{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T16:52:21Z","timestamp":1776185541924,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T00:00:00Z","timestamp":1452211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Therapeutics"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Rotational angiography is a well\u2010known method for the three\u2010dimensional (3\u2010D) reconstruction of left atrium and pulmonary veins during left\u2010sided atrial arrhythmia ablation procedures. In our study, we aimed to review our experience in transseptal puncture (<jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content>) using 3\u2010D rotational angiography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included a total of 271 patients who underwent atrial fibrillation ablation using cryoballoon. Rotational angiography was performed to get the three\u2010dimensional left atrial and pulmonary vein reconstructions using cardiac C\u2010arm computed tomography. The image reconstruction was made using the Dyna<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> Cardiac software (Siemens, Erlangen, Germany).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the study population was 61\u00a0\u00b1\u00a010\u00a0years. The indications for left atrial arrhythmia ablation were paroxysmal <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> in 140 patients (52%) and persistent <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> patients in 131 (48%) patients. The success rate of <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content> using only rotational guidance was (264\/271 patients, 97.4%). In the remaining seven patients, transesophageal guidance was used after the initial attempt due to thick interatrial septum in five patients and difficult <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content> due to abnormal anatomy and mild pericardial effusion in the remaining two patients. Mean fluoroscopy dosage of the rotational angiography was 4896.4\u00a0\u00b1\u00a0825.3\u00a0<jats:italic>\u03bc<\/jats:italic>Gym<jats:sup>2<\/jats:sup>. The mean time beginning from femoral vein puncture to <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content> was 12.3\u00a0\u00b1\u00a05.5\u00a0min.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content> guided by rotational angiography is a safe and effective method. Our results indicate that integration of rotational angiographic images into the real\u2010time fluoroscopy can guide the <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content> during the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1755-5922.12167","type":"journal-article","created":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T10:24:08Z","timestamp":1448533448000},"page":"49-56","source":"Crossref","is-referenced-by-count":9,"title":["Rotational Angiography Based Three\u2010Dimensional Left Atrial Reconstruction: A New Approach for Transseptal Puncture"],"prefix":"10.1111","volume":"34","author":[{"given":"Buelent","family":"Koektuerk","sequence":"first","affiliation":[{"name":"Department of Cardiology\/Electrophysiology Witten\/Herdecke University Krankenhaus Porz am Rhein Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hikmet","family":"Yorgun","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Electrophysiology Witten\/Herdecke University Krankenhaus Porz am Rhein Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oezlem","family":"Koektuerk","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Electrophysiology Witten\/Herdecke University Krankenhaus Porz am Rhein Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cem H.","family":"Turan","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Electrophysiology Witten\/Herdecke University Krankenhaus Porz am Rhein Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduard","family":"Gorr","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Electrophysiology Witten\/Herdecke University Krankenhaus Porz am Rhein Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Horlitz","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Electrophysiology Witten\/Herdecke University Krankenhaus Porz am Rhein Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramazan G.","family":"Turan","sequence":"additional","affiliation":[{"name":"Department of Cardiology\/Electrophysiology Witten\/Herdecke University Krankenhaus Porz am Rhein Cologne Germany"},{"name":"Division of Cardiology Department of Internal Medicine University Hospital of Rostock Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs253"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.109.859116"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eur366"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-7120-3-5"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1998.tb00945.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1093\/europace\/eun311","article-title":"A new approach for contrast\u2010enhanced X\u2010ray imaging of the left atrium and pulmonary veins for atrial fibrillation ablation: rotational angiography during adenosine\u2010induced asystole","volume":"11","author":"Kriatselis 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