Reduced fluoroscopy exposure during ablation of atrial fibrillation using a novel electroanatomical navigation system: a multicentre experience

Stabile, Giuseppe; Scaglione, Mariano; Greco, Maurizio Del; Ponti, Roberto De; Bongiorni, Maria Grazia; Zoppo, Franco; Soldati, Ezio; Marazzi, Raffaella; Marini, Massimiliano; Gaïta, Fiorenzo; Iuliano, Assunta; Bertaglia, Emanuele

doi:10.1093/europace/eur271

Cited by 79 publications

(45 citation statements)

References 27 publications

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“…747,1186,1248,1249 This can only be achieved, however, by an awareness of the importance of reducing fluoroscopy time, and therefore radiation exposure, by the operator. 1250 It has been shown that use of optimized conventional fluoroscopy and optimized use of 3D mapping can result in a marked reduction in radiation exposure.…”

Section: Section 10: Complicationsmentioning

confidence: 99%

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Calkins,

Kuck,

Cappato

et al. 2012

Heart Rhythm

1,760

1,468

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Section: Section 10: Complicationsmentioning

confidence: 99%

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Calkins,

Kuck,

Cappato

et al. 2012

Heart Rhythm

1,760

1,468

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“…Moreover, radiation exposure during AF ablation is longer than simpler catheter ablation procedure [20,21]. EAM systems have been demonstrated to reduce fluoroscopy times during RF ablations [22][23][24]. Our results imply that the respiratory gating provides further reduction in fluoroscopy time.…”

Section: Safetymentioning

confidence: 67%

Impact of respiration gating on image integration guided atrial fibrillation ablation

et al. 2014

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“…4,11) The beneficial effect of two 3D-electroanatomical mapping systems (CARTO3 ® , Biosense Webster and NAVX TM , St. Jude Medical) in their radiation saving potential has already been demonstrated. 12,13) Even as such they allow for a reduction of fluoroscopy time due to the possibility of moving catheters in a created anatomical map omitting the necessity for some fluoroscopic interventions within a given procedure. But still they are not able to integrate fluoroscopic images into the map.…”

Section: Discussionmentioning

confidence: 99%

Reduction of Fluoroscopic Exposure Using a New Fluoroscopy Integrating Technology in a 3D-Mapping System During Pulmonary Vein Isolation With a Circular Multipolar Irrigated Catheter

et al. 2016

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SummaryPulmonary vein isolation (PVI) is a cornerstone therapy in patients with atrial fibrillation (AF). With increasing numbers of PVI procedures, demand arises to reduce the cumulative fluoroscopic radiation exposure for both the physician and the patient. New technologies are emerging to address this issue. Here, we report our first experiences with a new fluoroscopy integrating technology in addition to a current 3D-mapping system. The new fluoroscopy integrating system (FIS) with 3D-mapping was used prospectively in 15 patients with AF. Control PVI cases (n = 37) were collected retrospectively as a complete series. Total procedure time (skin to skin), fluoroscopic time, and dose-area-product (DAP) data were analyzed. All PVI procedures were performed by one experienced physician using a commercially available circular multipolar irrigated ablation catheter. All PVI procedures were successfully undertaken without major complications. Baseline characteristics of the two groups showed no significant differences. In the group using the FIS, the fluoroscopic time and DAP were significantly reduced from 571 ± 187 seconds versus 1011 ± 527 seconds (P = 0.0029) and 4342 ± 2073 cGycm 2 versus 6208 ± 3314 cGycm 2 (P = 0.049), respectively. Mean procedure time was not significantly affected and was 114 ± 31 minutes versus 104 ± 24 minutes (P = 0.23) by the FIS.The use of the new FIS with the current 3D-mapping system enables a significant reduction of the total fluoroscopy time and DAP compared to the previous combination of 3D-mapping system plus normal fluoroscopy during PVI utilizing a circular multipolar irrigated ablation catheter. However, the concomitant total procedure time is not affected. Thus, the new system reduces the radiation exposure for both the physicians and patients. (Int Heart J 2016; 57: 299-303)

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Reduced fluoroscopy exposure during ablation of atrial fibrillation using a novel electroanatomical navigation system: a multicentre experience

Cited by 79 publications

References 27 publications

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Impact of respiration gating on image integration guided atrial fibrillation ablation

Reduction of Fluoroscopic Exposure Using a New Fluoroscopy Integrating Technology in a 3D-Mapping System During Pulmonary Vein Isolation With a Circular Multipolar Irrigated Catheter

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