{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:28:37Z","timestamp":1773311317358,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T00:00:00Z","timestamp":1618358400000},"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":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>No data exist on the ability of the novel Rhythmia 3\u2010D mapping system to minimize fluoroscopy exposure during transcatheter ablation of arrhythmias. We report data on the feasibility and safety of a minimal fluoroscopic approach using this system in supraventricular tachycardia (SVT) procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive patients were enrolled in the CHARISMA registry at 12 centers. All right\u2010sided procedures performed with the Rhythmia mapping system were analyzed. The acquired electroanatomic information was used to reconstruct 3\u2010D cardiac geometry; fluoroscopic confirmation was used whenever deemed necessary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred twenty\u2010five patients (mean age\u2009=\u200956\u2009\u00b1\u200917\u2009years, 57% male) were included: 152 atrioventricular nodal reentrant tachycardia, 116 atrial flutter, 41 and 16 right\u2010sided accessory pathway and atrial tachycardia, respectively. Overall, 27\u2009481\u2009s of fluoroscopy were used (84.6\u2009\u00b1\u2009224\u2009s per procedure, equivalent effective dose\u2009=\u20091.1\u2009\u00b1\u20093.7\u2009mSv per patient). One hundred ninety\u2010two procedures (59.1%) were completed without the use of fluoroscopy (zero fluoroscopy, ZF).\u00a0In multivariate analysis, the presence of a fellow in training (OR\u2009=\u20090.15, 95% CI: 0.05\u20130.46; <jats:italic>p<\/jats:italic>\u2009=\u2009.0008), radiofrequency application (0.99, 0.99\u20131.00; <jats:italic>p<\/jats:italic>\u2009=\u2009.0002), and mapping times (0.99, 0.99\u20131.00; <jats:italic>p<\/jats:italic>\u2009=\u2009.042) were all inversely associated with ZF approach. Acute procedural success was achieved in 97.8% of the cases (98.4 vs. 97% in the ZF vs. non\u2010ZF group; <jats:italic>p<\/jats:italic>\u2009=\u2009.4503). During a mean of 290.7\u2009\u00b1\u2009169.6\u2009days follow\u2010up, no major adverse events were reported, and recurrence of the primary arrhythmia was 2.5% (2.1 vs. 3% in the ZF vs. non\u2010ZF group; <jats:italic>p<\/jats:italic>\u2009=\u2009.7206).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Rhythmia mapping system permits transcatheter ablation of right\u2010sided SVT with minimal fluoroscopy exposure. Even more, in most cases, the system enables a ZF approach, without affecting safety and efficacy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15023","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T13:54:15Z","timestamp":1617112455000},"page":"1296-1304","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Minimal fluoroscopy approach for right\u2010sided supraventricular tachycardia ablation with a novel ablation technology: Insights from the multicenter CHARISMA clinical registry"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2088-8070","authenticated-orcid":false,"given":"Filippo M.","family":"Cauti","sequence":"first","affiliation":[{"name":"Arrhythmology Unit, S. 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Giovanni Calibita Hospital Fatebenefratelli Isola Tiberina Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmelo","family":"La Greca","sequence":"additional","affiliation":[{"name":"Fondazione Poliambulanza Brescia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agostino","family":"Piro","sequence":"additional","affiliation":[{"name":"Umberto I Hospital Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natale","family":"Di Belardino","sequence":"additional","affiliation":[{"name":"Presidio Ospedaliero Di Anzio e Nettuno Anzio Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Battaglia","sequence":"additional","affiliation":[{"name":"Cardinal Massaia Hospital Asti Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Ferraris","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d Hospital University of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Pecora","sequence":"additional","affiliation":[{"name":"Fondazione Poliambulanza Brescia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Lavalle","sequence":"additional","affiliation":[{"name":"Umberto I Hospital Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Scalone","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera Brotzu Cagliari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Rossi","sequence":"additional","affiliation":[{"name":"Guglielmo da Saliceto Hospital Piacenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Di Cori","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera Universitaria\u2010Pisana Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Solimene","sequence":"additional","affiliation":[{"name":"Clinica Montevergine Mercogliano Avellino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Mantovan","sequence":"additional","affiliation":[{"name":"Presidio Ospedaliero di Conegliano Conegliano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Pedretti","sequence":"additional","affiliation":[{"name":"Sant'Anna Hospital Como Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Iaia","sequence":"additional","affiliation":[{"name":"Arrhythmology Unit, S. 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