{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:10:35Z","timestamp":1787015435407,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Backgrounds<\/jats:title>\n                    <jats:p>Catheter ablation of recurrent atrial tachyarrhythmia after Maze operation is challenging due to complex arrhythmia circuits. The aim of this study was to clarify the characteristics and ablation outcomes of atrial tachyarrhythmias after Maze operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010eight cases who underwent catheter ablation of post\u2010Maze procedure atrial tachyarrhythmia (42 sessions; 1.5 per patient) in our five teaching affiliate hospitals were retrospectively analyzed. Cox\u2010\u2163 Maze procedure and left atrial Maze were performed in 19 cases and five cases, respectively. The mean interval between the surgery and index ablation was 62.4 months. In total, 46 atrial tachyarrhythmias were studied. Reentrant atrial tachycardia (AT) was the most common form (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200936), whereas four atrial fibrillation (AF) and two focal AT were also observed. Identified tachyarrhythmia circuits were as follows; 16 peri\u2010mitral, nine left atrial localized reentry (four septal, three posterior, one left atrial appendage, one anterior), six right atrial lateral incision\u2010related, five cavo\u2010tricuspid isthmus dependent, three roof dependent, two right atrial localized reentry (one coronary sinus, one cavo\u2010tricuspid isthmus), one bi\u2010atrial reentry, one pulmonary vein\u2010left atrial reentrant tachycardia, two focal AT (one para\u2010hisian, one coronary sinus), and one atrio\u2010ventricular nodal reentry. Termination of targeted tachyarrhythmia was achieved in 34 sessions (81%). AT\/AF recurrence free rate at 12, 24, 36 months of follow\u2010up were 91.8%, 81.6%, and 65.3%, respectively. Seven cases underwent multiple sessions (two 2nd sessions, three 3rd sessions, and two 4th sessions). In these cases, de\u2010novo atrial tachyarrhythmias were detected in the repeat procedures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most of the atrial tachyarrhythmias after Maze operation were incision\/gap\u2010related reentrant ATs, among which peri\u2010mitral AT and LA localized reentry were the most prevalent. Although these challenging tachyarrhythmias can be treated with the contemporary mapping techniques, de\u2010novo tachyarrhythmias can emerge in a remote period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.16752","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T01:35:10Z","timestamp":1749087310000},"page":"1886-1894","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Characteristics and Ablation Outcomes of Recurrent Atrial Tachyarrhythmia After Maze Operation\u2014A Multicenter Study in Fukuoka"],"prefix":"10.1111","volume":"36","author":[{"given":"Shunsuke","family":"Kawai","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Japanese Red Cross Fukuoka Hospital Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3591-8976","authenticated-orcid":false,"given":"Atsushi","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Saiseikai Fukuoka General Hospital Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shujiro","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Iizuka Hospital Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Nagaoka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine St. Mary's Hospital of Kurume Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirohide","family":"Matsuura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Japanese Red Cross Fukuoka Hospital Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3929-0071","authenticated-orcid":false,"given":"Susumu","family":"Takase","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8450-573X","authenticated-orcid":false,"given":"Masatsugu","family":"Nozoe","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Saiseikai Fukuoka General Hospital Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohtaro","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0275-7280","authenticated-orcid":false,"given":"Yasushi","family":"Mukai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Japanese Red Cross Fukuoka Hospital Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Fukuoka Heart Rhythm Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36684-X"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(93)90338-I"},{"issue":"1","key":"e_1_2_11_4_1","first-page":"105","article-title":"Illustrated Techniques for Performing the Cox\u2010Maze IV Procedure Through a Right Mini\u2010Thoracotomy","volume":"3","author":"Robertson J. O.","year":"2014","journal-title":"Annals of Cardiothoracic Surgery"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.16888"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2006.00419.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-011-0117-5"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12406"},{"key":"e_1_2_11_9_1","unstructured":"J. A.Joglar M. K.Chung A. L.Armbruster et al.2023ACC\/AHA\/ACCP\/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines: Developed in Collaboration With and Endorsed by the American College of Clinical Pharmacy and the Heart Rhythm Society.2024;83(1):109\u2013279."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.119.007273"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.11.027"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-48669-1"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15961"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.05.061"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jccase.2018.12.003"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-020-01737-3"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euac102"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.02.018"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2023.12.016"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16752","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.16752","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16752","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T14:23:40Z","timestamp":1772979820000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.16752"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,4]]},"references-count":18,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/jce.16752"],"URL":"https:\/\/doi.org\/10.1111\/jce.16752","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.173607127.71835621\/v1","asserted-by":"object"}]},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,4]]},"assertion":[{"value":"2025-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}