{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:57:45Z","timestamp":1790697465273,"version":"4.1.0"},"reference-count":58,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"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":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early recurrence (ER) of atrial tachyarrhythmia (ATA) has been proven to predict late recurrence (LR) in patients undergoing catheter ablation (CA). However, the long\u2010term ATA recurrence in patients undergoing combined left atrial appendage closure (LAAC) and CA procedures remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study aimed to investigate the long\u2010term ATA recurrence after the combined procedure. We enrolled patients with atrial fibrillation (AF) who underwent combined procedures from January 2019 to February 2022. A 1:1 propensity score match was used to identify a comparable cohort from the isolated CA (CA\u2010only) groups. ER and LR were defined as recurrence of ATA during 8 weeks and beyond an 8\u2010week blanking period after ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 326 enrolled patients (aged 67.8 \u00b1 8.7 years, 42.9% female, 26.4% paroxysmal AF), the groups were similar regarding the occurrence of ER (LAAC\u00a0+\u00a0CA: 25.2% vs. CA\u2010only: 20.9%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.357). After a 4\u2010year follow\u2010up, the combined group demonstrated a significantly lower ATA\u2010free rate compared to the CA\u2010only group (LAAC\u00a0+\u00a0CA: 52.1% vs. CA\u2010only: 63.2%, log\u2010rank,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.049). Based on a multivariate Cox regression analysis, the risk of LR significantly increased in patients with ER (hazard ratio [HR] = 1.789, 95% confidence interval [CI] = 1.194\u20132.681,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005), the combined procedure (HR = 1.559, 95% CI = 1.072\u20132.268,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.020), and increased left atrial diameter (LAD) (HR = 1.036, 95% CI = 1.002\u20131.071,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.036).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ATA recurrence postprocedure is more frequent in the combined procedure than in the CA\u2010only procedure after the long\u2010term follow\u2010up. ER, the combined procedure, and increased LAD are associated with a higher risk of LR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70135","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T07:36:48Z","timestamp":1768376208000},"page":"485-494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Combined Procedure Versus Catheter Ablation Alone for Atrial Fibrillation: Predictors of Long\u2010Term Arrhythmia Recurrence"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1120-6554","authenticated-orcid":false,"given":"Xinzhi","family":"Yu","sequence":"first","affiliation":[{"name":"Arrhythmia Center The First Affiliated Hospital of Ningbo University Ningbo First Hospital  Ningbo City China"},{"name":"Health Science Center Ningbo University  Ningbo City 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University Ningbo First Hospital  Ningbo City China"},{"name":"Health Science Center Ningbo University  Ningbo City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyu","family":"Zhao","sequence":"additional","affiliation":[{"name":"Health Science Center Ningbo University  Ningbo City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6971-0313","authenticated-orcid":false,"given":"Caijie","family":"Shen","sequence":"additional","affiliation":[{"name":"Arrhythmia Center The First Affiliated Hospital of Ningbo University Ningbo First Hospital  Ningbo City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongxing","family":"Jiang","sequence":"additional","affiliation":[{"name":"Arrhythmia Center The First Affiliated Hospital of Ningbo University Ningbo First Hospital  Ningbo City 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