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

Research output: Contribution to journalReview article

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 languageEnglish (US)
Pages (from-to)233-245
Number of pages13
JournalCardiac Electrophysiology Clinics
Volume12
Issue number2
DOIs
StatePublished - 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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  • Cite this

    Romero, J., Patel, K., Briceno, D., Alviz, I., Tarantino, N., Della Rocca, D., Natale, V., Zhang, X. D., & Di Biase, L. (2020). Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes. Cardiac Electrophysiology Clinics, 12(2), 233-245. https://doi.org/10.1016/j.ccep.2020.01.001