https://m2.mtmt.hu/ hun 2026-09-21 02:13 JournalArticle 33091091 VALIDATED true Export Date: 24 September 2025; Cited By: 10; CODEN: EUROC; 0 false 2026-08-24T17:03:40.028+0000 2025-09-24T08:35:45.291+0000 2022-09-13T09:44:31.335+0000 true 10062250 Molnár-Taga Márta /api/admin/10062250 Admin true 10062250 2025-09-24T08:35:45.160+0000 2022-10-27T11:47:34.054+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin true true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Lehar, Frantisek Randomized comparison of atrioventricular node re-entry tachycardia and atrial flutter catheter ablation with and without fluoroscopic guidance: ZeroFluoro study true true /api/journal/22765 REVIEWED true false 22765 false 22765 true 1099-5129 1532-2092 Journal FOREIGN 24 10 1636 1644 1636 9 2022 Background Interventional cardiology procedures may expose patients and staff to considerable radiation doses. We aimed to assess whether exposure to ionizing radiation during catheter ablation of supraventricular tachycardia (SVT) can be completely avoided. Methods In this prospective randomized study, patients with SVT (atrioventricular re-entrant tachycardia n = 94, typical atrial flutter n = 29) were randomly assigned in a 1:1 ratio to catheter ablation with conventional fluoroscopic guidance (CF group) or with the EnSite Precision mapping system [zerofluoro (ZF) group]. Acute procedural parameters, increased stochastic risk of cancer incidence and 6-month follow-up data were assessed. Results Between May 2019 and August 2020, 123 patients were enrolled. Clinical parameters were comparable. Median procedural time was 60.0 and 58.0 min, median fluoroscopy time and estimated median effective dose were 240 s vs. 0 and 0.38 mSv vs. 0 and arrhythmia recurrence was 5% and 7.9% in the CF and ZF groups, respectively. The acute success rate was 98.4% in both groups. No procedure-related complications were reported. At an average age of 55.5 years and median radiation exposure of 0.38 mSv, the estimate of increased incidence was approximately 1 in 14 084. The estimated mortality rate was 1 per 17 857 exposed persons. Conclusions The procedural safety and efficacy of the zero-fluoroscopic approach are similar to those of conventional fluoroscopy-based ablation for atrioventricular nodal re-entrant tachycardia and atrial flutter. Under the assumption of low radiation dose, the excessive lifetime risk of malignancy in the CF group due to electrophysiology procedure is reasonably small, whilst totally reduced in zero fluoroscopy procedures. true true 2022 true true true false true false NONE 2026-08-24 false 15 0 15 11 3 15 15 13 14 15 15 11 11 11 4 0 15 11 15 11 0 1 1 Folyóiratcikk Journal Article 24 15 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2023 0 6 4 6 4 2024 0 3 2 3 2 2025 0 2 2 2 2 2026 0 4 3 4 3 Q1 false 10032556 false false false 2022-10-26T11:47:33.749+0000 Kardiológia Központ - Kardiológiai Tanszék (SE / AOK / K); Sportorvostan Tanszék (SE / AOK / K) 5 29 2 12 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 103386429 /api/authorship/103386429 1 0.083333336 true false false Lehar Frantisek true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386430 /api/authorship/103386430 2 0.083 false false false Author 10032556 /api/author/10032556 Szegedi Nándor true 10032556 true Szegedi Nandor true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386431 /api/authorship/103386431 3 0.083333336 false false false Hejc Jakub true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386432 /api/authorship/103386432 4 0.083333336 false false false Jez Jiri true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386433 /api/authorship/103386433 5 0.083333336 false false false Soucek Filip true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386434 /api/authorship/103386434 6 0.083333336 false false false Kulik Tomas true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386435 /api/authorship/103386435 7 0.083333336 false false false Siruckova Anna true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386436 /api/authorship/103386436 8 0.083 false false false Author 10070959 /api/author/10070959 Salló Zoltán true true Sallo Zoltan true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386437 /api/authorship/103386437 9 0.083 false false false Author 10026732 /api/author/10026732 Nagy Klaudia Vivien true 10026732 true Nagy Klaudia Vivien true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386438 /api/authorship/103386438 10 0.083 false false false Author 10002691 /api/author/10002691 Merkely Béla Péter true 10002691 true Merkely Bela true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386439 /api/authorship/103386439 11 0.083 false false false Author 10013950 /api/author/10013950 Gellér László Alajos true 10013950 true Geller Laszlo true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 103386440 /api/authorship/103386440 12 0.083333336 false true true Starek Zdenek true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 21674654 /api/publicationidentifier/21674654 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 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true Reference 33530817 /api/reference/33530817 24 false true /api/publication/33091091 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" >Lehar Frantisek </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10032556"><a href="/gui2/?type=authors&mode=browse&sel=10032556" target="_blank">Szegedi Nandor (<span class="authorship-author-name">Szegedi Nándor</span> <span class="authorAux-mtmt"> Orvostudományok, Kardiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Kardiológia Központ - Kardiológiai Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Hejc Jakub </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Jez Jiri </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Soucek Filip </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Kulik Tomas </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Siruckova Anna </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10070959"><a href="/gui2/?type=authors&mode=browse&sel=10070959" target="_blank">Sallo Zoltan (<span class="authorship-author-name">Salló Zoltán</span> <span class="authorAux-mtmt"> Kardiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Kardiológia Központ - Kardiológiai Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026732"><a href="/gui2/?type=authors&mode=browse&sel=10026732" target="_blank">Nagy Klaudia Vivien (<span class="authorship-author-name">Nagy Klaudia Vivien</span> <span class="authorAux-mtmt"> orvostudományok</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Kardiológia Központ - Kardiológiai Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10002691"><a href="/gui2/?type=authors&mode=browse&sel=10002691" target="_blank">Merkely Bela (<span class="authorship-author-name">Merkely Béla Péter</span> <span class="authorAux-mtmt"> Kardiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Kardiológia Központ - Kardiológiai Tanszék; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Sportorvostan Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10013950"><a href="/gui2/?type=authors&mode=browse&sel=10013950" target="_blank">Geller Laszlo (<span class="authorship-author-name">Gellér László Alajos</span> <span class="authorAux-mtmt"> Kardiológia, Elektrofiziológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Kardiológia Központ - Kardiológiai Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Starek Zdenek ✉ </span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;33091091" target="_blank">Randomized comparison of atrioventricular node re-entry tachycardia and atrial flutter catheter ablation with and without fluoroscopic guidance: ZeroFluoro study</a></div> <div> <span class="journal-title">EUROPACE</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/1099-5129">1099-5129</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1532-2092">1532-2092</a>)</span>: <span class="journal-volume">24</span> <span class="journal-issue">10</span> <span class="page"> pp 1636-1644 </span> <span class="year">(2022)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1093/europace/euac049" target="_blank" href="https://doi.org/10.1093/europace/euac049"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000841952900001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000841952900001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85139880589" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85139880589"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="35979596" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=35979596&dopt=Abstract"> PubMed </a> </span> <span class="id identifier oa_NONE" title=" Nincs "> <a style="color:blue" title="https://www.scopus.com/inward/record.uri?eid=2-s2.0-85139880589&doi=10.1093%2Feuropace%2Feuac049&partnerID=40&md5=f674ccf5a723f1d4cd3bc23499a21e36" target="_blank" href="https://www.scopus.com/inward/record.uri?eid=2-s2.0-85139880589&doi=10.1093%2Feuropace%2Feuac049&partnerID=40&md5=f674ccf5a723f1d4cd3bc23499a21e36"> Egyéb URL </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Cardiology and Cardiovascular Medicine&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Physiology (medical)&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 15</span> | Független: 11 | Függő: 4 | Nem jelölt: 0 | WoS jelölt: 13 | Scopus jelölt:&nbsp;14 | WoS/Scopus jelölt:&nbsp;15 | DOI jelölt:&nbsp;15 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;33091091&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 1 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 33091091</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">WOS TAGGED</span> </div> <div class="lastModified">Utolsó módosítás: 2025.09.24. 10:35 Molnár-Taga Márta (SE 4-es admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Export Date: 24 September 2025; Cited By: 10; CODEN: EUROC;</pre> </div></div>