State of Fluoroless Procedures in Cardiac Electrophysiology Practice.
Catheter ablation
electrophysiological study
fluoroscopy
imaging
Journal
The Journal of innovations in cardiac rhythm management
ISSN: 2156-3977
Titre abrégé: J Innov Card Rhythm Manag
Pays: United States
ID NLM: 101589872
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
15
04
2019
accepted:
28
05
2019
entrez:
6
5
2020
pubmed:
6
5
2020
medline:
6
5
2020
Statut:
epublish
Résumé
In the past decade, the use of interventional electrophysiological (EP) procedures for the diagnosis and treatment of cardiac arrhythmias has exponentially increased. These procedures usually require fluoroscopy to guide the advancement and frequent repositioning of intracardiac catheters, resulting in both the patient and the operator being subjected to a considerable degree of radiation exposure. Although shielding options such as lead gowns, glasses, and pull-down shields are useful for protecting the operator, they do not lessen the patient's level of exposure. Furthermore, the prolonged use of lead gowns can exponentiate the onset of orthopedic problems among operators. Recent advancements in three-dimensional cardiac mapping systems and the use of radiation-free imaging technologies such as magnetic resonance imaging and intracardiac ultrasound allow operators to perform EP procedures with minimal or even no fluoroscopy. In this review, we sought to describe the state of fluoroless procedures in EP practice.
Identifiants
pubmed: 32368376
doi: 10.19102/icrm.2020.110305
pii: icrm.2020.110305
pmc: PMC7192123
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
4018-4029Informations de copyright
Copyright: © 2020 Innovations in Cardiac Rhythm Management.
Déclaration de conflit d'intérêts
Dr. Burkhardt is a consultant for Biosense Webster and Stereotaxis. Dr. Natale has received speaker honoraria from Boston Scientific, Biosense Webster, St. Jude Medical, Biotronik, and Medtronic and is a consultant for Biosense Webster, St. Jude Medical, and Janssen. All other authors no conflicts of interest for the published content.
Références
J Cardiovasc Electrophysiol. 2014 Jun;25(6):638-44
pubmed: 24611978
Am J Cardiol. 2016 Nov 15;118(10):1511-1518
pubmed: 27639689
Heart Rhythm. 2010 Nov;7(11):1644-53
pubmed: 20637313
Heart Rhythm. 2013 Sep;10(9):1293-300
pubmed: 23680898
Europace. 2018 Jul 1;20(7):1107-1114
pubmed: 28575490
Clin Res Cardiol. 2018 Jul;107(7):578-585
pubmed: 29476203
BMC Cardiovasc Disord. 2013 Aug 13;13:58
pubmed: 23937302
Europace. 2016 Oct;18(10):1565-1572
pubmed: 26559916
Cardiol J. 2018;25(3):327-332
pubmed: 28612907
Europace. 2012 Aug;14 Suppl 2:ii24-ii25
pubmed: 22832914
J Interv Card Electrophysiol. 2016 Mar;45(2):199-207
pubmed: 26732759
J Interv Card Electrophysiol. 2017 Dec;50(3):235-244
pubmed: 29134434
J Cardiovasc Electrophysiol. 2011 Mar;22(3):346-9
pubmed: 20662991
Pacing Clin Electrophysiol. 2019 Apr;42(4):453-457
pubmed: 30740745
Heart Rhythm. 2009 Dec;6(12):1714-20
pubmed: 19959117
Europace. 2008 Aug;10(8):1018-21
pubmed: 18460548
Circ Arrhythm Electrophysiol. 2009 Dec;2(6):611-9
pubmed: 20009075
Pacing Clin Electrophysiol. 2007 Apr;30(4):510-8
pubmed: 17437575
Pacing Clin Electrophysiol. 2013 Dec;36(12):1460-7
pubmed: 23713835
Europace. 2014 Jul;16(7):946-64
pubmed: 24792380
Circ Arrhythm Electrophysiol. 2016 Feb;9(2):e003706
pubmed: 26850881
Pacing Clin Electrophysiol. 2015 Jul;38(7):797-806
pubmed: 25790320
Pacing Clin Electrophysiol. 2018 Nov;41(11):1404-1411
pubmed: 30194724
Adv Clin Exp Med. 2017 Jan-Feb;26(1):129-134
pubmed: 28397444
Cardiol Young. 2017 Apr;27(3):592-596
pubmed: 27766996
J Cardiovasc Electrophysiol. 2005 Jul;16(7):793-5
pubmed: 16050840
Pacing Clin Electrophysiol. 2011 Mar;34(3):264-8
pubmed: 21070259
JACC Cardiovasc Imaging. 2011 Jul;4(7):716-26
pubmed: 21757161
Pacing Clin Electrophysiol. 2015 Mar;38(3):362-7
pubmed: 25546471
J Cardiovasc Electrophysiol. 2012 Oct;23(10):1078-86
pubmed: 22571735
Pacing Clin Electrophysiol. 2011 Oct;34(10):1288-396
pubmed: 21851369
Cardiol J. 2019;26(3):226-232
pubmed: 29611170
J Interv Card Electrophysiol. 2016 Sep;46(3):355-60
pubmed: 27184808
Medicine (Baltimore). 2017 Feb;96(6):e6080
pubmed: 28178165
J Interv Card Electrophysiol. 2017 Oct;50(1):105-109
pubmed: 28752227
Obstet Gynecol. 2015 Jun;125(6):1338-41
pubmed: 25774933
Eur Heart J. 2006 May;27(10):1223-9
pubmed: 16613932
J Cardiovasc Electrophysiol. 2010 Aug 1;21(8):877-82
pubmed: 20158563
Heart Rhythm. 2016 Jan;13(1):150-6
pubmed: 26341606
Int J Cardiovasc Imaging. 2016 Nov;32(11):1609-1616
pubmed: 27491316
Anatol J Cardiol. 2018 Sep;20(3):159-164
pubmed: 30152797
Indian Pacing Electrophysiol J. 2014 Jan 01;14(1):26-31
pubmed: 24493913
Heart Rhythm. 2015 May;12(5):1057-61
pubmed: 25637564
Cardiol Young. 2014 Oct;24(5):886-92
pubmed: 24018141
J Interv Card Electrophysiol. 2018 Apr;51(3):215-220
pubmed: 29460234
Pacing Clin Electrophysiol. 2017 Dec;40(12):1380-1383
pubmed: 29090490
Pacing Clin Electrophysiol. 2012 Sep;35(9):1067-73
pubmed: 22817263
Korean Circ J. 2019 Jan;49(1):84-96
pubmed: 30468028
Pacing Clin Electrophysiol. 2007 Apr;30(4):519-25
pubmed: 17437576
Eur J Obstet Gynecol Reprod Biol. 2011 Jul;157(1):116-7
pubmed: 21334130
J Cardiovasc Electrophysiol. 2019 Jan;30(1):78-88
pubmed: 30203499
Europace. 2018 Jan 1;20(1):e1-e160
pubmed: 29016840
Europace. 2017 Aug 1;19(8):1364-1368
pubmed: 27702866
J Cardiovasc Electrophysiol. 2011 Jun;22(6):656-62
pubmed: 21114703
JACC Cardiovasc Imaging. 2011 Feb;4(2):203-6
pubmed: 21329906
J Interv Card Electrophysiol. 2019 Jan;54(1):43-48
pubmed: 29948584
Pacing Clin Electrophysiol. 2018 Jun;41(6):611-619
pubmed: 29566268
J Innov Card Rhythm Manag. 2018 Sep;9:3305-3311
pubmed: 30568847
Europace. 2018 Dec 1;20(12):1952-1958
pubmed: 29346552
Medicine (Baltimore). 2016 Aug;95(32):e4487
pubmed: 27512864
Pacing Clin Electrophysiol. 2015 Jun;38(6):675-81
pubmed: 25727697
Heart Rhythm. 2017 Jun;14(6):928-934
pubmed: 28214567
Pacing Clin Electrophysiol. 2017 Apr;40(4):425-433
pubmed: 28160298
Europace. 2013 Sep;15(9):1292-7
pubmed: 23612730
Pacing Clin Electrophysiol. 2008 Mar;31(3):283-9
pubmed: 18307622
J Cardiovasc Electrophysiol. 2014 Aug;25(8):866-874
pubmed: 24654678
J Cardiovasc Electrophysiol. 2015 Oct;26(10):E10-1
pubmed: 25952689
Rev Port Cardiol. 2014 Dec;33(12):805.e1-5
pubmed: 25481782
J Cardiovasc Electrophysiol. 2002 Aug;13(8):778-82
pubmed: 12212697