{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:55:10Z","timestamp":1777924510169,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Technology and Health Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The optimal intervention procedures for scar-related ventricular tachycardia (VT) is still unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to compare the acute and long-term outcomes of a stepwise ablation approach targeting critical sites identified through activation mapping during VT or pace mapping followed by substrate ablation with substrate modification alone in patients with scar-related VT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data of 41 patients with scar-related VTs treated with stepwise ablation (Group 1, n\u2009=\u200929) or substrate modification alone during sinus rhythm (Group 2, n\u2009=\u200912) were retrospectively reviewed. The procedure acute success and long-term success during follow-up were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was no statistical difference between the two groups on basic characteristics. Group 1 demonstrated shorter ablation time (P\u2009=\u20090.02), longer VT-free survival rates at a median follow-up of 24.0 months (P\u2009=\u20090.02) and a lower VT recurrence rate (hazard ratio: 0.17, 95% confidence interval: [0.03, 0.93], P\u2009=\u20090.04) compared to Group 2. The acute success and ratio of ablation area to scar area were comparable between the two groups (P\u2009\u2265\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The stepwise ablation strategy shows promise for improving acute and long-term outcomes and reducing the recurrence risk in patients with scar-related VT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09287329241307799","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T05:25:51Z","timestamp":1738301151000},"page":"1827-1838","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Stepwise ablation strategy in radiofrequency ablation improves acute and long-term outcomes of scar-related ventricular tachycardias"],"prefix":"10.1177","volume":"33","author":[{"given":"Pin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanan","family":"Zuo","sequence":"additional","affiliation":[{"name":"Biosense Webster, Cardiovascular &amp; Specialty Solutions, Johnson &amp; Johnson Medical (China) Ltd, Xuhui District, Shanghai, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenglong","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanwei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suyun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ru","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bingyan","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Ventricular Tachycardia. 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