:46Z","timestamp":1757525806000},"source":"Crossref","is-referenced-by-count":0,"title":["Robotic Hybrid Ablation with Novel Epicardial Electrophysiological Mapping: Impact on Atrial Fibrillation Therapy"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2607-5555","authenticated-orcid":false,"given":"Zain","family":"Khalpey","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, HonorHealth , Scottsdale, AZ 85258,","place":["United States"]},{"name":"Khalpey AI Lab, Applied and Translational AI Research Institute , Scottsdale, AZ 85258,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8655-5856","authenticated-orcid":false,"given":"Ujjawal","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, HonorHealth , Scottsdale, AZ 85258,","place":["United States"]},{"name":"Khalpey AI Lab, Applied and Translational AI Research Institute , Scottsdale, AZ 85258,","place":["United States"]},{"name":"School of Clinical Medicine, University of Cambridge , Cambridge, CB2 0SP,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallory","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Abbott Inc. , Chicago, IL 60064,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Epting","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Abbott Inc. , Chicago, IL 60064,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,9,10]]},"reference":[{"key":"2025101011021613900_ivaf194-B1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.15420\/aer.2019.20","article-title":"The convergent atrial fibrillation ablation procedure: evolution of a multidisciplinary approach to atrial fibrillation management","volume":"9","author":"Wats","year":"2020","journal-title":"Arrhythm Electrophysiol Rev"},{"key":"2025101011021613900_ivaf194-B2","first-page":"e57835","article-title":"Revolutionizing atrial fibrillation treatment: robotic convergent plus procedure","volume":"16","author":"Khalpey","year":"2024","journal-title":"Cureus"},{"key":"2025101011021613900_ivaf194-B3","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.xjtc.2025.05.008","volume-title":"A novel system for intercostal nerve cryoablation during robotic hybrid ablation. JTCVS Tech","author":"Khalpey","year":"2025"},{"key":"2025101011021613900_ivaf194-B4","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s10840-023-01562-4","article-title":"The omnipolar mapping technology\u2014a new mapping tool to overcome \u201cbipolar blindness\u201d resulting in true high-density maps","volume":"67","author":"Dittrich","year":"2024","journal-title":"J Interv Card Electrophysiol"},{"key":"2025101011021613900_ivaf194-B5","doi-asserted-by":"publisher","first-page":"e336","DOI":"10.1016\/j.hrthm.2024.11.036","article-title":"Optimizing ablation sites for pulmonary vein isolation reconnections: a novel approach using an emphasis map combined with the peak frequency and local activation timing map","volume":"22","author":"Okajima","year":"2025","journal-title":"Heart Rhythm"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivaf194\/64237295\/ivaf194.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/10\/ivaf194\/64237295\/ivaf194.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/10\/ivaf194\/64237295\/ivaf194.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:02:25Z","timestamp":1760108545000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivaf194\/8250722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,10]]},"references-count":5,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10,6]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivaf194","relation":{},"ISSN":["2753-670X"],"issn-type":[{"type":"electronic","value":"2753-670X"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,9,10]]},"article-number":"ivaf194"}}