{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T22:20:38Z","timestamp":1784931638489,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T00:00:00Z","timestamp":1658534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004331","name":"Johnson and Johnson","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004331","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intracardiac echocardiography (ICE) use can lead to early detection of periprocedural complications and may improve patient outcomes by providing real\u2010time visualization of catheter location and the treatment area during cardiac ablation (CA) for atrial fibrillation (AF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Examine complications and 12\u2010month healthcare use among patients with AF undergoing CA with versus without ICE use during the procedure in a real\u2010world setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 2015\u20132020 IBM MarketScan\u00ae Database was used to identify non\u2010elderly adults (age 18\u201364 years) undergoing CA for AF. Patients were classified into ICE\/non\u2010ICE groups based on the presence or absence of ICE procedure codes. Patients in each group were matched on study covariates using propensity scores. Peri\u2010procedural complications, 12\u2010month cardiovascular (CV) or AF\u2010related inpatient admission, repeat CA, and cardioversion were compared using a Cox proportional hazard model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1371 patients were identified in each study cohort (ICE and non\u2010ICE) after propensity matching. Patients who had CA with ICE had a significantly lower rate of complications than those without (2.9% vs. 5.8%; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). The risk of complications was 50% lower with ICE use (hazard ratio [HR] 0.50; 95% confidence interval [CI] 0.34\u20130.72). For assessment of 12\u2010month healthcare utilization, 1250 patients were identified in each cohort after propensity matching. ICE use was associated with a 36% lower risk of 12\u2010month repeat ablation (HR 0.64; 95% CI 0.49\u20130.83). No differences in CV\u2010 or AF\u2010related inpatient admission and cardioversion were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among patients with AF, the use of ICE during an ablation procedure was associated with lower incidence of complications and repeat ablation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15599","type":"journal-article","created":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T02:19:28Z","timestamp":1655432368000},"page":"2015-2047","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Differences in outcomes among patients with atrial fibrillation undergoing catheter ablation with versus without intracardiac echocardiography"],"prefix":"10.1111","volume":"33","author":[{"given":"Rhea\u00a0C.","family":"Pimentel","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine The University of Kansas Health System  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1536-482X","authenticated-orcid":false,"given":"Neloufar","family":"Rahai","sequence":"additional","affiliation":[{"name":"Medical Device Epidemiology and Real\u2010World Data Sciences Johnson &amp; 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