1. Safety steps for a non-fluoroscopic approach in right-sided electrophysiology procedures: A point of view
- Author
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Alessandra Scalon, E. Bacchiega, Antonio Lupo, Francesca Zerbo, Franco Zoppo, Claudia Licciardello, Giulia Favaro, and Giacomo Mugnai
- Subjects
medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,3d mapping ,Physiology (medical) ,Medicine ,Fluoroscopy ,Fluoroscopy exposure reduction ,030212 general & internal medicine ,Major complication ,Mapping system ,Procedure time ,Radiofrequency catheter ablation ,medicine.diagnostic_test ,business.industry ,medicine.disease ,Ablation ,Supraventricular tachycardia ,lcsh:RC666-701 ,Cohort ,Original Article ,Radiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background: Electro-anatomic 3D mapping systems enable the fluoroscopy (FL) exposure to be reduced. In right-heart supraventricular tachycardia (SVT) procedures, FL could potentially be avoided. Our aim was to discuss some steps focusing on safety. Methods and results: The patient cohort comprised 70 consecutive SVT patients who underwent electrophysiologic (EP) catheterization. FL was routinely avoided in all cases (54.2% males, age 57.2 ± 13.3 years): 51 ablations and 19 EP study procedures. The Carto®3 (Biosense Webster) mapping system was used in 17/70 cases (24.3%), and the EnSite Precision™ (Abbott) system in the remaining 53/70 (75.7%). The mean procedure time was 94.1 ± 33.2 min; no FL was used. No major complications occurred. Acute procedural success was achieved in all 51 patients who underwent ablation. Over 3-month follow-up, arrhythmia recurred in 1 patient. There were no significant differences in procedural times between the two mapping systems, except for the time dedicated to the full geometry creation, which was longer for the EnSite Precision™ system: 10 min (8.5–15 IQR) vs 8 min (5–10 IQR) for the Carto® system (p
- Published
- 2019