ArticleCardiology journal2019
Feasibility of zero or near zero fluoroscopy during catheter ablation procedures.
Article in Cardiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Single versus double transseptal puncture for atrial fibrillation radiofrequency ablation: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2026Pooled it
- Clinical Outcomes of Ablation for Persistent Atrial Fibrillation with Zero or Minimal Fluoroscopy.Pragmatic and observational research · 2025Article
- Article
- Real-world evaluation of intracardiac echocardiography guided radio-frequency catheter ablation for atrial fibrillation: a retrospective cohort study.Scientific reports · 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
- Steerable sheath visualizable under 3D electroanatomical mapping facilitates paroxysmal atrial fibrillation ablation with minimal fluoroscopy.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023Article
- Safety and efficacy of zero-fluoroscopy catheter ablation for paroxysmal supraventricular tachycardia in Chinese children.Frontiers in cardiovascular medicine · 2022Article
- Impact of Active Esophageal Cooling on Fluoroscopy Usage During Left Atrial Ablation.The Journal of innovations in cardiac rhythm management · 2021Article
- Fluoroless radiofrequency and cryo-ablation of atrioventricular nodal reentry tachycardia in adults and children: a single-center experience.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021Article
- How to Achieve Near Zero Fluoroscopy During Radiofrequency Ablation of Atrial Fibrillation: A Strategy Used at Two Centers.Current cardiology reviews · 2021Article
- Advancements in Radiofrequency Ablation of Cardiac Arrhythmias Open New Possibilities for Procedural Safety.The Journal of innovations in cardiac rhythm management · 2020Article
- Non-fluoroscopic radiofrequency catheter ablation of right- and left-sided ventricular arrhythmias.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2020Article
- Zero-fluoroscopy transseptal puncture guided by right atrial electroanatomical mapping combined with intracardiac echocardiography: A single-center experience.Clinical cardiology · 2020Article
- Long-term development of radiation exposure, fluoroscopy time and contrast media use in daily routine in cryoballoon ablations after implementation of intracardiac echocardiography and other radioprotective measures: experiences from a large single-centre cohort.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2020Article
- [Update on radiation exposure in catheter ablation of atrial fibrillation].Herzschrittmachertherapie & Elektrophysiologie · 2020Review
- State of Fluoroless Procedures in Cardiac Electrophysiology Practice.The Journal of innovations in cardiac rhythm management · 2020Review
- Combined use of electro-anatomic mapping system and intracardiac echocardiography to achieve zero-fluoroscopy catheter ablation for treatment of paroxysmal atrial fibrillation: a single centre experience.The international journal of cardiovascular imaging · 2020Article
- The Impact of Advances in Atrial Fibrillation Ablation Devices on the Incidence and Prevention of Complications.Arrhythmia & electrophysiology review · 2018Review
- Minimizing Radiation-Why Aren't We Down to Zero?The Journal of innovations in cardiac rhythm management · 2018Article
- Contact-force monitoring increases accuracy of right ventricular voltage mapping avoiding "false scar" detection in patients with no evidence of structural heart disease.Indian pacing and electrophysiology journalArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAwareness of risks associated with radiation exposure to patients and medical staff has significantly increased. It has been reported before that the use of advanced three-dimensional electroanatomical mapping (EAM) system significantly reduces fluoroscopy time, however this study aimed for zero or near zero fluoroscopy ablation to assess its feasibility and safety in ablation of atrial fibrillation (AF) and other tachyarrhythmias in a "real world" experience of a single tertiary care center.
methodsThis was a single-center study where ablation procedures were attempted without fluoroscopy in 34 consecutive patients with different tachyarrhythmias under the support of EAM system. When transseptal puncture (TSP) was needed, it was attempted under the guidance of intracardiac echocardiography (ICE).
resultsAmong 34 patients consecutively enrolled in this study, 28 (82.4%) patients were referred for radiofrequency ablation (RFA) of AF, 3 (8.8%) patients for ablation of right ventricular outflow tract (RVOT) ventricular extrasystole (VES), 1 (2.9%) patient for ablation of atrioventricular nodal reentry tachycardia (AVNRT), 2 (5.9%) patients for typical atrial flutter ablation. In 21 (62%) patients the en- tire procedure was carried out without the use of fluoroscopy. Among 28 AF patients, 15 (54%) patients underwent ablation without the use of fluoroscopy and among these 15 patients, 10 (67%) patients required TSP under ICE guidance while 5 (33%) patients the catheters were introduced to left atrium through a patent foramen ovale. In 13 AF patients, fluoroscopy was only required for double TSP. The total procedure time of AF ablation was 130 ± 50 min. All patients referred for atrial flutter, AVNRT, and VES of the RVOT ablation did not require any fluoroscopy.
conclusionsThis study demonstrates the feasibility of zero or near zero fluoroscopy procedure including TSP with the support of EAM and ICE guidance in a "real world" experience of a single tertiary care center. When fluoroscopy was required, it was limited to TSP hence keeping the radiation dose very low.
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