{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:40:45Z","timestamp":1790995245862,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,4,22]],"date-time":"2014-04-22T00:00:00Z","timestamp":1398124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"ELMedica EP Network"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Simplified, No\u2010X\u2010Ray Catheter Ablation of SVT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Although the \u201cnear\u2010zero\u2010X\u2010Ray\u201d or \u201cNo\u2010X\u2010Ray\u201d catheter ablation (CA) approach has been reported for treatment of various arrhythmias, few prospective studies have strictly used \u201cNo\u2010X\u2010Ray,\u201d simplified 2\u2010catheter approaches for CA in patients with supraventricular tachycardia (SVT). We assessed the feasibility of a minimally invasive, nonfluoroscopic (MINI) CA approach in such patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were obtained from a prospective multicenter CA registry of patients with regular SVTs. After femoral access, 2 catheters were used to create simple, 3D electroanatomic maps and to perform electrophysiologic studies. Medical staff did not use lead aprons after the first 10 MINI CA cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 188 patients (age, 45 \u00b1 21 years; 17% &lt;19 years; 55% women) referred for the No\u2010X\u2010Ray approach were included. They were compared to 714 consecutive patients referred for a simplified approach using X\u2010rays (age, 52 \u00b1 18 years; 7% &lt;19 years; 55% women). There were 9 protocol exceptions that necessitated the use of X\u2010rays. Ultimately, 179\/188 patients underwent the procedure without fluoroscopy, with an acute success rate of 98%. The procedure times (63 \u00b1 26 vs. 63 \u00b1 29 minutes, P &gt; 0.05), major complications (0% vs. 0%, P &gt; 0.05) and acute (98% vs. 98%, P &gt; 0.05) and long\u2010term (93% vs. 94%, P &gt; 0.05) success rates were similar in the \u201cNo\u2010X\u2010Ray\u201d and control groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of a strict \u201cNo\u2010X\u2010Ray, simplified 2\u2010catheter\u201d CA approach is safe and effective in majority of the patients with SVT. This modified approach for SVTs should be prospectively validated in a multicenter study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.12414","type":"journal-article","created":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T14:04:00Z","timestamp":1395410640000},"page":"866-874","source":"Crossref","is-referenced-by-count":36,"title":["Feasibility of Implementation of a \u201cSimplified, No\u2010X\u2010Ray, No\u2010Lead Apron, Two\u2010Catheter Approach\u201d for Ablation of Supraventricular Arrhythmias in Children and Adults"],"prefix":"10.1111","volume":"25","author":[{"given":"SEBASTIAN","family":"STEC","sequence":"first","affiliation":[{"name":"Department of Cardiology Medical Center for Postgraduate Education Grochowski Hospital  Warsaw"},{"name":"ELMedica EP\u2010Network  Kielce"},{"name":"Podkarpackie Center for Cardiovascular Interventions  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