{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T21:45:38Z","timestamp":1778622338010,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"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":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The reduction of fluoroscopic exposure during catheter ablation of supraventricular arrhythmias is widely adopted by experienced electrophysiology physicians with a relatively short learning curve and is becoming the standard of care in many parts of the world. While observational studies in the United States and some parts of Western Europe have evaluated the minimal fluoroscopic approach, there are scarce real\u2010world data for this technique and the generalizability of outcomes in other economic regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The AALARA study is a prospective, observational, multicenter, and multinational open\u2010label study. Patients were recruited from 13 countries across Central Eastern Europe, North and South Africa, the Middle East, and the CIS (Commonwealth of Independent States), with different levels of operator expertise using minimal fluoroscopic exposure techniques. Data on radiation exposure, procedural success, complications, recurrence, and quality of life changes were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>A total of 680 patients were enrolled and followed for 6 months. The majority were ablation na\u00efve with the commonest arrhythmia ablated being typical AVNRT (58%) followed by Atrial Flutter (23%). Zero fluoroscopy exposure was observed in almost 90% of the cases. Fluoroscopy was most commonly used during the ablation phase of the procedure. We observed a high acute success rate (99%), a low complication rate (0.4%), and a 6\u2010month recurrence rate of 3.8%. There was a significant improvement in the patient's symptoms and quality of life as measured by patient global assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The routine use of a 3D mapping system during right\u2010sided ablation was associated with low radiation exposure and associated with high acute success rate, low complications, and recurrence rate along with significant improvement in quality of life. The data confirm the reproducibility of this approach in real\u2010world settings across different healthcare systems, and operator experience supporting this approach to minimize radiation exposure without compromising efficacy and safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>NCT04716270<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.15075","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T11:46:22Z","timestamp":1727437582000},"page":"1441-1448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ablation of Supraventricular Arrhythmias With as Low as Reasonably Achievable X\u2010Ray exposure (AALARA)"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2207-2967","authenticated-orcid":false,"given":"Mohammad","family":"Amin","sequence":"first","affiliation":[{"name":"Department of Cardiac Electrophysiology Mohammed Bin Khalifa Bin Salman Al Khalifa Specialist Cardiac Centre Awali Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6315-5016","authenticated-orcid":false,"given":"Ayan","family":"Abdrakhmanov","sequence":"additional","affiliation":[{"name":"Department of Cardiology National\u00a0Research Cardiac Surgery Center,\u00a0NPJSC Nur\u2010Sultan Kazakhstan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evgeniy","family":"Kropotkin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Federal Center for Cardiovascular Surgery Krasnoyarsk Region Russian 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South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleg","family":"Sapelnikov","sequence":"additional","affiliation":[{"name":"Department of Cardiology Institute of Clinical Cardiology Moscow Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ondrej","family":"Toman","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Hospital Brno Brno\u2010Bohunice Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid","family":"Al\u2010Muti","sequence":"additional","affiliation":[{"name":"Department of Cardiology Cleveland Clinic Abu Dhabi Abu Dhabi UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Aljaabari","sequence":"additional","affiliation":[{"name":"Department of Cardiology Cleveland Clinic Abu Dhabi Abu Dhabi 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