Observational studyMedicine2017
Ablation of idiopathic ventricular arrhythmia using zero-fluoroscopy approach with equivalent efficacy and less fatigue: A multicenter comparative study.
Observational study in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Zero-fluoroscopy versus fluoroscopy-guided catheter ablation in ventricular arrhythmia: A systematic review and meta-analysis.Narra J · 2025Pooled it
- The use of minimal fluoroscopy for cardiac electrophysiology procedures: A meta-analysis and review of the literature.Clinical cardiology · 2021Pooled it
- Zero Fluoroscopy Ablation of Arrhythmias in Patients With Congenital Heart Disease.Journal of arrhythmia · 2025Article
- Intracardiac echocardiography, electroanatomical mapping, and the obsolescence of fluoroscopy for catheter ablation procedures.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Article
- Zero fluoroscopy catheter ablation of premature ventricular contractions: a multicenter experience.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Observational
- Efficacy and safety of zero-fluoroscopy approach for ablation of atrioventricular nodal reentry tachycardia: experience from more than 1000 cases.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023Article
- Efficacy and safety of zero-fluoroscopy ablation of ventricular arrhythmias originating from the right ventricular outflow tract: Comparison with fluoroscopy-guided ablation without a three-dimensional electroanatomic mapping system.Journal of arrhythmia · 2023Article
- Emergent Zero-Fluoroscopy Mapping and Thoracoscopic Ectomy of Appendage in Pregnant Women with Life-Threatening Atrial Tachycardia: A Case Report and Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
- Implementation of zero or near-zero fluoroscopy catheter ablation for idiopathic ventricular arrhythmia originating from the aortic sinus cusp.The international journal of cardiovascular imaging · 2022Article
- Epicardial ablation of left ventricular arrhythmias originating from the left ventricular summit area without fluoroscopy.Cardiology journal · 2022Article
- Feasibility, Efficiency, and Safety of Zero-Fluoroscopy Catheter Interventions for Right-Sided Cardiac Arrhythmias Using Only Electroanatomic Mapping.Cardiology · 2022Article
- Safety and efficacy of zero-fluoroscopy catheter ablation for paroxysmal supraventricular tachycardia in Chinese children.Frontiers in cardiovascular medicine · 2022Article
- Minimising radiation exposure in catheter ablation of ventricular arrhythmias.BMC cardiovascular disorders · 2021Article
- Non-fluoroscopic radiofrequency catheter ablation of right- and left-sided ventricular arrhythmias.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2020Article
- State of Fluoroless Procedures in Cardiac Electrophysiology Practice.The Journal of innovations in cardiac rhythm management · 2020Review
- Zero-fluoroscopy approach for ablation of supraventricular tachycardia using the Ensite NavX system: a multicenter experience.BMC cardiovascular disorders · 2020Article
- Observational
- Zero fluoroscopy radiofrequency ablation for Typical Atrioventricular Nodal Reentrant Tachycardia (AVNRT).Indian pacing and electrophysiology journalArticle
Corrections and comments
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The efficacy of a completely zero-fluoroscopy (ZF) approach for the catheter ablation of idiopathic ventricular arrhythmias (VAs) and whether it has advantages over the conventional fluoroscopy (F) approach are still unknown. The aim of this study was to compare the safety and efficacy of a completely ZF approach with those of the conventional F approach in the ablation of idiopathic VAs.We conducted a prospective study involving 7 centers in China. Consecutive patients (n = 489, mean age 45.3 ± 15.3 years, 44.8% male) with idiopathic VAs were recruited. Eligible participants were assigned to either a ZF (n = 163) or F (n = 326) approach at a ratio of 1:2. The completely ZF approach was successful in 163 (100%) patients for electrophysiological study, and in 151 patients (94.4%) for arrhythmia ablation with 9 cases having to switch to the F approach due to the need for coronary angiography. There was no significant difference between the ZF approach and F approach in procedural success rate (84.1% vs 85.4%, respectively), arrhythmia recurrence (1.9% vs 2.2%), or severe complications (0.6% vs 0.9%). The medical staffs using the ZF approach did not wear heavy protective apparels, thus experienced significantly less fatigue compared with those using the F approach (2.1 ± 0.7 vs 3.9 ± 1.6, P < 0.05).The completely ZF approach is as safe and efficient as the conventional F approach for the electrophysiological study and the ablation of idiopathic VAs. The medical staffs using ZF approach felt less fatigue and received less exposure to radiation.
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