{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T20:33:23Z","timestamp":1769200403456,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"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":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Safety data of the latest radiofrequency (RF) technologies during atrial fibrillation (AF) ablation in real\u2010world clinical practice are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We sought to evaluate the acute procedural safety of the four latest ablation catheters commonly used for AF ablation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 3957 AF ablation procedures performed between January 2022 and December 2023 at 20 centers with either the THERMOCOOL SMARTTOUCH SF (STSF), TactiCath (TC), QDOT Micro (QDM), or TactiFlex (TF) were retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, QDM, STSF, TF, and TC were used in 343 (8.7%), 1793 (45.3%), 1121 (28.4%), and 700(17.7%) procedures. Among 2406 index procedures, electrical pulmonary vein isolations were successfully achieved in 99.5%. Despite similar total procedure times in the four groups, the total fluoroscopic time was significantly shorter for QDM\/STSF with CARTO than TF\/TC with EnSite (18.7\u2009\u00b1\u200914 vs. 27.6\u2009\u00b1\u200920.6\u2009min, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and longest in the TF group. The incidence of cardiac tamponade was 0.7% (0.5% and 0.9% during index and redo procedures, 0.8% and 0.3% for paroxysmal and non\u2010paroxysmal AF) and was significantly lower for QDM\/STSF than TF\/TC (0.2% vs. 1.1%, <jats:italic>p<\/jats:italic>\u2009=\u2009.008) and highest in the TF group. The incidence of cardiac tamponade was higher for TF than TC and STSF than QDM. In the multivariate analysis, TF\/TC with EnSite was a significant independent predictor of cardiac tamponade during both the index (odds ratio [OR]\u2009=\u20094.8, 95% confidence interval [CI]\u2009=\u20091.3\u201317.5, <jats:italic>p<\/jats:italic>\u2009=\u2009.02) and all procedures (OR\u2009=\u20093.0, 95% CI\u2009=\u20091.3\u20137.2, <jats:italic>p<\/jats:italic>\u2009=\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of cardiac tamponade and the fluoroscopic time during AF ablation significantly differed among the latest RF catheters and mapping systems in real\u2010world clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16408","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T05:20:17Z","timestamp":1724736017000},"page":"2109-2118","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Acute procedural safety of the latest radiofrequency ablation catheters in atrial fibrillation ablation: Data from a large prospective ablation registry"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9343-4614","authenticated-orcid":false,"given":"Hirofumi","family":"Arai","sequence":"first","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Yokohama City Bay Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0230-0934","authenticated-orcid":false,"given":"Shinsuke","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Tokyo Medical and Dental University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junichi","family":"Nitta","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sakakibara Heart Institute Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7027-2613","authenticated-orcid":false,"given":"Yukihiro","family":"Inamura","sequence":"additional","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Saitama Hospital Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6321-2797","authenticated-orcid":false,"given":"Yasuhiro","family":"Shirai","sequence":"additional","affiliation":[{"name":"Department of Cardiology Disaster Medical Center Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5298-4759","authenticated-orcid":false,"given":"Yasuaki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Cardiology Yokosuka Kyosai Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasutoshi","family":"Nagata","sequence":"additional","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Musashino Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukio","family":"Sekiguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sakakibara Heart Institute Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2179-3786","authenticated-orcid":false,"given":"Osamu","family":"Inaba","sequence":"additional","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Saitama Hospital Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Sagawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Yokohama City Bay Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Mizukami","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kameda Medical Center Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Azegami","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shin\u2010yurigaoka General Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7775-6429","authenticated-orcid":false,"given":"Shinsuke","family":"Iwai","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hiratsuka Kyosai Hospital  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Hachiya","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Tsuchiura Kyodo Hospital Ibaraki 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