Practical guidance to reduce radiation exposure in electrophysiology applying ultra low-dose protocols: a European Heart Rhythm Association review.
Radiation awareness
Radiation dosage reduction
Radiation protection
Ultra low-dose protocols
Journal
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
ISSN: 1532-2092
Titre abrégé: Europace
Pays: England
ID NLM: 100883649
Informations de publication
Date de publication:
04 07 2023
04 07 2023
Historique:
received:
23
04
2023
accepted:
12
06
2023
medline:
26
7
2023
pubmed:
6
7
2023
entrez:
6
7
2023
Statut:
ppublish
Résumé
Interventional electrophysiology offers a great variety of treatment options to patients suffering from symptomatic cardiac arrhythmia. Catheter ablation of supraventricular and ventricular tachycardia has globally evolved a cornerstone in modern arrhythmia management. Complex interventional electrophysiological procedures engaging multiple ablation tools have been developed over the past decades. Fluoroscopy enabled interventional electrophysiologist throughout the years to gain profound knowledge on intracardiac anatomy and catheter movement inside the cardiac cavities and hence develop specific ablation approaches. However, the application of X-ray technologies imposes serious health risks to patients and operators. To reduce the use of fluoroscopy during interventional electrophysiological procedures to the possibly lowest degree and to establish an optimal protection of patients and operators in cases of fluoroscopy is the main goal of modern radiation management. The present manuscript gives an overview of possible strategies of fluoroscopy reduction and specific radiation protection strategies.
Identifiants
pubmed: 37410906
pii: 7220664
doi: 10.1093/europace/euad191
pmc: PMC10365833
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.
Déclaration de conflit d'intérêts
Conflict of interest: P.S. is a member of the Advisory Board of Abbott, Biosense Webster, Boston Scientific, and Medtronic. V.S. has no conflicts of interest to declare. M.A. is a consultant for Biosense Webster and Boston Scientific, clinical proctor for Medtronic, and has received educational grants from Abbott. R.T. is a consultant for Biosense Webster, Abbott, and Boston Scientific, and a speaker for Medtronic. H.L. has no conflicts of interest to declare. A.B. is a consultant for Biotronik, Abbott, and Biosense Webster, clinical proctor for Biotronik and Abbott, and has received educational grants from Boston Scientific.
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