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  • Book
  • © 2019

Cardiac Electrophysiology Without Fluoroscopy

  • Focuses on three-dimensional mapping of the electrical activity of the heart

  • Reveals the essential techniques on this important procedure

  • Contains contributions written by experts of the technique who have contributed to the development of the technique

Buying options

eBook USD 109.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-16992-3
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book USD 149.99
Price excludes VAT (USA)
Hardcover Book USD 199.99
Price excludes VAT (USA)

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Table of contents (20 chapters)

  1. Front Matter

    Pages i-vi
  2. Radiation Exposure and Safety for the Electrophysiologist

    • Darbhamulla V. Nagarajan, Ahmed AlTurki, Sabine Ernst
    Pages 17-28
  3. Learning Curve of Zero Fluoroscopy

    • Amee M. Bigelow, John M. Clark
    Pages 65-77
  4. AV Nodal Reentrant Tachycardia Ablation Without Fluoroscopy

    • Miguel Alvarez Lopez, María Emilce Trucco, Félix Ayala-Paredes
    Pages 79-92
  5. Non-fluoroscopic Catheter Ablation of Accessory Pathways

    • Santiago Horacio Rivera, José Luis Merino Llorens
    Pages 93-105
  6. Focal Atrial Tachycardia

    • Charles Dussault, Jean-Francois Roux
    Pages 107-109
  7. Ablation of Atrial Flutter with Zero Fluoroscopy Approach

    • Vincenzo Russo, Roberta Bottino, Anna Rago, Riccardo Proietti, Antonio Cassese, Carmine Ciardiello et al.
    Pages 111-128
  8. Non-fluoroscopic Catheter Ablation of Idiopathic Ventricular Arrhythmias

    • Santiago Rivera, Maria de la Paz Ricapito, Danna Spears
    Pages 137-155
  9. Ventricular Tachycardia with Structural Heart Disease

    • Ligang Ding, Yan Yao
    Pages 157-175
  10. The Demise of Fluoroscopy in Pediatric Electrophysiology

    • Amee M. Bigelow, John M. Clark
    Pages 177-189
  11. Complications of Radiofrequency Catheter Ablation and Prevention Methods

    • Andres C. Klein, Riccardo Proietti, Félix Ayala-Paredes
    Pages 191-198
  12. Safety of Zero-Fluoroscopic Catheter Ablation During Pregnancy

    • Matevž Jan, David Žižek, Vesna Fabjan Vodušek, Bor Antolič
    Pages 199-205
  13. Cost Optimization When Using 3-D Mapping Systems for a Non-fluoroscopic EP Lab

    • Pablo Moriña Vazquez, Félix Ayala-Paredes
    Pages 207-211
  14. Cardiac Resynchronization Therapy (CRT) Guided by 3D Mapping System

    • Maurizio Del Greco, Massimiliano Marini, Fabrizio Guarracini, Francesco Peruzza
    Pages 223-230

About this book

This book reflects how the concern regarding the effects of radiation exposure in patients and health personnel involved in cardiac electrophysiology (EP) has inspired new developments in cardiac electrophysiology procedures without the use of fluoroscopy. This innovative method has become a subspecialty within electrophysioloy with several EP laboratories around the world adopting an exclusive non-fluoroscopy approach. It features guidance on how to use three dimensional (3D) navigation systems, ablation energy sources and zero-fluorospic implantation of cardiac electronic devices. The potential complications and associated preventative methods with utilising RFCA are also described.

Cardiac Electrophysiology Without Fluoroscopy offers a thorough description of the technique correlated to the performance of EP procedure without the use of radiation, and provides a valuable resource for those seeking a practically applicable guide on how to perform cardiac EP without fluoroscopy, including practising and trainee electrophysiologists, cardiac imagers, general cardiologists and emergency medicine physicians.


  • ventricular arrhythmias
  • catheter ablation
  • zero-fluroscopy
  • cardiac arrhythmias
  • atrial fibrillation
  • supraventricular tachycardia

Editors and Affiliations

  • Department of Cardiac, Thoracic Vascular Sciences and Public Health, The University of Padua, Padua, Italy

    Riccardo Proietti

  • Huazhong University of Science and Technology Tongji Hospital, Tongji Medical College, Wuhan, China

    Yan Wang

  • Peking Union Medical College Hospital, National Center for Cardiovascular Disease, Beijing, China

    Yan Yao

  • The First Affiliated Hospital of Guangxi Medical University , Nanning, China

    Guo Qiang Zhong

  • Guangdong Cardiovascular Institute, Guangzhou, China

    Shu Lin Wu

  • Université de Sherbrooke , Sherbrooke, Canada

    Félix Ayala-Paredes

About the editors

Riccardo Proietti MD, PhD, is a Cardiology Consultant at Luigi Sacco Hospital, Italy. His main focus is in cardiac electrophysiology and pacing. He gained a fellowship in Clinical Cardiac Electrophysiology at McGill University. He is FESC, and has also published several papers in international peer-reviewed journals.

Yan Wang, MD, PhD, has been a Cardiology Consultant since 2009, and a Medical Director since 2012 at Tongji Hospital, China. He specialises in clinical electrophysiology. He completed his postgraduate training at Huazhong University of Science and Technology, Hongkong University, and his fellowship at the Texas Cardiac Arrhythmia Institute in the USA.

Yan Yao, MD, PhD, FHRS, is the Peking Union Professor at Fuwai Hospital of Chinese Academy of Medical Sciences, Beijing, China. He has performed nearly 20,000 cases of catheter ablation and started ‘Total 3D Mode’ in March 2011. He is also a pioneer in catheter ablation of Brugada syndrome, and in vasovagal syncope. He has published over 30 papers in SCI enrolled journals. 

Guo Qiang Zhong, MD, PhD, is the Director of the Department of Cardiology, The First Affiliated Hospital of Guangxi Medical University, China. His main specialisations are in cardiac electrophysiology and pacing. He has worked as a research scholar and doctor at Krannert Institute of Cardiology, Indiana University–Purdue University School of Medicine, USA

Felix Ayala-Paredes, MD, PhD is an Associate Professor of Cardiology at the University of Sherbrooke in Quebec, Canada. He gained his Medical, Cardiology and PhD degrees at the Universidad Nacional de La Plata, Buenos Aires, Argentina. He trained in electrophysiology at the Montreal Heart Institute and then founded and directed the Electrophysiology Service at the Sherbrooke University Hospital since 2002. He has been awarded the Magdy Basta award by the CHRS (Canadian Heart Rhythm Association) for his contributions to research in Canada. He is a founding member of the Canadian Working Group for Radiation Reduction in Arrhythmia Management.

Shu Lin Wu, MD, PhD, is the Director of the Guangdong Provincial Cardiovascular Institute, China. He specialises in cardiac electrophysiology and pacing. He completed his PhD of Medicine at Sun Yat-sen University of China, and is a member of the Heart Rhythm Society (HRS) and the European Society of Cardiology (ESC). He has performed over 10000 procedures of RFCA in cases with tachycardia especially with AF and VAs.

Bibliographic Information

  • Book Title: Cardiac Electrophysiology Without Fluoroscopy

  • Editors: Riccardo Proietti, Yan Wang, Yan Yao, Guo Qiang Zhong, Shu Lin Wu, Félix Ayala-Paredes

  • DOI:

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2019

  • Hardcover ISBN: 978-3-030-16991-6

  • Softcover ISBN: 978-3-030-16994-7

  • eBook ISBN: 978-3-030-16992-3

  • Edition Number: 1

  • Number of Pages: VI, 245

  • Number of Illustrations: 2 b/w illustrations, 85 illustrations in colour

  • Topics: Cardiology

  • Industry Sectors: Biotechnology, Health & Hospitals, Pharma

Buying options

eBook USD 109.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-16992-3
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book USD 149.99
Price excludes VAT (USA)
Hardcover Book USD 199.99
Price excludes VAT (USA)