Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes

Jorge Romero; Kavisha Patel; David Briceno; Isabella Alviz; Nicola Tarantino; Domenico Della Rocca; Veronica Natale; Xiao Dong Zhang; Luigi Di Biase

doi:10.1016/j.ccep.2020.01.001

Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes

Jorge Romero, Kavisha Patel, David Briceno, Isabella Alviz, Nicola Tarantino, Domenico Della Rocca, Veronica Natale, Xiao Dong Zhang, Luigi Di Biase

Medicine

Research output: Contribution to journal › Review article › peer-review

8 Scopus citations

Abstract

Fluoroscopy continues to be considered an indispensable part of atrial fibrillation (AF) ablation worldwide. Deleterious effects of radiation exposure to patients, physicians, and catheter laboratory personnel are gaining increased consideration. Safety and efficacy of a fluoroless approach for AF ablation is comparable with outcomes achieved with fluoroscopy use. This article focuses on AF ablation with zero fluoroscopy use as well as current evidence on efficacy and safety of this technique. In contrast, minimal fluoroscopy is an alternative. Relying on intracardiac echocardiography for transseptal access and electroanatomic mapping for catheter manipulation can help implement this approach on a wider scale.

Original language	English (US)
Pages (from-to)	233-245
Number of pages	13
Journal	Cardiac Electrophysiology Clinics
Volume	12
Issue number	2
DOIs	https://doi.org/10.1016/j.ccep.2020.01.001
State	Published - Jun 2020

Keywords

Ablation
Atrial fibrillation
Fluoroless
Intracardiac echocardiography
Outcomes
Radiation
Technique

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.ccep.2020.01.001

Cite this

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title = "Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes",

abstract = "Fluoroscopy continues to be considered an indispensable part of atrial fibrillation (AF) ablation worldwide. Deleterious effects of radiation exposure to patients, physicians, and catheter laboratory personnel are gaining increased consideration. Safety and efficacy of a fluoroless approach for AF ablation is comparable with outcomes achieved with fluoroscopy use. This article focuses on AF ablation with zero fluoroscopy use as well as current evidence on efficacy and safety of this technique. In contrast, minimal fluoroscopy is an alternative. Relying on intracardiac echocardiography for transseptal access and electroanatomic mapping for catheter manipulation can help implement this approach on a wider scale.",

keywords = "Ablation, Atrial fibrillation, Fluoroless, Intracardiac echocardiography, Outcomes, Radiation, Technique",

author = "Jorge Romero and Kavisha Patel and David Briceno and Isabella Alviz and Nicola Tarantino and {Della Rocca}, Domenico and Veronica Natale and Zhang, {Xiao Dong} and {Di Biase}, Luigi",

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year = "2020",

month = jun,

doi = "10.1016/j.ccep.2020.01.001",

language = "English (US)",

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T1 - Fluoroless Atrial Fibrillation Catheter Ablation

T2 - Technique and Clinical Outcomes

AU - Romero, Jorge

AU - Patel, Kavisha

AU - Briceno, David

AU - Alviz, Isabella

AU - Tarantino, Nicola

AU - Della Rocca, Domenico

AU - Natale, Veronica

AU - Zhang, Xiao Dong

AU - Di Biase, Luigi

PY - 2020/6

Y1 - 2020/6

N2 - Fluoroscopy continues to be considered an indispensable part of atrial fibrillation (AF) ablation worldwide. Deleterious effects of radiation exposure to patients, physicians, and catheter laboratory personnel are gaining increased consideration. Safety and efficacy of a fluoroless approach for AF ablation is comparable with outcomes achieved with fluoroscopy use. This article focuses on AF ablation with zero fluoroscopy use as well as current evidence on efficacy and safety of this technique. In contrast, minimal fluoroscopy is an alternative. Relying on intracardiac echocardiography for transseptal access and electroanatomic mapping for catheter manipulation can help implement this approach on a wider scale.

AB - Fluoroscopy continues to be considered an indispensable part of atrial fibrillation (AF) ablation worldwide. Deleterious effects of radiation exposure to patients, physicians, and catheter laboratory personnel are gaining increased consideration. Safety and efficacy of a fluoroless approach for AF ablation is comparable with outcomes achieved with fluoroscopy use. This article focuses on AF ablation with zero fluoroscopy use as well as current evidence on efficacy and safety of this technique. In contrast, minimal fluoroscopy is an alternative. Relying on intracardiac echocardiography for transseptal access and electroanatomic mapping for catheter manipulation can help implement this approach on a wider scale.

KW - Ablation

KW - Atrial fibrillation

KW - Fluoroless

KW - Intracardiac echocardiography

KW - Outcomes

KW - Radiation

KW - Technique

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Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes

Abstract

Keywords

ASJC Scopus subject areas

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