{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T22:31:56Z","timestamp":1764714716050,"version":"build-2065373602"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T00:00:00Z","timestamp":1432512000000},"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":[[2015,7]]},"abstract":"<jats:title>Reduced Radiation Exposure in AF Ablation<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Recently, a new image integration module (IIM, CartoUnivu\u2122 Module) has been introduced to combine and merge fluoroscopy images with 3\u2010dimensional\u2010(3D)\u2010electroanatomical maps (Carto\u00ae 3 System) into an accurate 3D view. The aim of the study was to investigate the influence of IIM on the fluoroscopy exposure during pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (PAF) in a prospective randomized trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>Between June and November 2014, a total of 60 patients with PAF (73.3% male, 64.0 \u00b1 9.2 years), who underwent PVI with the endpoint of unexcitability of the ablation line, were randomized to either a conventional 3D mapping system (Carto\u00ae 3 System) or to an additional IIM on the basis of an assumed reduction of fluoroscopy exposure by the use of IIM. There were no significant differences in baseline characteristics. The median ablation procedure time was identical in both groups (140.7 \u00b1 27.8 minutes vs. 140.8 \u00b1 39.5 minutes; P = 0.851). A significant decrease of mean fluoroscopy time from 11.9 \u00b1 2.1 to 7.4 \u00b1 2.6 minutes (P &lt; 0.0006) and median fluoroscopy dose from 882.9 to 476.5 cGycm<jats:sup>2<\/jats:sup> (P &lt; 0.001) was achieved. The main reduction of radiation could be realized during creation of the 3D\u2010map. No major complications occurred during the procedures. After a median follow\u2010up of 125.7 \u00b1 45.6 days 80% of the patients were free from any atrial arrhythmias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CartoUnivu\u2122 module easily integrates into the workflow of PVI with the endpoint of unexcitability of the ablation line without prolonging the procedure time. It is associated with a marked reduction in fluoroscopic dose when compared to a conventional 3D mapping system.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.12673","type":"journal-article","created":{"date-parts":[[2015,3,25]],"date-time":"2015-03-25T07:11:03Z","timestamp":1427267463000},"page":"747-753","source":"Crossref","is-referenced-by-count":20,"title":["Reduction of Radiation Exposure in Atrial Fibrillation Ablation Using a New Image Integration Module: A Prospective Randomized Trial in Patients Undergoing Pulmonary Vein Isolation"],"prefix":"10.1111","volume":"26","author":[{"given":"RUKEN \u00d6ZGE","family":"AKBULAK","sequence":"first","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BENJAMIN","family":"SCH\u00c4FFER","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARIO","family":"JULARIC","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JULIA","family":"MOSER","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DOREEN","family":"SCHREIBER","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TIM","family":"SALZBRUNN","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CHRISTIAN","family":"MEYER","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CHRISTIAN","family":"EICKHOLT","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PAWEL","family":"KUKLIK","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BORIS A.","family":"HOFFMANN","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"STEPHAN","family":"WILLEMS","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2013 Electrophysiology University Heart Center, University Hospital Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs253"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq278"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"2246","DOI":"10.1016\/j.jacc.2014.03.021","article-title":"2014 AHA\/ACC\/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary: A Report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society","volume":"64","author":"January CT","year":"2014","journal-title":"J Am College Cardiol"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2004.03356.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eul079"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)80053-8"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1997.tb03574.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)91278-C"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/hc2601.091710"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.03.059"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV4I1A25"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eus226"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2013.05.008"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.114.001542"},{"key":"e_1_2_6_16_1","unstructured":"European Commission:European guidance on estimating population doses from medical X\u2010ray procedures. Radiation Protection N\u00b0 1542008;http:\/\/www.itn.pt\/projs\/ddm2\u2010portugal\/rp154.pdf."},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eut409"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.191650"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.icrp.2007.11.001"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2009.01592.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eus153"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12319"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.12673","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.12673","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.12673","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T16:10:23Z","timestamp":1696263023000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.12673"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,25]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/jce.12673"],"URL":"https:\/\/doi.org\/10.1111\/jce.12673","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"type":"print","value":"1045-3873"},{"type":"electronic","value":"1540-8167"}],"subject":[],"published":{"date-parts":[[2015,5,25]]}}}