{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T03:43:44Z","timestamp":1768707824605,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T00:00:00Z","timestamp":1574121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81770326"],"award-info":[{"award-number":["81770326"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the feasibility and safety of wire\u2010guided pericardial access without contrast.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2014 to February 2019, patients who received epicardial mapping and ablation of ventricular tachycardia in the Beijing Anzhen Hospital were entered into the current study. They were divided into contrast\u2010guided access group or wire\u2010guided access group according to the pericardial puncture technique used. The baseline variables, procedure parameters, complications were collected and compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, a consecutive of 73 patients received epicardial access. The initial 32 patients received contrast\u2010guided puncture with success achieved in 30 patients, the remaining 41 patients underwent wire\u2010guided puncture with success achieved in 40 patients (30\/32 and 40\/41, <jats:italic>P<\/jats:italic>\u2009=\u2009.581). Fluoroscopy time (4.45\u2009\u00b1\u20090.52 and 4.38\u2009\u00b1\u20090.46\u2009minutes, <jats:italic>P<\/jats:italic>\u2009=\u2009.891) and access time (5.14\u2009\u00b1\u20090.58 and 5.34\u2009\u00b1\u20090.50\u2009minutes, <jats:italic>P<\/jats:italic>\u2009=\u2009.657) were comparable between the two groups. Inadvertent right ventricular puncture occurred more commonly in the contrast\u2010guided group (5\/32 and 1\/41, <jats:italic>P<\/jats:italic>\u2009=\u2009.038). Though more pericardial effusions (2\/32 and 1\/41, <jats:italic>P<\/jats:italic>\u2009=\u2009.575), tamponade (2\/32 and 1\/41, <jats:italic>P<\/jats:italic>\u2009=\u2009.575), and surgical repair (1\/32 and 0\/41, <jats:italic>P<\/jats:italic>\u2009=\u2009.432) occurred in the contrast\u2010guided group, they reached no statistical difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Wire\u2010guided pericardial puncture exhibits better safety and similar success rates to contrast\u2010guided technique with a trend towards less complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.14237","type":"journal-article","created":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T14:11:08Z","timestamp":1571407868000},"page":"30-37","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Pericardial access via wire\u2010guided puncture without contrast: The feasibility and safety of a modified approach"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4604-5346","authenticated-orcid":false,"given":"De\u2010Yong","family":"Long","sequence":"first","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Ping","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Cardiology The First Affiliated Hospital of Zhengzhou University Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cai\u2010Hua","family":"Sang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen\u2010Xi","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue\u2010Yuan","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng\u2010Meng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Song\u2010Nan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ri\u2010Bo","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7299-7805","authenticated-orcid":false,"given":"Jian\u2010Zeng","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Beijing Anzhen Hospital Capital Medical University Beijing 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