{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:08:07Z","timestamp":1762999687684,"version":"3.37.3"},"reference-count":16,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"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":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>A new hot balloon system that registers balloon surface temperature (BST) during energy delivery is now available for clinical use in Japan. This study sought to investigate the utility of BST measurement for achievement of pulmonary vein isolation (PVI) by a single\u2010shot energy delivery strategy during hot balloon ablation (HBA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We applied and tested the system in 30 consecutive patients undergoing HBA for paroxysmal or early\u2010persistent atrial fibrillation (AF). We also performed real\u2010time PV potential monitoring using a circular catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Acute PVI was achieved with single hot balloon shots in 88% (106\/120) of the PVs. Real\u2010time BSTs and PV potentials were recorded in all cases. Mean BST at documentation of PVI was 49.4\u00b0C, and acute reconnections were observed in most cases (86%, 12\/14) in which the single\u2010shot technique was ineffective. Time\u2010to\u2010isolation (TTI) (23.1\u2009\u00b1\u20098.7\u2009s vs. 36.3\u2009\u00b1\u20099.3\u2009s, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01) and median BST (59.9\u2009\u00b1\u20092.6\u00b0C vs. 55.7\u2009\u00b1\u20091.9\u00b0C, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01) differed significantly between cases in which PVI was achieved (vs. those in which PVI was not achieved). Multivariable analysis revealed strong association between both TTI and median BST and acute PVI. The best median BST cutoff value for achieving PVI with a single shot was &gt;58.7\u00b0C (sensitivity 67.0%, specificity 100%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our data suggest that real\u2010time BST monitoring during energy applications is useful for predicting achievement of acute PVI by a single shot during HBA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15196","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T02:04:07Z","timestamp":1628129047000},"page":"2625-2635","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Utility of hot\u2010balloon\u2010based pulmonary vein isolation under balloon surface temperature monitoring: First clinical experience"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6388-4398","authenticated-orcid":false,"given":"Shiro","family":"Nakahara","sequence":"first","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1540-8514","authenticated-orcid":false,"given":"Yuji","family":"Wakamatsu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Nihon University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reiko","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichi","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Nishiyama","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotsugu","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2326-225X","authenticated-orcid":false,"given":"Koichi","family":"Nagashima","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Nihon University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiko","family":"Mizutani","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayuki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isao","family":"Taguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuo","family":"Okumura","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Nihon University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14646"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2019.01.017"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.117.005861"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-18-1051"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2016.12.014"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euw233"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.10.037"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrcr.2020.04.001"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14485"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13989"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12394"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.05.012"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.4.1826"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14313"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-20-0883"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-020-00857-0"}],"container-title":["Journal 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