{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:14:43Z","timestamp":1788498883025,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"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":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Minimizing radiation exposure during electrophysiological studies remains an important priority in the catheterization laboratory. With the advancement of imaging and electroanatomic mapping systems, eliminating fluoroscopy from catheter ablation of arrhythmias is becoming more feasible, even for left side procedures requiring transseptal puncture. Nevertheless, there remain concern over the safety and efficacy of a zero\u2010fluoroscopy approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this report was to evaluate the safety and efficacy of a zero\u2010fluoroscopy catheter ablation approach for accessory pathways and atrioventricular nodal\u2010reentrant tachycardia (AVNRT) in a diverse, consecutive patient cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective analysis of all patients who underwent radiofrequency ablation or cryoablation of accessory pathways or AVNRT between January 2019 and June 2022 at a single institution. Patient demographics, arrhythmia substrates, ablation energy modalities, and procedural outcomes were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 166 total ablation procedures performed on 164 unique patients. Fluoroscopy was not used in any of the cases. The mean age was 14.8 years (range 3.1\u201335.7), of whom 84% were under 18 years of age. Among the 166 procedures performed, 58 involved only typical AVNRT, 1 atypical AVNRT, 99 were accessory pathways, and 8 involved multiple arrhythmia substrates. In all, there were 112 instances of accessory pathways (78 manifest, 34 concealed). Acute procedure success was 99.4%. There were five (5\/164, 3%) recurrences after a year of follow\u2010up. There were no complications identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Zero\u2010fluoroscopy approach to catheter ablation of AVNRT and accessory pathways is safe and effective, further supporting the general adoption of radiation\u2010free techniques in such cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70281","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T10:17:43Z","timestamp":1778667463000},"page":"1246-1254","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Zero Fluoroscopy Catheter Ablation of Accessory Pathways and AV Nodal Re\u2010Entry Tachycardia: A Single Institution Study"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1433-3255","authenticated-orcid":false,"given":"Stephen","family":"Manu","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology Arrhythmia Center Akron Children's Hospital One Perkins Square  Akron Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milton","family":"Briggs","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Arrhythmia Center Akron Children's Hospital One Perkins Square  Akron Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Clark","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Arrhythmia Center Akron Children's Hospital One Perkins Square  Akron Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1982.03330070039027"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.08.856"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41569\u2010024\u201001056\u20104"},{"key":"e_1_2_13_5_1","unstructured":"D.Padmanabhan S.Shankar A.Chandrashekharaiah andS.Deshpande \u201cStrategies to Reduce Radiation Exposure in Electrophysiology and Interventional Cardiology \u201dUS Cardiology Review December 22 2019 accessed July 29 2025 https:\/\/www.uscjournal.com\/articles\/strategies\u2010reduce\u2010radiation\u2010exposure\u2010electrophysiology\u2010and\u2010interventional\u2010cardiology?language_content_entity=en."},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20108159.2007.00701.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2649-2"},{"key":"e_1_2_13_8_1","doi-asserted-by":"crossref","unstructured":"W.McKinney \u201cData Structures for Statistical Computing in Python \u201d inProceedings of the 9th Python in Science Conference(2010):56\u201361 https:\/\/doi.org\/10.25080\/Majora\u201092bf1922\u201000a.","DOI":"10.25080\/Majora-92bf1922-00a"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2023.1185187"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.856145"},{"key":"e_1_2_13_11_1","volume-title":"Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac 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