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Safety steps for a non-fluoroscopic approach in right-sided electrophysiology procedures: A point of view
- Source :
- Indian Pacing and Electrophysiology Journal, Vol 19, Iss 5, Pp 183-188 (2019), Indian Pacing and Electrophysiology Journal
- Publication Year :
- 2019
- Publisher :
- Elsevier, 2019.
-
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
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 09726292
- Volume :
- 19
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Indian Pacing and Electrophysiology Journal
- Accession number :
- edsair.doi.dedup.....91e1f3a36705eb71954f9e28abc50cd4