{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T20:13:52Z","timestamp":1790367232540,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002858","name":"China Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["2023M732152"],"award-info":[{"award-number":["2023M732152"]}],"id":[{"id":"10.13039\/501100002858","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pulmonary vein isolation (PVI) for atrial fibrillation (AF) is performed under general anesthesia (GA) or conscious sedation (CS). Prior studies have linked anesthesia type to postoperative recurrence and catheter metrics, but not to catheter swing, interlesion distance (ILD), or acute pulmonary vein reconnection. We assessed how GA versus CS relates to intraoperative catheter stability, lesion continuity, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 147 patients undergoing first\u2010time PVI (97 under GA, 50 under CS). We evaluated and compared catheter swing, contact force (CF), ablation index (AI), ILD, acute pulmonary vein reconnection, and 12\u2010month recurrence between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Catheter swing (all segments\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), ILD (all segments\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and acute pulmonary vein reconnection (20.6%\u00a0vs. 54.0%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) were significantly lower in the GA group, which was associated with a higher postoperative success rate (12\u2010month recurrence: 23.7%\u00a0vs. 44.0%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007). Anesthesia type was significantly associated with both acute pulmonary vein reconnection (OR 0.22,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and postoperative success (12\u2010month OR 0.40,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.013). Furthermore, catheter swing was significantly associated with acute pulmonary vein reconnection (OR 1.16,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), which served as a crucial mediator between anesthesia strategy and overall postoperative success.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this retrospective cohort, GA was associated with reduced catheter swing, shorter ILD, and lower acute pulmonary vein reconnection compared to CS. Acute reconnection significantly mediated the association with 12\u2010month freedom from AF. These findings suggest that GA may facilitate more durable lesion formation during PVI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70345","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T11:42:58Z","timestamp":1783078978000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association of Anesthesia Modality With Procedural Parameters and Clinical Outcomes in PVI for Atrial Fibrillation"],"prefix":"10.1111","author":[{"given":"Jia","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Cardiology First Hospital of Shanxi Medical University  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiwei","family":"Sun","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College Shanxi Medical University  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohong","family":"Fu","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College Shanxi Medical University  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology First Hospital of Shanxi Medical University  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Cardiology First Hospital of Shanxi Medical University  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiology First Hospital of Shanxi Medical University  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shouyuan","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Shanxi Provincial People's Hospital  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9340-6477","authenticated-orcid":false,"given":"Rui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology First Hospital of Shanxi Medical University  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2009.07.011"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.jacc.2009.11.040","article-title":"Progression from Paroxysmal to Persistent Atrial Fibrillation Clinical Correlates and Prognosis","volume":"55","author":"Vos C. B.","year":"2010","journal-title":"Journal of the American College of Cardiology"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.026890"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.12.093"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747493019897870"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx731"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcm.2014.11.009"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14122"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2013.121"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartasia\u20102018\u2010011155"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2012.10.044"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2018.08.008"},{"key":"e_1_2_12_14_1","article-title":"Use of Ablation Index\u2010Guided Ablation Results in High Rates of Durable Pulmonary Vein Isolation and Freedom From Arrhythmia in Persistent Atrial Fibrillation Patients: The PRAISE Study Results","volume":"11","author":"Hussein A.","year":"2018","journal-title":"Circulation: Arrhythmia and Electrophysiology"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00380\u2010017\u20100961\u2010z"},{"key":"e_1_2_12_16_1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.36290\/vnl.2017.035","article-title":"[Radiofrequency Catheter Ablation of Atrial Fibrillation Performed Under General Anesthesia: Results of a Unicentric Randomized Trial]","volume":"63","author":"Sta\u0161kov\u00e1 K.","year":"2017","journal-title":"Vnitrni Lekarstvi"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12840"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eus244"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.10.040"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539\u2010199410000\u201000018"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.28615"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840\u2010016\u20100103\u2010z"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2016.07.014"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840\u2010016\u20100156\u2010z"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1253\/circrep.CR\u201025\u20100035"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010023\u201044450\u20107"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hroo.2025.06.028"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840\u2010018\u20100501\u20105"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euaa224"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70345","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70345","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T11:42:59Z","timestamp":1783078979000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,3]]},"references-count":28,"alternative-id":["10.1111\/pace.70345"],"URL":"https:\/\/doi.org\/10.1111\/pace.70345","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,3]]},"assertion":[{"value":"2026-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pace.70345"}}