Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes.
Ablation
Atrial fibrillation
Fluoroless
Intracardiac echocardiography
Outcomes
Radiation
Technique
Journal
Cardiac electrophysiology clinics
ISSN: 1877-9190
Titre abrégé: Card Electrophysiol Clin
Pays: United States
ID NLM: 101549998
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
entrez:
27
5
2020
pubmed:
27
5
2020
medline:
29
6
2021
Statut:
ppublish
Résumé
Fluoroscopy continues to be considered an indispensable part of atrial fibrillation (AF) ablation worldwide. Deleterious effects of radiation exposure to patients, physicians, and catheter laboratory personnel are gaining increased consideration. Safety and efficacy of a fluoroless approach for AF ablation is comparable with outcomes achieved with fluoroscopy use. This article focuses on AF ablation with zero fluoroscopy use as well as current evidence on efficacy and safety of this technique. In contrast, minimal fluoroscopy is an alternative. Relying on intracardiac echocardiography for transseptal access and electroanatomic mapping for catheter manipulation can help implement this approach on a wider scale.
Identifiants
pubmed: 32451107
pii: S1877-9182(20)30013-7
doi: 10.1016/j.ccep.2020.01.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
233-245Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure The authors have no disclosures related to this article.