{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:31:37Z","timestamp":1790181097970,"version":"4.1.0"},"reference-count":9,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"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":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Symptomatic pulmonary vein stenosis (sPVS) is a rare but severe complication of transcatheter atrial fibrillation (AF) ablation. High\u2010power, short\u2010duration (HPSD) and very HPSD (vHPSD) approaches for radiofrequency (RF) AF ablation have been shown to improve procedural efficiency, with effectiveness and a short\u2010term safety profile comparable to conventional standard\u2010power long\u2010duration (SPLD) ablation. Findings from some previous reports suggest that HPSD may be a risk factor for the development of sPVS. The aim of this multicenter, observational analysis was to compare the incidence of sPVS after AF ablation with HPSD, vHPSD, and SPLD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 436 consecutive patients (63.1\u00a0\u00b1\u00a09.5 years, 66.5% male, 70.9% with paroxysmal AF) undergoing RF AF ablation were reviewed: 64 were ablated with HPSD, 71 with vHPSD, and 301 with SPLD. The incidence of sPVS during follow\u2010up was assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in baseline characteristics between the three groups. During a median follow\u2010up of 20 months, 9 cases of sPVS were identified: 7 (10.9%) in HPSD group, 1 (1.4%) in vHPSD group, and 1 (0.3%) in SPLD group (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The use of HPSD approach was an independent predictor of sPVS (hazard ratio, 20.226; 95% confidence interval, 20.49\u2013164.59;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.005) on multivariable analysis. Seven of 9 patients underwent percutaneous PVs angioplasty and stent implantation (3 veins in 4 patients, 2 veins in 2 patients, 1 vein in 1 patient).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of this observational analysis suggest that RF AF ablation using HPSD approach may be associated with an increased risk of sPVS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70040","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T14:36:41Z","timestamp":1757601401000},"page":"1191-1195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Risk of Symptomatic Pulmonary Vein Stenosis After Atrial Fibrillation Ablation With High\u2010Power Short\u2010Duration Approach"],"prefix":"10.1111","volume":"48","author":[{"given":"Pietro","family":"Palmisano","sequence":"first","affiliation":[{"name":"Cardiology Unit \u201cCard. G. Panico\u201d Hospital  Tricase Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zefferino","family":"Palam\u00e0","sequence":"additional","affiliation":[{"name":"Unit of Cardiology Casa di Cura Villa Verde  Taranto Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio L.","family":"Bartorelli","sequence":"additional","affiliation":[{"name":"Department of University Cardiology IRCCS Ospedale Galeazzi \u2010 Sant'Ambrogio  Milan Italy"},{"name":"Department of Biomedical and Clinical Sciences University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Bonanno","sequence":"additional","affiliation":[{"name":"Cardiology Unit \u201cCard. G. Panico\u201d Hospital  Tricase Italy"},{"name":"Cardiology Unit Department of Clinical and Experimental Medicine University of Messina  Messina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Tricarico","sequence":"additional","affiliation":[{"name":"Unit of Cardiology Casa di Cura Villa Verde  Taranto Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Crea","sequence":"additional","affiliation":[{"name":"Cardiology Unit Department of Clinical and Experimental Medicine University of Messina  Messina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Coluccia","sequence":"additional","affiliation":[{"name":"Cardiology Unit \u201cCard. G. Panico\u201d Hospital  Tricase Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.02.003"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.113.000768"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaf101"},{"issue":"3","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"iii13","DOI":"10.1093\/eurheartjsupp\/suaf008","article-title":"Serious Iatrogenic Complications: Pulmonary Vein Stenosis After Ablation of Atrial Fibrillation","volume":"27","author":"Bartorelli A. L.","year":"2025","journal-title":"European Heart Journal Supplements: Journal of the European Society of Cardiology"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.14838"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.14879"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2019.04.009"},{"key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1007\/s10840-023-01612-x","article-title":"High\u2010Power Short\u2010Duration Catheter Ablation of Atrial Fibrillation: Is It Really a New Era? Comparison Between New and Old Radiofrequency Contact Force\u2010Sensing Catheters","volume":"67","author":"Dello Russo A.","year":"2024","journal-title":"Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euad296"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70040","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70040","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T07:08:20Z","timestamp":1773644900000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,11]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/pace.70040"],"URL":"https:\/\/doi.org\/10.1111\/pace.70040","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,11]]},"assertion":[{"value":"2025-06-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}