{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:14:40Z","timestamp":1788498880413,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"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":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Catheter ablation of premature ventricular contractions (PVCs) is an effective treatment modality, but traditionally involves fluoroscopy, which poses radiation risks. Recently, zero\u2010fluoroscopy (ZF) techniques have emerged as a safer alternative, especially in young patients and those requiring multiple procedures.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This retrospective, single\u2010center study evaluated 150 patients who underwent PVC ablation between January 2023 and March 2025. Patients were divided into two groups: those treated with ZF (\n n<\/jats:italic>\n = 75) and conventional fluoroscopy (CF) (\n n<\/jats:italic>\n = 75). Procedural characteristics, procedure time, success rates, and complications were compared.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Acute procedural success was achieved in 79.3% overall, with comparable rates between ZF and CF groups (78.7%\u00a0vs. 80.0%,\n p<\/jats:italic>\n = 0.84). The median procedure time was similar (88 vs. 90\u00a0min,\n p<\/jats:italic>\n = 0.14), and no significant differences were observed in complication rates (4.0%\u00a0vs. 4.0%,\n p<\/jats:italic>\n = 1.00). Stratified analysis revealed longer procedure times in anatomically complex PVC origins, particularly in LV\u2010superior and summit regions (\n p<\/jats:italic>\n < 0.001), whereas RV\u2010inferior PVCs showed the highest success (90%) and shortest duration (\n p<\/jats:italic>\n < 0.05). Univariate logistic regression identified a higher PVC burden and a longer procedure time as predictors of procedural failure. No coronary or atrioventricular conduction injury occurred in either group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Zero\u2010fluoroscopy PVC ablation is a safe and effective alternative to conventional methods. Despite longer durations in anatomically complex cases, the ZF approach avoids radiation without compromising outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/pace.70248","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T12:49:57Z","timestamp":1775911797000},"page":"1374-1383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Zero\u2010Fluoroscopy Versus Conventional Catheter Ablation for Premature Ventricular Contractions"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4768-0536","authenticated-orcid":false,"given":"Abdullah Orhan","family":"Demirtas","sequence":"first","affiliation":[{"name":"Department of Cardiology, Adana City Training and Research Hospital Adana Adana T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2928-1059","authenticated-orcid":false,"given":"Ahmet Taha","family":"Sahin","sequence":"additional","affiliation":[{"name":"Necmettin Erbakan University, School of Medicine Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.2018_85-14"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2024.02.008"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-019-00655-3"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000004487"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12644"},{"issue":"8","key":"e_1_2_12_7_1","first-page":"1105","article-title":"Zero\u2010Fluoroscopy Catheter Ablation for Idiopathic Premature Ventricular Contractions From the Aortic Sinus Cusp","volume":"36","author":"Zhu T. Y.","year":"2016","journal-title":"Journal of Southern Medical University"},{"issue":"6","key":"e_1_2_12_8_1","first-page":"941","article-title":"Catheter Ablation for Premature Ventricular Contractions in the Left Coronary Sinus Cusp in a 16\u2010Year\u2010Old Girl Using a Zero\u2010Fluoroscopy Approach","volume":"39","author":"Wu K. L.","year":"2023","journal-title":"Acta Cardiologica Sinica"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2009.08.037"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2023.1178783"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12642"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.5603\/cj.98002"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-019-00522-1"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-023-01723-5"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2023.01.035"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.804424"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14121"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hroo.2023.09.011"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.3035"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70248","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70248","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70248","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T04:23:30Z","timestamp":1788495810000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,11]]},"references-count":18,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/pace.70248"],"URL":"https:\/\/doi.org\/10.1111\/pace.70248","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,11]]},"assertion":[{"value":"2026-02-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}