{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:03:37Z","timestamp":1791497017791,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"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":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Catheter ablation is the key element of rhythm control in atrial fibrillation (AF), yet its reliance on fluoroscopy exposes patients and operators to radiation. A fluoroscopy\u2010free procedure is possible using intracardiac echocardiography (ICE), but due to high cost, the learning curve, and added procedural steps, ICE is rarely used in Europe. Similarly, non\u2010fluoroscopic tracking systems (NCTS) like MediGuide for near\u2010zero fluoroscopy ablation have fallen out of favor. The SHORT LOOK study evaluates the efficiency and safety of a streamlined near\u2010zero fluoroscopy workflow for first\u2010time pulmonary vein isolation (PVI) based solely on advanced 3D mapping and an ultra\u2013low\u2010dose fluoroscopy protocol. The aim was to determine whether near\u2010zero fluoroscopy ablation can be achieved using conventional techniques, enabling broader adoption in modern electrophysiology labs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The SHORT LOOK registry is a single\u2010center, investigator\u2010initiated prospective standard\u2010of\u2010care study enrolling consecutive patients undergoing first\u2010time PVI for AF. A total of 450 patients were included in the final analysis. The workflow used a 3D mapping system (CARTO3, J&amp;J MedTec) with an ultra\u2010low\u2010dose fluoroscopy protocol, without adjunctive technologies. Baseline assessments included medical history, physical examination, labs, ECG, EQ\u2010VAS, and echocardiography. The primary efficacy endpoint was median fluoroscopy time; the primary safety endpoint was a composite of procedure\u2010related death or cardiovascular, neurological, or vascular events. Secondary endpoints included 1\u2010year freedom from atrial arrhythmia &gt;\u200930\u2009s, skin\u2010to\u2010skin time, fluoroscopy dose, and proportion of procedures with fluoroscopy &lt;\u20091\u2009min. Patients were followed up for 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The SHORT LOOK cohort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009450) achieved a median procedural time of 57\u2009min, with median fluoroscopy time of 26\u2009s and dose of 9.1\u2009\u00b5Gy*m\u00b2. The complication rate was &lt;\u20091% and no major adverse events occurred. Follow\u2010up revealed that for paroxysmal atrial fibrillation, 86.1% were AT\/AF\u2010free at 3 months, decreasing to 82.6% at 12 months, while for persistent atrial fibrillation, the rates were 77.3% and 71.7%, respectively, confirming sustained rhythm control. EQ\u2010VAS analyses revealed a significant improvement in health\u2010related quality of life from baseline (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Compared to a historical NCTS group, our workflow leads to similarly low fluoroscopy times and radiation doses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The streamlined workflow for initial atrial fibrillation ablation, which nearly eliminates fluoroscopy, demonstrates a significant reduction in both fluoroscopy time and radiation dose. This approach is feasible in any electrophysiology laboratory and offers a practical method for performing rapid, safe, and effective AF ablations while maintaining minimal radiation exposure\u2014all without the need for additional adjunctive technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70225","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T01:10:09Z","timestamp":1765588209000},"page":"321-330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Near\u2010Zero\u2010Fluoroscopy Ablation of Atrial Fibrillation Without ICE or Non\u2010Fluoroscopic Tracking Systems: Findings From the SHORT LOOK Registry"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1608-4152","authenticated-orcid":false,"given":"Martin","family":"Borlich","sequence":"first","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Landt","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susann","family":"Groschke","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Wietgrefe","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Mankerious","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolf","family":"Weinert","sequence":"additional","affiliation":[{"name":"Friedrich\u2010Ebert Hospital Neum\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Fichtlscherer","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Nef","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Segeberger Kliniken Bad Segeberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Sommer","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology Heart\u2010 and Diabetes Center NRW, Ruhr University Bochum Bad Oeynhausen 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