From near‐zero to zero fluoroscopy catheter ablation procedures
Aims The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation exposure related to conventional radiofrequency ablation procedures can have a stochastic and deterministic effect on health. The main aim of this...
Saved in:
Published in | Journal of cardiovascular electrophysiology Vol. 30; no. 11; pp. 2397 - 2404 |
---|---|
Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Wiley Subscription Services, Inc
01.11.2019
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Aims
The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation exposure related to conventional radiofrequency ablation procedures can have a stochastic and deterministic effect on health. The main aim of this study was to evaluate the safety and feasibility of an entirely nonfluoroscopic approach to catheter ablation (CA) using EAM CARTO3.
Methods
In 2011 we started an RX‐minimization programme in all procedures using the CARTO system with the deliberate intention to not resort to the aid of RX unless strictly necessary. We divided procedures into two groups (group 1: from 2011 to 2013; group 2: from 2014 to 2017). The only exclusion criteria were the need for transseptal puncture, and nonidiopathic ventricular tachycardia (VT).
Results
From a total of 525 procedures, we performed CA entirely without RX in 78.5% of cases. From 2011 to 2013, we performed CA without RX in 38.5% of cases; from 2014 to 2017, we performed 96.2% of cases with zero RX. The use of RX was significantly reduced in group 2 (group 2: 1.4 ± 19.6 seconds vs group 1: 556.92 ± 520.76 seconds; P < .001). These differences were irrespective of arrhythmia treatment. There were no differences between the two groups in acute success, complications, or duration of procedures.
Conclusion
CA of supraventricular tachycardia and VT entirely without RX, guided by the CARTO system, is safe, feasible, and effective. After an adequate learning curve, CA can be performed entirely without RX. |
---|---|
AbstractList | AimsThe use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation exposure related to conventional radiofrequency ablation procedures can have a stochastic and deterministic effect on health. The main aim of this study was to evaluate the safety and feasibility of an entirely nonfluoroscopic approach to catheter ablation (CA) using EAM CARTO3.MethodsIn 2011 we started an RX‐minimization programme in all procedures using the CARTO system with the deliberate intention to not resort to the aid of RX unless strictly necessary. We divided procedures into two groups (group 1: from 2011 to 2013; group 2: from 2014 to 2017). The only exclusion criteria were the need for transseptal puncture, and nonidiopathic ventricular tachycardia (VT).ResultsFrom a total of 525 procedures, we performed CA entirely without RX in 78.5% of cases. From 2011 to 2013, we performed CA without RX in 38.5% of cases; from 2014 to 2017, we performed 96.2% of cases with zero RX. The use of RX was significantly reduced in group 2 (group 2: 1.4 ± 19.6 seconds vs group 1: 556.92 ± 520.76 seconds; P < .001). These differences were irrespective of arrhythmia treatment. There were no differences between the two groups in acute success, complications, or duration of procedures.ConclusionCA of supraventricular tachycardia and VT entirely without RX, guided by the CARTO system, is safe, feasible, and effective. After an adequate learning curve, CA can be performed entirely without RX. Aims The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation exposure related to conventional radiofrequency ablation procedures can have a stochastic and deterministic effect on health. The main aim of this study was to evaluate the safety and feasibility of an entirely nonfluoroscopic approach to catheter ablation (CA) using EAM CARTO3. Methods In 2011 we started an RX‐minimization programme in all procedures using the CARTO system with the deliberate intention to not resort to the aid of RX unless strictly necessary. We divided procedures into two groups (group 1: from 2011 to 2013; group 2: from 2014 to 2017). The only exclusion criteria were the need for transseptal puncture, and nonidiopathic ventricular tachycardia (VT). Results From a total of 525 procedures, we performed CA entirely without RX in 78.5% of cases. From 2011 to 2013, we performed CA without RX in 38.5% of cases; from 2014 to 2017, we performed 96.2% of cases with zero RX. The use of RX was significantly reduced in group 2 (group 2: 1.4 ± 19.6 seconds vs group 1: 556.92 ± 520.76 seconds; P < .001). These differences were irrespective of arrhythmia treatment. There were no differences between the two groups in acute success, complications, or duration of procedures. Conclusion CA of supraventricular tachycardia and VT entirely without RX, guided by the CARTO system, is safe, feasible, and effective. After an adequate learning curve, CA can be performed entirely without RX. Abstract Aims The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation exposure related to conventional radiofrequency ablation procedures can have a stochastic and deterministic effect on health. The main aim of this study was to evaluate the safety and feasibility of an entirely nonfluoroscopic approach to catheter ablation (CA) using EAM CARTO3. Methods In 2011 we started an RX‐minimization programme in all procedures using the CARTO system with the deliberate intention to not resort to the aid of RX unless strictly necessary. We divided procedures into two groups (group 1: from 2011 to 2013; group 2: from 2014 to 2017). The only exclusion criteria were the need for transseptal puncture, and nonidiopathic ventricular tachycardia (VT). Results From a total of 525 procedures, we performed CA entirely without RX in 78.5% of cases. From 2011 to 2013, we performed CA without RX in 38.5% of cases; from 2014 to 2017, we performed 96.2% of cases with zero RX. The use of RX was significantly reduced in group 2 (group 2: 1.4 ± 19.6 seconds vs group 1: 556.92 ± 520.76 seconds; P < .001). These differences were irrespective of arrhythmia treatment. There were no differences between the two groups in acute success, complications, or duration of procedures. Conclusion CA of supraventricular tachycardia and VT entirely without RX, guided by the CARTO system, is safe, feasible, and effective. After an adequate learning curve, CA can be performed entirely without RX. The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation exposure related to conventional radiofrequency ablation procedures can have a stochastic and deterministic effect on health. The main aim of this study was to evaluate the safety and feasibility of an entirely nonfluoroscopic approach to catheter ablation (CA) using EAM CARTO3. In 2011 we started an RX-minimization programme in all procedures using the CARTO system with the deliberate intention to not resort to the aid of RX unless strictly necessary. We divided procedures into two groups (group 1: from 2011 to 2013; group 2: from 2014 to 2017). The only exclusion criteria were the need for transseptal puncture, and nonidiopathic ventricular tachycardia (VT). From a total of 525 procedures, we performed CA entirely without RX in 78.5% of cases. From 2011 to 2013, we performed CA without RX in 38.5% of cases; from 2014 to 2017, we performed 96.2% of cases with zero RX. The use of RX was significantly reduced in group 2 (group 2: 1.4 ± 19.6 seconds vs group 1: 556.92 ± 520.76 seconds; P < .001). These differences were irrespective of arrhythmia treatment. There were no differences between the two groups in acute success, complications, or duration of procedures. CA of supraventricular tachycardia and VT entirely without RX, guided by the CARTO system, is safe, feasible, and effective. After an adequate learning curve, CA can be performed entirely without RX. |
Author | Zacà, Valerio Falciani, Francesca Bellini, Cesare Valente, Serafina Baiocchi, Claudia Bianchi, Claudio Santoro, Amato Di Clemente, Francesca Gaspardone, Achille Lamberti, Filippo |
Author_xml | – sequence: 1 givenname: Amato orcidid: 0000-0002-2629-4372 surname: Santoro fullname: Santoro, Amato email: amato.santoro@gmail.com organization: Azienda Ospedaliera Universitaria Senese – sequence: 2 givenname: Francesca surname: Di Clemente fullname: Di Clemente, Francesca organization: San Eugenio Hospital – sequence: 3 givenname: Claudia surname: Baiocchi fullname: Baiocchi, Claudia organization: Azienda Ospedaliera Universitaria Senese – sequence: 4 givenname: Valerio surname: Zacà fullname: Zacà, Valerio organization: Azienda Ospedaliera Universitaria Senese – sequence: 5 givenname: Claudio surname: Bianchi fullname: Bianchi, Claudio organization: San Eugenio Hospital – sequence: 6 givenname: Cesare surname: Bellini fullname: Bellini, Cesare organization: San Eugenio Hospital – sequence: 7 givenname: Francesca surname: Falciani fullname: Falciani, Francesca organization: Azienda Ospedaliera Universitaria Senese – sequence: 8 givenname: Serafina surname: Valente fullname: Valente, Serafina organization: Azienda Ospedaliera Universitaria Senese – sequence: 9 givenname: Achille surname: Gaspardone fullname: Gaspardone, Achille organization: San Eugenio Hospital – sequence: 10 givenname: Filippo surname: Lamberti fullname: Lamberti, Filippo organization: San Eugenio Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31424119$$D View this record in MEDLINE/PubMed |
BookMark | eNp1kL1OwzAQxy0EoqUw8AIoEgsMKeeP2M5YVXwKiQVmyzgX0SqNi50IlYlH4Bl5EgwtDEjccjf89L-73x7Zbn2LhBxSGNNUZ3OHYyooo1tkSAsBuaZSbacZRJFzrfiA7MU4B6BcQrFLBpwKJigth2RyEfwia9GGj7f3Vww-63z23eum98FH55erzNnuCTsMmX1sbDfzbbYM3mHVB4z7ZKe2TcSDTR-Rh4vz--lVfnt3eT2d3OaOF5zmikmG0grNLChRlIVQ4BwDx5SrlbTggNWM20pbBVpKEKiFpIpZW0ldV3xETta5afVzj7Ezi1l02DS2Rd9Hw5gqSiG15gk9_oPOfR_adJ1hHEolAWSZqNM15dKbMWBtlmG2sGFlKJgvryZ5Nd9eE3u0SewfF1j9kj8iE3C2Bl5mDa7-TzI30_N15CeDz4Ib |
CitedBy_id | crossref_primary_10_1111_jce_15699 crossref_primary_10_1155_2021_5561574 crossref_primary_10_1007_s10840_022_01419_2 crossref_primary_10_1007_s10840_020_00791_1 crossref_primary_10_1007_s00399_021_00767_2 crossref_primary_10_1186_s12872_022_02544_6 crossref_primary_10_1007_s10840_020_00798_8 crossref_primary_10_1093_europace_euaa034 crossref_primary_10_1093_europace_euac049 crossref_primary_10_1007_s12652_021_03612_z crossref_primary_10_1002_clc_23411 crossref_primary_10_1002_clc_23401 crossref_primary_10_1002_joa3_12596 crossref_primary_10_1111_pace_14366 crossref_primary_10_35366_112759 crossref_primary_10_1007_s10554_021_02168_5 crossref_primary_10_3389_fcvm_2022_804424 crossref_primary_10_1002_ccr3_3035 |
Cites_doi | 10.1046/j.1540-8167.2002.00778.x 10.1161/01.CIR.0000146952.49223.11 10.1111/j.1540-8159.2006.00472.x 10.1007/s10840-005-5837-y 10.1016/j.hrthm.2009.08.037 10.1093/europace/eut409 10.1093/europace/euv344 10.1093/europace/eut237 10.1186/1476-7120-9-35 10.1161/CIR.0000000000000311 10.1093/eurheartj/eht411 10.1016/j.ijcard.2015.04.146 10.1259/bjr.71.849.10195011 10.1016/j.hrthm.2015.09.003 10.1161/01.CIR.98.15.1534 10.1111/j.1540-8159.2007.00702.x 10.1093/eurheartj/ehi834 10.1111/j.1540-8167.2012.02344.x |
ContentType | Journal Article |
Copyright | 2019 Wiley Periodicals, Inc. |
Copyright_xml | – notice: 2019 Wiley Periodicals, Inc. |
DBID | NPM AAYXX CITATION 7QP K9. 7X8 |
DOI | 10.1111/jce.14121 |
DatabaseName | PubMed CrossRef Calcium & Calcified Tissue Abstracts ProQuest Health & Medical Complete (Alumni) MEDLINE - Academic |
DatabaseTitle | PubMed CrossRef ProQuest Health & Medical Complete (Alumni) Calcium & Calcified Tissue Abstracts MEDLINE - Academic |
DatabaseTitleList | ProQuest Health & Medical Complete (Alumni) CrossRef MEDLINE - Academic PubMed |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine Anatomy & Physiology Biology |
EISSN | 1540-8167 |
EndPage | 2404 |
ExternalDocumentID | 10_1111_jce_14121 31424119 JCE14121 |
Genre | article Journal Article |
GroupedDBID | --- .3N .GA .GJ .Y3 04C 05W 0R~ 10A 1OB 1OC 29K 31~ 33P 36B 3SF 4.4 50Y 50Z 51W 51X 52M 52N 52O 52P 52R 52S 52T 52U 52V 52W 52X 53G 5GY 5HH 5LA 5RE 5VS 66C 6PF 702 7PT 8-0 8-1 8-3 8-4 8-5 8UM 930 A01 A03 AAESR AAEVG AAHHS AANLZ AAONW AASGY AAWTL AAXRX AAZKR ABCQN ABCUV ABDBF ABEML ABJNI ABPVW ABQWH ABXGK ACAHQ ACBWZ ACCFJ ACCZN ACGFO ACGFS ACGOF ACIWK ACMXC ACPOU ACPRK ACSCC ACXBN ACXQS ADBBV ADBTR ADEOM ADIZJ ADKYN ADMGS ADOJX ADOZA ADXAS ADZMN ADZOD AEEZP AEGXH AEIGN AEIMD AENEX AEQDE AEUQT AEUYR AFBPY AFEBI AFFPM AFGKR AFPWT AFRAH AFZJQ AHBTC AHEFC AHMBA AIACR AIAGR AITYG AIURR AIWBW AJBDE ALAGY ALMA_UNASSIGNED_HOLDINGS ALUQN AMBMR AMYDB ATUGU AZBYB AZFZN AZVAB BAFTC BDRZF BFHJK BHBCM BMSDO BMXJE BPMNR BROTX BRXPI BY8 C45 CAG COF CS3 D-6 D-7 D-E D-F D-I DC6 DCZOG DPXWK DR2 DRFUL DRMAN DRSTM DU5 EAD EAP EAS EBC EBD EBS ECF ECT ECV EIHBH EJD EMB EMK EMOBN ENC EPT ESX EX3 F00 F01 F04 F5P FEDTE FUBAC FZ0 G-S G.N GODZA H.X HF~ HGLYW HVGLF HZI HZ~ IHE IX1 J0M K48 KBYEO LATKE LC2 LC3 LEEKS LH4 LITHE LOXES LP6 LP7 LUTES LW6 LYRES MEWTI MK4 MRFUL MRMAN MRSTM MSFUL MSMAN MSSTM MXFUL MXMAN MXSTM N04 N05 N9A NF~ O66 O9- OIG OVD P2P P2W P2X P2Z P4B P4D PALCI PQQKQ Q.N Q11 QB0 Q~Q R.K RIWAO ROL RX1 SAMSI SUPJJ SV3 TEORI TUS UB1 V8K VVN W8V W99 WBKPD WHWMO WIH WIJ WIK WOHZO WOW WQ9 WQJ WRC WUP WVDHM WXI WXSBR XG1 ZGI ZXP ZZTAW ~IA ~WT NPM AAYXX CITATION 7QP K9. 7X8 |
ID | FETCH-LOGICAL-c3531-7262e6a482a074595470cc20c27cf76a0c02f23ad8a7086604e846172aad68fd3 |
IEDL.DBID | DR2 |
ISSN | 1045-3873 |
IngestDate | Sat Aug 17 00:32:36 EDT 2024 Thu Oct 10 18:56:51 EDT 2024 Fri Aug 23 01:37:17 EDT 2024 Sat Sep 28 08:31:42 EDT 2024 Sat Aug 24 01:10:08 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 11 |
Keywords | electroanatomic mapping without fluoroscopy catheter ablation zero fluoroscopy |
Language | English |
License | 2019 Wiley Periodicals, Inc. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c3531-7262e6a482a074595470cc20c27cf76a0c02f23ad8a7086604e846172aad68fd3 |
Notes | Disclosures None. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
ORCID | 0000-0002-2629-4372 |
PMID | 31424119 |
PQID | 2309760069 |
PQPubID | 1086397 |
PageCount | 8 |
ParticipantIDs | proquest_miscellaneous_2275946883 proquest_journals_2309760069 crossref_primary_10_1111_jce_14121 pubmed_primary_31424119 wiley_primary_10_1111_jce_14121_JCE14121 |
PublicationCentury | 2000 |
PublicationDate | November 2019 2019-Nov 2019-11-00 20191101 |
PublicationDateYYYYMMDD | 2019-11-01 |
PublicationDate_xml | – month: 11 year: 2019 text: November 2019 |
PublicationDecade | 2010 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States – name: Hoboken |
PublicationTitle | Journal of cardiovascular electrophysiology |
PublicationTitleAlternate | J Cardiovasc Electrophysiol |
PublicationYear | 2019 |
Publisher | Wiley Subscription Services, Inc |
Publisher_xml | – name: Wiley Subscription Services, Inc |
References | e_1_2_10_1_9_1 e_1_2_10_1_8_1 e_1_2_10_1_7_1 e_1_2_10_1_16_1 e_1_2_10_1_17_1 e_1_2_10_1_18_1 e_1_2_10_1_19_1 e_1_2_10_1_2_1 e_1_2_10_1_12_1 e_1_2_10_1_13_1 e_1_2_10_1_14_1 e_1_2_10_1_15_1 e_1_2_10_1_6_1 e_1_2_10_1_5_1 e_1_2_10_1_20_1 e_1_2_10_1_4_1 e_1_2_10_1_10_1 e_1_2_10_1_21_1 e_1_2_10_1_3_1 e_1_2_10_1_11_1 |
References_xml | – ident: e_1_2_10_1_3_1 doi: 10.1046/j.1540-8167.2002.00778.x – ident: e_1_2_10_1_8_1 doi: 10.1161/01.CIR.0000146952.49223.11 – ident: e_1_2_10_1_15_1 doi: 10.1111/j.1540-8159.2006.00472.x – ident: e_1_2_10_1_17_1 doi: 10.1007/s10840-005-5837-y – ident: e_1_2_10_1_5_1 doi: 10.1016/j.hrthm.2009.08.037 – ident: e_1_2_10_1_10_1 doi: 10.1093/europace/eut409 – ident: e_1_2_10_1_13_1 doi: 10.1093/europace/euv344 – ident: e_1_2_10_1_18_1 doi: 10.1093/europace/eut237 – ident: e_1_2_10_1_21_1 doi: 10.1186/1476-7120-9-35 – ident: e_1_2_10_1_7_1 doi: 10.1111/j.1540-8159.2006.00472.x – ident: e_1_2_10_1_20_1 doi: 10.1161/CIR.0000000000000311 – ident: e_1_2_10_1_14_1 – ident: e_1_2_10_1_19_1 doi: 10.1093/eurheartj/eht411 – ident: e_1_2_10_1_6_1 doi: 10.1016/j.ijcard.2015.04.146 – ident: e_1_2_10_1_16_1 doi: 10.1259/bjr.71.849.10195011 – ident: e_1_2_10_1_11_1 doi: 10.1016/j.hrthm.2015.09.003 – ident: e_1_2_10_1_12_1 doi: 10.1161/01.CIR.98.15.1534 – ident: e_1_2_10_1_4_1 doi: 10.1111/j.1540-8159.2007.00702.x – ident: e_1_2_10_1_2_1 doi: 10.1093/eurheartj/ehi834 – ident: e_1_2_10_1_9_1 doi: 10.1111/j.1540-8167.2012.02344.x |
SSID | ssj0013605 |
Score | 2.4342759 |
Snippet | Aims
The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation... The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation exposure... Abstract Aims The use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX.... AimsThe use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation... AIMSThe use of electroanatomical mapping (EAM) systems can reduce radiation exposure (RX) and it can also completely eliminate the use of RX. Radiation... |
SourceID | proquest crossref pubmed wiley |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 2397 |
SubjectTerms | Ablation Arrhythmia Cardiac arrhythmia catheter ablation Catheters Complications electroanatomic mapping without fluoroscopy Exposure Feasibility Fluoroscopy Medical instruments Radiation Radio frequency Radiofrequency ablation Stochasticity Tachycardia Ventricle zero fluoroscopy |
Title | From near‐zero to zero fluoroscopy catheter ablation procedures |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjce.14121 https://www.ncbi.nlm.nih.gov/pubmed/31424119 https://www.proquest.com/docview/2309760069 https://search.proquest.com/docview/2275946883 |
Volume | 30 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LS8QwEB4WQfHi-7G6ShQRL5U2adIWT6vsIgt6EIU9CCVN04vayro9uCd_gr_RX-IkbdcXgnhqoGmn7WSSbzIzXwEOMoYTv-dmjueji-Ir5jmShanjZTKgnEnJErMPeXEpzm_8wZAPW3DS1MJU_BDTDTdjGXa-NgYuk6fPRq40mrlni8gNkZ4BRFf0I4JQ1USit8ENfyyrWYVsFk9z5de16AfA_IpX7YLTX4Tb5lGrPJO743KcHKvJNxbHf77LEizUQJR0q5GzDC2dr8BqN0cn_OGZHBKbGmr33Fdg9rRpzV3UsfhV6PZHxQPJ0VLeXl4nelSQcUHsMbsvC0OSWTw-E0sLi7ojMqmy7ohdMtMS3fw1uOn3rs_OnfqHDI5iaKtOQAXVQvohlYg8eMT9wFWKuooaciMhXeXSjDKZhjJAV0m4vkZ4gxBJylSEWcrWYSYvcr0JBG-T-kxyL9PCR6kRTtgsElxymuH4EW3Yb1QTP1a8G_HUX1E6tl-rDZ1GaXFtek8x-lSRiTaKqA1709NoNCYSInNdlNiHBhwlhiFrw0al7KkUZmr_PA-vPrIq-118PDjr2cbW37tuwzxCrqiqZuzAzHhU6h2ENeNk147fd-tL8Cw |
link.rule.ids | 315,786,790,1382,27955,27956,46327,46751 |
linkProvider | Wiley-Blackwell |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1JT-MwFH5CIJYLwzp0hsUghLikSuzYSSQuZanKUg4IJC4och3nwpCg0hzaEz9hfuP8knl2krIJCXGKpdh5SZ6_-Ht-SwB2U4Yffs9NHc9HE8VXzHMkCxPHS2VAOZOS9cw-ZPdSdG78s1t-OwEHdS5MWR9ivOFmkGG_1wbgZkP6NcqVRpx7Jot8CuHODSyPr-iLD6HMikR7g5sKsqyqK2TjeOqhb1ejDxTzLWO1S077B9zVN1tGmtw3i0GvqUbv6jh-92kWYL7ioqRVTp5FmNDZEiy3MrTDH4Zkj9joULvtvgTTh3Vrplu545eh1e7nDyRDsPx7_jvS_ZwMcmKP6Z8iN3Uy88chsZVhUX1E9srAO2JXzaRAS38Fbton10cdp_ong6MYwtUJqKBaSD-kEskHj7gfuEpRV1FT30hIV7k0pUwmoQzQWhKur5HhIEuSMhFhmrBVmMzyTK8BwcskPpPcS7XwUWqESmSR4JLTFKeQaMBOrZv4sSy9EY9NFqVj-7YasF5rLa7Q9xSjWRUZh6OIGrA9Po24Mc4Qmem8wD404CgxDFkDfpbaHkthJv3P83D0vtXZ5-Ljs6MT2_j19a5bMNu57l7EF6eX579hDhlYVCY3rsPkoF_oDWQ5g96mncz_AQFM9Ew |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9wwEB4hEKgXnm1ZXjUVQr0EJX4lEaflsaJQEKpA4lAp8jr2pZCsls0BTvwEfiO_hLGTLFBUqeopluJkkozH_j7PIwBbluHEH4U2iDhSFK5ZFCiW5EFkVUwFU4r13T7k6Zk8uuTHV-JqAnbbXJi6PsR4w81Zhp-vnYEPcvvayLVBM49cEvkUl4w65nXwk764EOqkSKQbwhWQZU1ZIR_G0176djF6hzDfAla_4vTm4Ff7rHWgye-datTf0fd_lHH8z5eZh9kGiZJuPXQWYMIUi7DULZCF39yRbeJjQ_2m-yJM77WtmdPGGb8E3d6wvCEFmsrTw-O9GZZkVBJ_tNdV6apkloM74uvCovKI6tdhd8SvmXmFPP8jXPYOL_aPguaPDIFmaKxBTCU1UvGEKoQeIhU8DrWmoaauupFUoQ6ppUzliYqRK8mQG8Q3iJGUymVic_YJJouyMMtA8DY5Z0pE1kiOUlOcsVkqhRLU4gCSHfjaqiYb1IU3sjFh0SbzX6sDa63Sssb2bjMkValzN8q0A5vj02g1zhWiClNW2IfGAiUmCevA51rZYynMJf9FEV79zavs7-Kz4_1D31j5965fYOb8oJf9-H52sgofEH6ldWbjGkyOhpVZR4gz6m_4ofwMLOfy-w |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=From+near%E2%80%90zero+to+zero+fluoroscopy+catheter+ablation+procedures&rft.jtitle=Journal+of+cardiovascular+electrophysiology&rft.au=Santoro%2C+Amato&rft.au=Francesca+Di+Clemente&rft.au=Baiocchi%2C+Claudia&rft.au=Zac%C3%A0%2C+Valerio&rft.date=2019-11-01&rft.pub=Wiley+Subscription+Services%2C+Inc&rft.issn=1045-3873&rft.eissn=1540-8167&rft.volume=30&rft.issue=11&rft.spage=2397&rft.epage=2404&rft_id=info:doi/10.1111%2Fjce.14121&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1045-3873&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1045-3873&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1045-3873&client=summon |