{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:25:31Z","timestamp":1740137131227,"version":"3.37.3"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T00:00:00Z","timestamp":1546560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Ablation without shaft repositioning may make the endoscopic laser ablation system (EAS) more like a single shot approach. We tested the feasibility of wide circumferential ablation (WCA; no carina ablation and no shaft repositioning) in an \u201copen 8\u201d pattern for pulmonary vein isolation (PVI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Forty\u2010eight patients (n\u2009=\u200948, age 64.6\u2009\u00b1\u200912 years) with paroxysmal and persistent atrial fibrillation (AF) were referred to our center for PVI with the EAS. WCA for the lateral and septal pulmonary veins was attempted in all patients. If not feasible, individual full circular isolation of each pulmonary vein (iPVI) was performed. Additional lesions were applied if acute complete electrical isolation was not achieved on the first encirclement. Any documented episode of AF after a 1\u2010month blanking period was registered as a recurrence. Bilateral WCA was feasible in 21 out of 48 patients (43.8%). Additional lesions for complete electrical isolation after the first\u2010pass ablation were less in WCA compared with iPVI (<jats:italic>P<\/jats:italic>\u2009=\u20090.02). WCA was accomplished faster, with less applied energy at both lateral (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and septal side (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). The mean follow\u2010up of the patient population was 232\u2009\u00b1\u2009150 days. AF recurrence occurred later in patients treated with WCA (315\u2009\u00b1\u2009124 vs 110\u2009\u00b1\u200988 days, <jats:italic>P<\/jats:italic>\u2009=\u20090.008).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>WCA with the EAS is safe, at least moderately feasible and highly effective, if achieved. Compared with iPVI it may be less time consuming, results in less energy application, and suppresses AF more effectively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13817","type":"journal-article","created":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T16:05:44Z","timestamp":1545408344000},"page":"326-331","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility of single position endoscopic laser balloon ablation for atrial fibrillation: The open 8 approach"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4243-9823","authenticated-orcid":false,"given":"Konstantinos E.","family":"Iliodromitis","sequence":"first","affiliation":[{"name":"Cardiovascular Center OLV, Arrhythmia Unit Aalst Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etel","family":"Silva","sequence":"additional","affiliation":[{"name":"Cardiovascular Center OLV, Arrhythmia Unit Aalst Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"De Potter","sequence":"additional","affiliation":[{"name":"Cardiovascular Center OLV, Arrhythmia Unit Aalst Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,4]]},"reference":[{"key":"e_1_2_6_1_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu001"},{"issue":"33","key":"e_1_2_6_1_3_1","first-page":"171","article-title":"2012 HRS\/EHRA\/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow\u2010up, definitions, endpoints, and research trial design","volume":"2012","author":"Calkins H","journal-title":"J Interv Card Electrophysiol"},{"key":"e_1_2_6_1_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.114.001672"},{"key":"e_1_2_6_1_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.114.001943"},{"key":"e_1_2_6_1_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12267"},{"key":"e_1_2_6_1_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1602014"},{"key":"e_1_2_6_1_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-017-1199-6"},{"key":"e_1_2_6_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.07.036"},{"key":"e_1_2_6_1_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.690578"},{"key":"e_1_2_6_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.02.030"},{"key":"e_1_2_6_1_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12326"},{"key":"e_1_2_6_1_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eus352"},{"key":"e_1_2_6_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2012.03.059"},{"key":"e_1_2_6_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.01.022"},{"key":"e_1_2_6_1_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.117.005767"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.13817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.13817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.13817","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.13817","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T17:48:47Z","timestamp":1694368127000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.13817"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,4]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/jce.13817"],"URL":"https:\/\/doi.org\/10.1111\/jce.13817","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"type":"print","value":"1045-3873"},{"type":"electronic","value":"1540-8167"}],"subject":[],"published":{"date-parts":[[2019,1,4]]},"assertion":[{"value":"2018-06-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}