{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T07:53:22Z","timestamp":1770969202406,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Venous puncture failure during cardiac implantable electronic device (CIED) implantation is a significant procedural challenge, particularly in fasting patients. Pre\u2010procedural intravenous normal saline (NS) infusion may enhance venous filling and improve procedural outcomes, but evidence in this setting is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective cohort study at Abbas Institute of Medical Sciences, including 2852 patients undergoing CIED implantation. Patients were divided into two groups: those who received intravenous NS infusion prior to the procedure (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091130) and those who did not (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091722). Baseline demographics, procedural details, and outcomes\u2014including venous puncture failure, arterial puncture, site change, and acute kidney injury (AKI)\u2014were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The NS group demonstrated a significantly lower rate of venous puncture failure (4.6% vs. 8.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and arterial puncture failure (1.6% vs. 2.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). AKI occurred less frequently in the NS group, although this difference was not statistically significant (1.8% vs. 2.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.09). Predictors of venous puncture failure included absence of NS infusion (OR 2.1, 95% CI 1.5\u20133.0), BMI \u2265\u200930, and CKD. ROC analysis demonstrated good model discrimination (AUC\u2009=\u20090.81).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pre\u2010procedural NS infusion significantly improves venous puncture success in fasting patients undergoing CIED implantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anec.70139","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T10:40:05Z","timestamp":1765795205000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Intravenous Normal Saline Infusion Pre\u2010Cardiac Implantable Electronic Devices Versus No Infusion in Fasting"],"prefix":"10.1111","volume":"31","author":[{"given":"Muhammad Hanzla","family":"Umair","sequence":"first","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahab","family":"Saidullah","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadaf","family":"Shabeer","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9861-0476","authenticated-orcid":false,"given":"Roha","family":"Daneyal","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neha","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyanka","family":"Shetiya","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hina Ahmed","family":"Siddiqi","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haresh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjali","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raja Sadam","family":"Mehmood","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3310-5442","authenticated-orcid":false,"given":"Abida","family":"Perveen","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. N. U.","family":"Abdullah","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9343-4187","authenticated-orcid":false,"given":"Jahanzeb","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital  Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.41311"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2020.01.006"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818815135"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euw147"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euw147"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840\u2010022\u201001135\u2010x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjane.2022.05.005"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13041044"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq173"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13613\u2010020\u201000679\u20103"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000358495"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010017\u20100329\u20104"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000973"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjao.2024.100282"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2019.04.005"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.15420\/aer.2020.17"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjtee.2017.04.012"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.70139","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anec.70139","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.70139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T17:25:20Z","timestamp":1769534720000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.70139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,15]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/anec.70139"],"URL":"https:\/\/doi.org\/10.1111\/anec.70139","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,15]]},"assertion":[{"value":"2025-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70139"}}