Efficacy and safety of zero-fluoroscopy ablation for supraventricular tachycardias View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-05

AUTHORS

P. Seizer, V. Bucher, C. Frische, D. Heinzmann, M. Gramlich, I. Müller, A. Henning, M. Hofbeck, G. Kerst, M. Gawaz, J. Schreieck

ABSTRACT

BACKGROUND: Conventional catheter ablation of cardiac arrhythmias is associated with radiation risks for patients and laboratory personnel. Widespread use of zero-fluoroscopic catheter ablation in clinical routine is limited by safety concerns. This study investigated the feasibility of zero-fluoroscopy catheter ablation using a three-dimensional mapping system and optional catheter contact force technology for an all-comers collective. PATIENTS AND METHODS: The study comprised 184 patients; 91 patients, including 29 pediatric patients, underwent a zero-fluoroscopic electrophysiology (EP) study using the EnSite NavX system with real-time visualization of all electrodes. These patients were matched to a control group, which was treated using fluoroscopy in the same period. Inclusion criteria were documented supraventricular tachycardia or a history of symptomatic paroxysmal supraventricular tachycardia. Transseptal access, if necessary, was achieved under transesophageal echocardiographic guidance for ablation of left-sided arrhythmias. Radiofrequency (using optional contact force measurement) or a cryotechnique was used for ablation. RESULTS: We observed no major acute complications. There were no significant differences between the two groups in the follow-up period. CONCLUSION: Zero-fluoroscopic catheter ablation is generally feasible in right-sided cardiac arrhythmias. Safety concerns regarding left atrial substrates or children can be overcome with optional real-time contact force measurement. More... »

PAGES

241-245

References to SciGraph publications

  • 2013-10. Radiation Exposure and Safety for the Electrophysiologist in CURRENT CARDIOLOGY REPORTS
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    http://scigraph.springernature.com/pub.10.1007/s00059-015-4358-4

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    http://dx.doi.org/10.1007/s00059-015-4358-4

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26462477


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