{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:50:22Z","timestamp":1784195422443,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"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":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cryoballoon ablation (CryoBA) of the left atrium (LA) roof is usually performed via Achieve catheter anchoring (Medtronic Inc., Minneapolis, MN, USA) of the left superior pulmonary vein (LSPV) and right superior pulmonary vein (RSPV) (two\u2010way CryoBA). The nadir temperature during anchoring of the RSPV is cooler than that during anchoring of the LSPV. Creation of the LA roof line using CryoBA with only an Achieve catheter and sheath bending is difficult. Therefore, we developed a new technique using a push button (Button\u2010on Technique) to stabilize a cryoballoon (CB) on the LA roof and performed LA roof ablation by anchoring only the RSPV (one\u2010way CryoBA). This study aimed to determine the effect of one\u2010way CryoBA and two\u2010way CryoBA on the LA roof.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>\n                      This retrospective study included 80 patients with persistent atrial fibrillation treated at our hospital between May 2019 and 2021 (one\u2010way CryoBA group, 40 patients; two\u2010way CryoBA group, 40 patients). CryoBA on the LA roof and pulmonary vein isolation were performed using a 28\u2010mm second\u2010generation CB for 180\u2009s during each application. Nadir temperatures and gaps on the LA roof during the first pass were compared between the one\u2010way CryoBA and two\u2010way CryoBA groups. Nadir temperatures during one\u2010way CryoBA from the middle to the left side of the LA roof were significantly decreased compared with those during two\u2010way CryoBA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Touch\u2010up ablations of the LA roof after the first pass were performed in 1 of 40 patients (2.5%) and in 6 of 40 patients (15%) of the one\u2010way CryoBA and two\u2010way CryoBA groups, respectively, suggesting the presence of significantly fewer gaps in the one\u2010way CryoBA group than in the two\u2010way CryoBA group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.038).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>One\u2010way CryoBA with the Button\u2010on Technique can make nadir temperatures on the LA roof from the middle to the left side cooler compared with two\u2010way CryoBA, causing fewer gaps on the LA roof during the first pass.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70122","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T06:07:37Z","timestamp":1759471657000},"page":"3193-3201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["One\u2010Way Ablation With a Cryoballoon on the Left Atrium Roof Using a Novel Button\u2010on Technique: A Retrospective Study"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1455-5798","authenticated-orcid":false,"given":"Norikazu","family":"Watanabe","sequence":"first","affiliation":[{"name":"Cardiology Kanto Rousai Hospital Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8048-4890","authenticated-orcid":false,"given":"Shuhei","family":"Arai","sequence":"additional","affiliation":[{"name":"Cardiology Kanto Rousai Hospital Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kouhei","family":"Yoshikawa","sequence":"additional","affiliation":[{"name":"Cardiology Kanto Rousai Hospital Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"Ohhoshi","sequence":"additional","affiliation":[{"name":"Cardiology Kanto Rousai Hospital Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Yoshitake","sequence":"additional","affiliation":[{"name":"Cardiology Kanto Rousai Hospital Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8125-4971","authenticated-orcid":false,"given":"Masayuki","family":"Shibata","sequence":"additional","affiliation":[{"name":"Cardiology Kanto Rousai Hospital Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atuso","family":"Namiki","sequence":"additional","affiliation":[{"name":"Cardiology Kanto Rousai Hospital Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4735-5816","authenticated-orcid":false,"given":"Taku","family":"Asano","sequence":"additional","affiliation":[{"name":"Cardiology Showa University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7349-7538","authenticated-orcid":false,"given":"Toshiro","family":"Shinke","sequence":"additional","affiliation":[{"name":"Cardiology Showa University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,2]]},"reference":[{"issue":"1","key":"e_1_2_10_2_1","first-page":"e1","article-title":"ACC\/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","volume":"149","author":"Joglar J. A.","year":"2023","journal-title":"Circulation"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-20-0637"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-21-0162"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1408288"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.05.012"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2022.01.003"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.118.007005"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.05.014"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2020.08.016"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy566.P5753"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.16267"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13879"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-019-00641-9"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.14345"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2021.12.039"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14281"},{"key":"e_1_2_10_18_1","first-page":"1109","article-title":"Cryoballoon Ablation of Persistent Atrial Fibrillation: Feasibility and Safety of Left Atrial Roof Ablation With Generation of Conduction Block in Addition to Antral Pulmonary Vein Isolation","volume":"19","author":"Kuniss M.","year":"2017","journal-title":"Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology"},{"key":"e_1_2_10_19_1","first-page":"euw146","article-title":"Cryoballoon Ablation of Persistent Atrial Fibrillation: Feasibility and Safety of Left Atrial Roof Ablation With Generation of Conduction Block in Addition to Antral Pulmonary Vein Isolation","volume":"19","author":"Kuniss M.","year":"2016","journal-title":"Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.70122","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.70122","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.70122","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T10:20:58Z","timestamp":1772965258000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.70122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,2]]},"references-count":18,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/jce.70122"],"URL":"https:\/\/doi.org\/10.1111\/jce.70122","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,2]]},"assertion":[{"value":"2025-07-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}