Cryoablation Versus Radiofrequency Energy for the Ablation of Atrioventricular Nodal Reentrant Tachycardia (the CYRANO Study)
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- Isabel Deisenhofer
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Bernhard Zrenner
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Yue-hui Yin
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Heinz-Friedrich Pitschner
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Malte Kuniss
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Georg Großmann
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Sascha Stiller
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Armin Luik
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Christian Veltmann
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Julia Frank
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Julia Linner
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Heidi L. Estner
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Andreas Pflaumer
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Jinjin Wu
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Christian von Bary
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Ekrem Ücer
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Tilko Reents
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Stylianos Tzeis
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Stephanie Fichtner
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Susanne Kathan
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Martin R. Karch
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Clemens Jilek
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Sonia Ammar
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Christof Kolb
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Zeng-Chang Liu
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Bernhard Haller
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Claus Schmitt
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
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- Gabriele Hessling
- From the Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany (I.D., J.F., J.L., H.L.E., A.P., J.W., C.B., T.R., S.T., S.F., S.K., M.R.K., C.J., S.A., C.K., G.H.); Krankenhaus Landshut-Achdorf, Landshut, Germany (B.Z., E.U.); Department of Cardiology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing, China (Y.-h.H., Z.-C.L.); Kerckhoff-Klinik Bad Nauheim, Bad Nauheim, Germany (H.-F.P., M.K.); Universitätsklinikum...
Bibliographic Information
- Other Title
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- Results From a Large Multicenter Prospective Randomized Trial
Abstract
<jats:sec> <jats:title>Background—</jats:title> <jats:p>Cryoablation has emerged as an alternative to radiofrequency catheter ablation (RFCA) for the treatment of atrioventricular (AV) nodal reentrant tachycardia (AVNRT). The purpose of this prospective randomized study was to test whether cryoablation is as effective as RFCA during both short-term and long-term follow-up with a lower risk of permanent AV block.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods and Results—</jats:title> <jats:p> A total of 509 patients underwent slow pathway cryoablation (n=251) or RFCA (n=258). The primary end point was immediate ablation failure, permanent AV block, and AVNRT recurrence during a 6-month follow-up. Secondary end points included procedural parameters, device functionality, and pain perception. Significantly more patients in the cryoablation group than the RFCA group reached the primary end point (12.6% versus 6.3%; <jats:italic>P</jats:italic> =0.018). Whereas immediate ablation success (96.8% versus 98.4%) and occurrence of permanent AV block (0% versus 0.4%) did not differ, AVNRT recurrence was significantly more frequent in the cryoablation group (9.4% versus 4.4%; <jats:italic>P</jats:italic> =0.029). In the cryoablation group, procedure duration was longer (138±54 versus 123±48 minutes; <jats:italic>P</jats:italic> =0.0012) and more device problems occurred (13 versus 2 patients; <jats:italic>P</jats:italic> =0.033). Pain perception was lower in the cryoablation group ( <jats:italic>P</jats:italic> <0.001). </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>Cryoablation for AVNRT is as effective as RFCA over the short term but is associated with a higher recurrence rate at the 6-month follow-up. The risk of permanent AV block does not differ significantly between cryoablation and RFCA. The potential benefits of cryoenergy relative to ablation safety and pain perception are counterbalanced by longer procedure times, more device problems, and a high recurrence rate.</jats:p> </jats:sec> <jats:sec> <jats:title>Clinical Trial Registration—</jats:title> <jats:p> URL: <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov">http://www.clinicaltrials.gov</jats:ext-link> . Unique identifier: NCT00196222. </jats:p> </jats:sec>
Journal
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- Circulation
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Circulation 122 (22), 2239-2245, 2010-11-30
Ovid Technologies (Wolters Kluwer Health)
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Details 詳細情報について
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- CRID
- 1362544420514213376
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- ISSN
- 15244539
- 00097322
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- Data Source
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- Crossref