{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:56:36Z","timestamp":1790726196880,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T00:00:00Z","timestamp":1425513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>3\u2010D Mapping Improves Success Rates for WPW Ablation<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Three\u2010dimensional mapping (3\u2010D) systems are frequently used for ablation of supraventricular tachycardia. Prior studies have demonstrated radiation dosage reduction with 3\u2010D, but there are no data on whether 3\u2010D improves the efficacy of ablation of Wolff\u2010Parkinson\u2010White syndrome (WPW). We sought to determine if 3\u2010D improves the success rate for ablation of WPW in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Multicenter retrospective study including patients \u226421 years of age with WPW undergoing ablation from 2008 to 2012. Success rates using the 2 techniques (3\u2010D vs. fluoroscopy alone [FLUORO]) were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six hundred and fifty\u2010one cases were included (58% male, mean age 13 \u00b1 4 years, 366 [56%] 3\u2010D). Baseline characteristics including gender, weight, accessory pathway (AP) location, number of APs, and repeat ablation attempts were similar between the 2 groups (3\u2010D and FLUORO) The 3\u2010D group was slightly younger (12.7 \u00b1 4.0 vs. 13.3 \u00b1 4.0 years; P = 0.04) and less likely to undergo ablation utilizing cryoenergy (38 [10%] vs. 56 [20%]; P &lt; 0.01). The 3\u2010D group had a higher acute success rate of ablation (355 [97%] vs. 260 [91%]; P &lt; 0.01). No differences were seen in recurrence (16 [5%] vs. 26 [9%]; P = 0.09) or complication rates (1 [0.3%] vs. 1 [0.4%]; P = 0.86) between the groups. On multivariable analysis, 3\u2010D was shown to significantly improve success at ablation with an odds ratio of 3.1 (95% CI 1.44\u20136.72; P &lt; 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Use of 3\u2010D significantly improved success rates for ablation of WPW in children. The increase in acute success associated with 3\u2010D suggests it is an important adjunct for catheter ablation of WPW in children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.12623","type":"journal-article","created":{"date-parts":[[2015,1,20]],"date-time":"2015-01-20T03:57:21Z","timestamp":1421726241000},"page":"412-416","source":"Crossref","is-referenced-by-count":44,"title":["Success Rates in Pediatric WPW Ablation Are Improved with 3\u2010Dimensional Mapping Systems Compared with Fluoroscopy Alone: A Multicenter Study"],"prefix":"10.1111","volume":"26","author":[{"given":"SCOTT R.","family":"CERESNAK","sequence":"first","affiliation":[{"name":"Department of Pediatrics Lucile Packard Children's Hospital, Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ANNE M.","family":"DUBIN","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Lucile Packard Children's Hospital, Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JEFFREY J.","family":"KIM","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SANTIAGO O.","family":"VALDES","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"STEVEN B.","family":"FISHBERGER","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Miami Children's Hospital  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"IRA","family":"SHETTY","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Advocate Children's Hospital  Oak Lawn Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"FRANK","family":"ZIMMERMAN","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Advocate Children's Hospital  Oak Lawn Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RONN E.","family":"TANEL","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, UCSF School of Medicine UCSF Benioff Children's Hospital  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MICHAEL R.","family":"EPSTEIN","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Maine Medical Center  Portland Maine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KARA S.","family":"MOTONAGA","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Lucile Packard Children's Hospital, Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CHRISTINE A.","family":"CAPONE","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Albert Einstein College of Medicine The Children's Hospital at Montefiore  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LYNN","family":"NAPPO","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Albert Einstein College of Medicine The Children's Hospital at Montefiore  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GREGORY J.","family":"GATES","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Albert Einstein College of Medicine The Children's Hospital at Montefiore  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROBERT H.","family":"PASS","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Albert Einstein College of Medicine The Children's Hospital at Montefiore  Bronx New York 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