{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T11:43:18Z","timestamp":1769600598755,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T00:00:00Z","timestamp":1505865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007497","name":"Biosense Webster","doi-asserted-by":"publisher","award":["BWI\u2010IIS\u20100187"],"award-info":[{"award-number":["BWI\u2010IIS\u20100187"]}],"id":[{"id":"10.13039\/100007497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Our aim was to characterize a stepwise approach in cavotricuspid isthmus ablation for typical atrial flutter in a prospective, noncrossover randomized study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and fifty patients referred for cavotricuspid isthmus (CTI)\u2010dependent atrial flutter ablation were randomized to undergo an ablation with an 8\u2010mm\u2010tip catheter (group 1), a 3.5\u2010mm open irrigation\u2010tip catheter (group 2), and a 3.5\u2010mm open irrigation porous\u2010tip catheter (group 3). A stepwise approach was performed, changing the ablation site from medial to septal aspects of the CTI, in case it was not effective without crossover between catheters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CTI block was achieved in all the patients using only one catheter. There was a 68% efficacy in group 1, 40% in group 2, and 28% in group 3 to achieve CTI block within 10 minutes (P\u00a0\u00a0=\u00a0\u00a00.001) and 96%, 70%, and 70% in groups 1, 2, and 3, respectively, within 20 minutes (P\u00a0\u00a0=\u00a0\u00a00.002) of radiofrequency ablation. The 8\u2010mm catheter was also faster in fluoroscopy time and CTI block time. There were no differences in efficiency in the both irrigated catheters. There were no significant differences in complications among three catheters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>With this stepwise approach, it is possible to achieve CTI block in all cases, using a single catheter without crossover, with good times of procedure and with a low complication rate. The 8\u2010mm solid catheter is faster than the other irrigated\u2010tip catheters. The 3.5\u2010mm open irrigation porous\u2010tip catheter is as effective and safe as the conventional irrigated\u2010tip catheter.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.13170","type":"journal-article","created":{"date-parts":[[2017,8,28]],"date-time":"2017-08-28T11:22:36Z","timestamp":1503919356000},"page":"1052-1058","source":"Crossref","is-referenced-by-count":5,"title":["Characterization of a stepwise approach in cavotricuspid isthmus ablation for typical atrial flutter: A randomized study comparing three catheters"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3841-2871","authenticated-orcid":false,"given":"Jos\u00e9 Manuel","family":"Rub\u00edn","sequence":"first","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Calvo","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5219-7912","authenticated-orcid":false,"given":"Diego","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Fidalgo","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas Mar\u00eda","family":"de la Hera","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esmeralda","family":"Cap\u00edn","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haritz","family":"Arrizabalaga","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Carballeira","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesar","family":"Mor\u00eds","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.100.7.768"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.101.7.772"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-8932(09)71688-4"},{"key":"e_1_2_9_5_1","first-page":"283","article-title":"Ablation of typical atrial flutter: a prospective study of cooled\u2010tip versus 8\u2010mm\u2010tip catheters","volume":"62","author":"Iori M","year":"2014","journal-title":"Minerva Cardioangiol"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2007.00861.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2005.00231.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehj.2004.03.017"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8167.2002.00980.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12721"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12403"},{"key":"e_1_2_9_12_1","first-page":"496","article-title":"Improved flutter ablation outcomes using a 10 mm\u2010tip ablation catheter","volume":"10","author":"Leiria TL","year":"2010","journal-title":"Indian Pacing Electrophysiol J"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2003.00126.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2011.02045.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl121"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq339"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12528"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12175"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12835"},{"key":"e_1_2_9_20_1","first-page":"193","article-title":"Which is the best catheter to perform atrial fibrillation ablation? A comparison between standard ThermoCool, SmartTouch, and Surround Flow catheters","volume":"39","author":"Sciarra L","year":"2014","journal-title":"J Interv Card Electrophysiol"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-012-9765-3"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euu195"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12221"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12174"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpace.13170","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.13170","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T17:16:47Z","timestamp":1696007807000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.13170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,20]]},"references-count":23,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1111\/pace.13170"],"URL":"https:\/\/doi.org\/10.1111\/pace.13170","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,20]]}}}