Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes

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

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations


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 languageEnglish (US)
Pages (from-to)233-245
Number of pages13
JournalCardiac Electrophysiology Clinics
Issue number2
StatePublished - Jun 2020


  • Ablation
  • Atrial fibrillation
  • Fluoroless
  • Intracardiac echocardiography
  • Outcomes
  • Radiation
  • Technique

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


Dive into the research topics of 'Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes'. Together they form a unique fingerprint.

Cite this