{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:07:33Z","timestamp":1773054453260,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,10,31]],"date-time":"2019-10-31T00:00:00Z","timestamp":1572480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR\u201010\u2010IAHU\u201004"],"award-info":[{"award-number":["ANR\u201010\u2010IAHU\u201004"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005971","name":"Deutsche Herzstiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005971","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We present a new, easily applicable approach for the guidance of cryoballoon (CB) pulmonary vein isolation (PVI) procedures that use the combination of a 3D\u2010mapping system image integration module and computed tomographic (CT)\u2013derived anatomy. The aim of this retrospective, nonrandomized study was to investigate: (a) an alternative use for an established radiofrequency image integration module for cryo procedures; (b) a guidance technology for cryo PVI based on integrated CT anatomy; and (c) its clinical impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>CT left atrium\u2013angiography was performed in 50 consecutive patients before a CB PVI procedure, and a 3D reconstruction of the cardiac anatomy was segmented. A total of 25 patients were treated using conventional fluoroscopy; 25 patients were treated using the 3D image integration technique. In the image integration group, the CARTO3 UNIVU (Biosense Webster) module was used for image integration of 3D anatomy and fluoroscopic imaging. Transseptal puncture and cryo PVI were guided by 3D\u2010overlay imaging. Procedures were feasible without complications in all patients and cryo PVI procedures were successfully guided using the image integration technique. The intraprocedural time needed to perform image integration was 37\u2009\u00b1\u200910\u2009seconds. Fluoroscopy time was 31.7\u2009\u00b1\u200911.7\u2009minutes in the conventional group and 20.1\u2009\u00b1\u20097.9\u2009minutes in the image integration group (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), procedure time was 116.3\u2009\u00b1\u200929.0\u2009minutes in the conventional group vs 101.2\u2009\u00b1\u200920.9\u2009minutes in the 3D group (<jats:italic>P<\/jats:italic>\u2009=\u2009.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>3D\u2010overlay guidance of CB PVI is feasible, safe, and applicable in real time with minimal effort. It may significantly reduce radiation exposure by introducing 3D information, known from electroanatomic mapping systems, into cryo PVI procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.14249","type":"journal-article","created":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T04:49:45Z","timestamp":1571892585000},"page":"2790-2796","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Three\u2010dimensional image integration guidance for cryoballoon pulmonary vein isolation procedures"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4861-6595","authenticated-orcid":false,"given":"Felix","family":"Bourier","sequence":"first","affiliation":[{"name":"Electrophysiology and Ablation Unit Bordeaux University Hospital (CHU) Pessac\u2010Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9 Pessac\u2010Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux, INSERM U1045 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Vlachos","sequence":"additional","affiliation":[{"name":"Electrophysiology and Ablation Unit Bordeaux University Hospital (CHU) Pessac\u2010Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9 Pessac\u2010Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux, INSERM U1045 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9827-9465","authenticated-orcid":false,"given":"Anna","family":"Lam","sequence":"additional","affiliation":[{"name":"Electrophysiology and Ablation Unit Bordeaux University Hospital (CHU) Pessac\u2010Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9 Pessac\u2010Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux, INSERM U1045 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7755-3613","authenticated-orcid":false,"given":"Claire A","family":"Martin","sequence":"additional","affiliation":[{"name":"Electrophysiology and Ablation Unit Bordeaux University Hospital (CHU) Pessac\u2010Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9 Pessac\u2010Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux, INSERM U1045 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8473-7514","authenticated-orcid":false,"given":"Masateru","family":"Takigawa","sequence":"additional","affiliation":[{"name":"Electrophysiology and Ablation Unit Bordeaux University Hospital (CHU) Pessac\u2010Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9 Pessac\u2010Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux, INSERM U1045 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3810-0635","authenticated-orcid":false,"given":"Takeshi","family":"Kitamura","sequence":"additional","affiliation":[{"name":"Electrophysiology and Ablation Unit Bordeaux University Hospital (CHU) Pessac\u2010Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9 Pessac\u2010Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux, INSERM U1045 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gr\u00e9goire","family":"Massoulli\u00e9","sequence":"additional","affiliation":[{"name":"Electrophysiology and Ablation Unit Bordeaux University Hospital (CHU) Pessac\u2010Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9 Pessac\u2010Bordeaux 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