{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T18:55:41Z","timestamp":1768071341808,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T00:00:00Z","timestamp":1516665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Nature Science Foundation Committee projects of China","award":["81570308"],"award-info":[{"award-number":["81570308"]}]},{"name":"Nature Science Foundation Committee projects of China","award":["81400369"],"award-info":[{"award-number":["81400369"]}]},{"name":"Science and Technology Department of Hubei Province","award":["2015CFA077"],"award-info":[{"award-number":["2015CFA077"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fluoroscopy is the imaging modality routinely used for cardiac device implantation and electrophysiological procedures. Due to the rising concern regarding the harmful effects of radiation exposure to both the patients and operation staffs, novel 3D mapping systems have been developed and implemented in electrophysiological procedure for the navigation of catheters inside the heart chambers. Their applicability in cardiac device implantation has been rarely reported. Our aim is to evaluate the feasibility and safety of permanent pacemaker implantation without fluoroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>From January 2012 to June 2016, six patients (50 \u00b1 15 years, four of six were female, one of who was at the 25th week of gestation) who underwent permanent pacemaker implantation were included (zero\u2010fluoroscopy group). Data from 20 consecutive cases of implantation performed under fluoroscopy guidance were chosen as a control group (fluoroscopy group). Total implantation procedure time for single\u2010chamber pacemaker was 51.3 \u00b1 13.1\u00a0minutes in the zero\u2010fluoroscopy group and 42.6 \u00b1 7.4\u00a0minutes in the fluoroscopy group (P\u00a0\u00a0=\u00a0\u00a00.155). The implantation procedural time for a dual\u2010chamber pacemaker was 88.3 \u00b1 19.6\u00a0minutes and 67.3 \u00b1 7.6\u00a0minutes in the zero\u2010fluoroscopy and fluoroscopy groups (P\u00a0\u00a0=\u00a0\u00a00.013), respectively. No complications were observed during the procedure and the follow\u2010up in the two groups, and all pacemakers worked with satisfactory parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ensite NavX system can be used as a reliable and safe zero\u2010fluoroscopy approach for the implantation of single\u2010 or dual\u2010chamber permanent pacemakers in specific patients, such as pregnant women or in extreme situations when the x\u2010ray machine is not available.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.13248","type":"journal-article","created":{"date-parts":[[2017,12,9]],"date-time":"2017-12-09T10:53:08Z","timestamp":1512816788000},"page":"122-127","source":"Crossref","is-referenced-by-count":20,"title":["Zero\u2010fluoroscopy permanent pacemaker implantation using Ensite NavX system: Clinical viability or fanciful technique?"],"prefix":"10.1111","volume":"41","author":[{"given":"Ping","family":"Guo","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan P. R. China"},{"name":"Division of Cardiology, Department of Internal Medicine The Second Affiliated Hospital of Zhengzhou University  Zhengzhou P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Qiu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6976-2412","authenticated-orcid":false,"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangzhi","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Proietti","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Morriston Hospital Swansea University  Swansea UK"},{"name":"Division of Cardiology, Luigi Sacco Hospital University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AL\u2010Selmi","family":"Fadhle","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunxia","family":"Zhao","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dao","family":"Wen Wang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan P. R. 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