{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:06:14Z","timestamp":1792080374557,"version":"4.4.0"},"reference-count":11,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"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>Pulmonary vein isolation (PVI) using pulsed field ablation (PFA) is effective for treating atrial fibrillation (AF) but often requires fluoroscopy, posing risks of radiation exposure. Using a circular multi\u2010electrode PulseSelect catheter along with 3D electroanatomical mapping (3D\u2010EAM) and intracardiac echocardiography (ICE) enables pulmonary vein isolation (PVI) with near\u2010zero fluoroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All procedures were managed under general anesthesia. Following transseptal puncture, pre\u2010mapping was conducted using a multi\u2010electrode catheter. Based on these initial mappings, the PulseSelect catheter and guiding wire were visualized on the 3D\u2010EAM to perform PVI. After the procedure, post\u2010mapping was carried out to confirm that there was no electrical reconnection in the treated areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median times for isolation of the left and right pulmonary veins were 9.0 and 11.0 min, respectively. Total procedure time averaged 48.5 min, with fluoroscopy time limited to 0.1 min for initial registration. Pre\u2010 and post\u2010mapping indicated minimal deviations in catheter positioning, demonstrating controlled ablation without significant procedural complications. Holter monitoring at three months showed a low recurrence rate of atrial arrhythmias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The near\u2010zero fluoroscopy PFA workflow using the PulseSelect catheter, combined with 3D\u2010EAM and ICE, significantly reduces radiation exposure, enhances procedural safety, and maintains efficacy in AF ablation. This approach confirms the feasibility of reducing reliance on fluoroscopy while ensuring accurate and safe ablation outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70046","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T09:44:21Z","timestamp":1758015861000},"page":"1196-1202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Near\u2010Zero Fluoroscopy Ablation Workflow With a Circular Multielectrode Pulsed\u2010Field Ablation Catheter"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5630-1975","authenticated-orcid":false,"given":"Kennosuke","family":"Yamashita","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Heart Rhythm Center, Sendai Kosei Hospital  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart Rhythm Center, Sendai Kosei Hospital  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keita","family":"Yoshiyama","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart Rhythm Center, Sendai Kosei Hospital  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiki","family":"Kumazawa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart Rhythm Center, Sendai Kosei Hospital  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Mizuno","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart Rhythm Center, Sendai Kosei Hospital  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Onodera","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart Rhythm Center, Sendai Kosei Hospital  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart Rhythm Center, Sendai Kosei Hospital  Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.121.010168"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.122.011780"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2307291"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.13180"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840\u2010024\u201001904\u2010w"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.14860"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.13174"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12264"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.122.011110"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-023-01699-2"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2024.10.045"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70046","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T07:08:11Z","timestamp":1773644891000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,16]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/pace.70046"],"URL":"https:\/\/doi.org\/10.1111\/pace.70046","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,16]]},"assertion":[{"value":"2025-02-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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