Catheter Ablation of Atrial Fibrillation Using Zero‐Fluoroscopy Technique: A Randomized Trial

Abstract

RFA using ICE imaging and the CARTO 3 mapping system with contact force measurement is capable of eliminating fluoroscopy in patients undergoing PVI. Exclusion of fluoroscopic imaging does not seem to compromise patient safety and does not affect overall procedure duration, RF application time, or mid-term efficacy.

Feasibility of zero or near zero fluoroscopy during catheter ablation procedures

“…Bulava et al [16] demonstrated the feasibility of zero fluoroscopy ablation in 40 patients with paroxysmal AF using ICE imaging and three-dimensional EAM mapping with contact force measurements.…”

Fluoroless Radiofrequency Ablation of Typical Cavotricuspid Isthmus-dependent Atrial Flutter is a Safe and Practical Procedure

“…However, there was no comparative standard ablation group in these studies. Bulava et al 17 recently published a randomized trial of atrial fibrillation ablation (pulmonary vein isolation) with and without fluoroscopy in matched populations. They demonstrated equivalent procedural duration and success in both groups, without any serious complications.…”

Safety and efficacy of cryoablation without the use of fluoroscopy

“…Bulava et al [24] introduced transseptal puncture only under intracardiac echocontrol. In combination with EAM, this allows most patients to perform PVI without fluoroscopy [24].…”

“…In recent years, it was possible to perform more complex ablations with a significant reduction or even without using fluoroscopy [4][5][6][7][8][12][13][14][15][16][17][18][19][20][21][22][23][24].…”