{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:14:15Z","timestamp":1777889655074,"version":"3.51.4"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T00:00:00Z","timestamp":1734393600000},"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":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Catheter ablation (CA) is the first\u2010line treatment with a high success rate for patients with symptomatic Wolff\u2013Parkinson\u2013White syndrome, while three\u2010dimensional (3D) mapping systems enable the identification of accessory pathways (APs). We aimed to develop a novel mapping method using wave\u2010speed mapping (WSM) to determine AP locations and CA outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>This study included 19 patients diagnosed with atrioventricular (AV) reciprocating tachycardia. We compared local activation time (LAT) mapping and WSM, and analyzed the relationship between the \u201chigh\u2010speed islets\u201d in WSM and successful ablation sites. Sixteen APs were located on the left, three on the septum, and one on the right side. The median number of mapping points and mapping time were 1451 points and 14.6\u2009min, respectively. All 20 APs in the 19 patients were eliminated using \u201chigh\u2010speed islets\u201d in WSM. Eleven APs (55%) were eliminated after the first ablation application. One patient with an anteroseptal AP close to the AV node underwent cryoablation to avoid an AV block. The AP width in the 3D mapping system was significantly narrower in WSM than in LAT mapping (5.8\u2009\u00b1\u20094.0\u2009mm vs. 10.4\u2009\u00b1\u20093.2\u2009mm, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). One patient experienced an AP recurrence, successfully eliminated using WSM\u2010guided CA in a repeat procedure. During 13.1\u2009\u00b1\u20098.3 months of follow\u2010up, all patients remained free of any supraventricular tachycardias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>WSM is a novel mapping method for visualizing APs as \u201chigh\u2010speed islets\u201d and guides a more precise ablation site than LAT mapping.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16545","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T07:25:03Z","timestamp":1734506703000},"page":"401-410","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Novel Wave\u2010speed Mapping Method for Visualizing Accessory Pathways in Wolff\u2013Parkinson\u2013White Syndrome"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2445-7008","authenticated-orcid":false,"given":"Koji","family":"Sudo","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine University of Yamanashi Chuo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Kuroki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine University of Yamanashi Chuo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Asakawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Yamanashi Kosei Hospital Yamanashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Yamanashi Kosei Hospital Yamanashi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chisa","family":"Asahina","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine University of Yamanashi Chuo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuya","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine University of Yamanashi Chuo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoaki","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mito Saiseikai General Hospital Mito Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazutaka","family":"Aonuma","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mito Saiseikai General Hospital Mito Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine University of Yamanashi Chuo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199106063242301"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.2.262"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1999.1749"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2020.05.003"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq050"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.14795"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2020.04.039"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1020833604423"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytad114"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-019-00582-3"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-020-00900-0"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-020-00850-7"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12726"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15070"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T11:03:34Z","timestamp":1751454214000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.16545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,17]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/jce.16545"],"URL":"https:\/\/doi.org\/10.1111\/jce.16545","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,17]]},"assertion":[{"value":"2024-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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