{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T20:04:37Z","timestamp":1775160277236,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T00:00:00Z","timestamp":1723420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The impact of the His bundle location and distance from the ablation site on ablation efficacy and complication risk remains unexplored. We determined the correlation between age, height, body mass index (BMI), and the His bundle location, and whether the distance between the His bundle and ablation target (D<jats:sub>HIS\u2010ABL<\/jats:sub>) affects ablation safety and efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Overall, 346 patients with atrioventricular nodal re\u2010entrant tachycardia (AVNRT) and 96 with atrioventricular re\u2010entrant tachycardia (AVRT) were retrospectively analyzed. The distance between the His bundle and the coronary sinus ostium (D<jats:sub>His\u2010CS<\/jats:sub>), the height of the His bundle (H<jats:sub>HIS<\/jats:sub>), and D<jats:sub>HIS\u2010ABL<\/jats:sub> were measured. Electrocardiograms were obtained 3 months post\u2010ablation to assess recurrence and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Multiple linear regression showed that H<jats:sub>HIS<\/jats:sub> was negatively correlated with age in both groups. In AVNRT patients, D<jats:sub>HIS\u2010ABL<\/jats:sub> was associated with age, height, and BMI; D<jats:sub>HIS\u2010CS<\/jats:sub> was only negatively correlated with age. In AVRT patients, there was no significant correlation between the D<jats:sub>HIS\u2010ABL<\/jats:sub> and age, height, or BMI. The recurrence rates in the AVNRT and AVRT groups were 0.9% and 8.7%, respectively. Subgroup analysis showed that patients with D<jats:sub>HIS\u2010ABL<\/jats:sub>\u00a0\u2264\u00a010\u00a0mm had a higher recurrence rate than those with D<jats:sub>HIS\u2010ABL\u00a0<\/jats:sub>&gt;\u00a010\u00a0mm (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.013). The incidence of third\u2010degree atrioventricular block (AVB) complications was 0.2%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>H<jats:sub>HIS<\/jats:sub> was negatively correlated with age but not with height and BMI. The D<jats:sub>HIS\u2010ABL<\/jats:sub> correlated with age, height, and BMI in AVNRT patients. A short D<jats:sub>HIS\u2010ABL<\/jats:sub> led to a higher rate of supraventricular tachycardia recurrence; whether this affects AVB risk warrants further studies with larger sample sizes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.15053","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T12:34:20Z","timestamp":1723466060000},"page":"1338-1345","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The impact of His bundle location and direction on the efficacy and safety of ablation"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2946-4673","authenticated-orcid":false,"given":"Bangjiaxin","family":"Ren","sequence":"first","affiliation":[{"name":"Department of Cardiology West China Hospital Sichuan University  Chengdu P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Cardiology West China Hospital Sichuan University  Chengdu P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology West China Hospital Sichuan University  Chengdu P.R. China"},{"name":"Department of Cardiovascular Sichuan Taikang Hospital  Chengdu P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6580-3726","authenticated-orcid":false,"given":"Fanghui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology West China Hospital Sichuan University  Chengdu P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuanyun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Yunyang County People's Hospital  Chongqing P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Cardiology Neijiang Second People's Hospital  Neijiang P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianjin","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Cardiology West China Hospital Sichuan University  Chengdu P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8164-9183","authenticated-orcid":false,"given":"Rui","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Cardiology West China Hospital Sichuan University  Chengdu P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/pcad.2002.130388"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz467"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcha.2015.04.011"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(07)71013-9"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-004-0302-7"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0b013e328323d83f"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joa.2017.04.002"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.113.000690"},{"key":"e_1_2_9_10_1","first-page":"4431","article-title":"Therapeutic effect of radiofrequency ablation on children with supraventricular tachycardia and the risk factors for postoperative recurrence","volume":"15","author":"Li C","year":"2018","journal-title":"Exp Ther Med"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-14-1320"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.02.008"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1996.tb00477.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1995.tb00444.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjco.2021.03.007"},{"key":"e_1_2_9_16_1","first-page":"452","article-title":"Geometry of Koch's triangle","volume":"19","author":"Klimek\u2010Piotrowska W","year":"2017","journal-title":"Europace"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2021.0107"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-022-01432-5"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2012.11.003"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.15053","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T06:06:01Z","timestamp":1728453961000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.15053"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,12]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/pace.15053"],"URL":"https:\/\/doi.org\/10.1111\/pace.15053","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,12]]},"assertion":[{"value":"2024-04-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}