{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T15:59:56Z","timestamp":1783612796992,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,28]],"date-time":"2021-12-28T00:00:00Z","timestamp":1640649600000},"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":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Utilizing a three\u2010dimensional (3\u2010D) mapping system and intracardiac echocardiography (ICE) has allowed ablation procedures with less or without fluoroscopy; however, there is limited data for patients with cardiac electronic implantable device (CIED) leads regarding the suspected risk of lead injury. Therefore, we sought to explore technics to perform safe trans\u2010septal approach and catheter manipulation technique in patients with CIED leads.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>This study comprised 49 consecutive patients (59% males, median 73 years old) with CIED who underwent catheter ablation for supraventricular tachycardia requiring the trans\u2010septal approach, 15 without fluoroscopy (zero\u2010fluoro group), and 34 with fluoroscopy (conventional\u2010fluoro group), between July 2019 and April 2021. All procedures were performed under a 3\u2010D mapping system and ICE guidance. We compared the differences in treatment and development of complications between the two groups. The procedures were for atrial fibrillation (82%) and atrial tachycardia (76%). Coronary sinus catheter insertion and the trans\u2010septal procedure were successfully performed in all patients. The median time from venipuncture to trans\u2010septal procedure (zero\u2010fluoro vs. conventional\u2010fluoro group: 28 [18\u201337] min vs. 24 [21\u201331] min, <jats:italic>p<\/jats:italic>\u2009=\u2009.70), total procedure time (231 [142\u2013274] min\u00a0vs. 175 [163\u2013225] min, <jats:italic>p<\/jats:italic>\u2009=\u2009.63), and the acute procedural success rate (100% vs. 97%, <jats:italic>p<\/jats:italic>\u2009=\u20091.00) did not differ between both groups. No patient showed lead\u2010related complications in both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first study to show zero\u2010fluoro ablation for supraventricular arrhythmia using 3\u2010D mapping and ICE in patients with CIED leads was feasible under careful catheter manipulation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15332","type":"journal-article","created":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T14:03:52Z","timestamp":1639836232000},"page":"423-429","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Zero\u2010fluoroscopy ablation in patients with cardiac electronic implantable devices"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6296-150X","authenticated-orcid":false,"given":"Keiko","family":"Shimamoto","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine National Cerebral 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7894-0914","authenticated-orcid":false,"given":"Satoshi","family":"Nagase","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5760-9285","authenticated-orcid":false,"given":"Kengo F.","family":"Kusano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,28]]},"reference":[{"issue":"41","key":"e_1_2_9_2_1","first-page":"655","article-title":"ESC Guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC): developed in collaboration with the Association for European Paediatric and Congenital Cardiology (AEPC)","volume":"2020","author":"Brugada J","year":"2019","journal-title":"Eur Heart 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