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Non-fluoroscopic Catheter Ablation of Atrial Fibrillation

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Abstract

Atrial fibrillation ablation is the last frontier of ablation using a non-fluoroscopic approach; it is however the procedure with the highest radiation exposure patients and health personnel. Combining 3-D mapping systems and nonionizing imaging modalities such as intracardiac echocardiography (ICE) allows safe and effective completion of the ablation procedure without fluoroscopy.

Keywords

  • Atrial fibrillation ablation
  • Non-fluoroscopic
  • Intracardiac ultrasound
  • 3-D mapping

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  • DOI: 10.1007/978-3-030-16992-3_11
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References

  1. Calkins H, Kuck KH, Cappato R, et al. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design: a report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society. Heart Rhythm. 2012;9:632–696.e21.

    CrossRef  Google Scholar 

  2. Macle L, Weerasooriya R, Jais P, et al. Radiation exposure during radiofrequency catheter ablation for atrial fibrillation. Pacing Clin Electrophysiol. 2003;26:288–91.

    CrossRef  Google Scholar 

  3. Lickfett L, Mahesh M, Vasamreddy C, et al. Radiation exposure during catheter ablation of atrial fibrillation. Circulation. 2004;110:3003–10.

    CrossRef  Google Scholar 

  4. Voskoboinik A, Kalman ES, Savicky Y, et al. Reduction in radiation dose for atrial fibrillation ablation over time: a 12-year single-center experience of 2344 patients. Heart Rhythm. 2017;14:810–6.

    CrossRef  Google Scholar 

  5. Birnie D, Healey JS, Krahn AD, et al. Prevalence and risk factors for cervical and lumbar spondylosis in interventional electrophysiologists. J Cardiovasc Electrophysiol. 2011;22:957–60.

    CrossRef  Google Scholar 

  6. Ferguson JD, Helms A, Mangrum JM, et al. Catheter ablation of atrial fibrillation without fluoroscopy using intracardiac echocardiography and electroanatomic mapping. Circ Arrhythm Electrophysiol. 2009;2:611–9.

    CrossRef  Google Scholar 

  7. Reddy VY, Morales G, Ahmed H, et al. Catheter ablation of atrial fibrillation without the use of fluoroscopy. Heart Rhythm. 2010;7:1644–53.

    CrossRef  Google Scholar 

  8. Bulava A, Hanis J, Eisenberger M. Catheter ablation of atrial fibrillation using zero-fluoroscopy technique: a randomized trial. Pacing Clin Electrophysiol. 2015;38:797–806.

    CrossRef  Google Scholar 

  9. Lyan E, Tsyganov A, Abdrahmanov A, et al. Nonfluoroscopic catheter ablation of paroxysmal atrial fibrillation. Pacing Clin Electrophysiol. 2018;41:611–9.

    CrossRef  Google Scholar 

  10. Sommer P, Bertagnolli L, Kircher S, et al. Safety profile of near-zero fluoroscopy atrial fibrillation ablation with non-fluoroscopic catheter visualization: experience from 1000 consecutive procedures. Europace. 2018;20:1952–8.

    CrossRef  Google Scholar 

  11. Lee G, Hunter RJ, Lovell MJ, et al. Use of a contact force-sensing ablation catheter with advanced catheter location significantly reduces fluoroscopy time and radiation dose in catheter ablation of atrial fibrillation. Europace. 2016;18:211–8.

    CrossRef  Google Scholar 

  12. Wannasopha Y, Oilmungmool N, Euathrongchit J. Anatomical variations of pulmonary venous drainage in Thai people: multidetector CT study. Biomed Imaging Interv J. 2012;8:e4.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Nair GM, Nery PB, Redpath CJ, Lam B-K, Birnie DH. Atrioesophageal fistula in the era of atrial fibrillation ablation: a review. Can J Cardiol. 2014;30:388–95.

    CrossRef  Google Scholar 

  14. Bai R, Patel D, Di Biase L, et al. Phrenic nerve injury after catheter ablation: should we worry about this complication? J Cardiovasc Electrophysiol. 2006;17:944–8.

    CrossRef  Google Scholar 

  15. Sadek MM, Ramirez FD, Nery PB, et al. Completely non-fluoroscopic catheter ablation of left atrial arrhythmias and ventricular tachycardia. J Cardiovasc Electrophysiol. 2018;30:78–88.

    CrossRef  Google Scholar 

  16. Razminia M, Demo H, Arrieta-Garcia C, D’Silva OJ, Wang T, Kehoe RF. Nonfluoroscopic ablation of atrial fibrillation using cryoballoon. J Atr Fibrillation. 2014;7:1093.

    PubMed  PubMed Central  Google Scholar 

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Correspondence to Mouhannad M. Sadek .

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Sadek, M.M. (2019). Non-fluoroscopic Catheter Ablation of Atrial Fibrillation. In: Proietti, R., Wang, Y., Yao, Y., Zhong, G., Lin Wu, S., Ayala-Paredes, F. (eds) Cardiac Electrophysiology Without Fluoroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-16992-3_11

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  • DOI: https://doi.org/10.1007/978-3-030-16992-3_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16991-6

  • Online ISBN: 978-3-030-16992-3

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