Authors: J Mauricio Sánchez Margaret A Yanics Patricia Wilson Amit Doshi Thomas Kurian Stephen Pieper
Publish Date: 2016/01/05
Volume: 45, Issue: 2, Pages: 199-207
Abstract
Ablation procedures for arrhythmias have increased in frequency and complexity over the last decade Improvements in technology have allowed for less reliance on fluoroscopy to guide these procedures Ablation without fluoroscopy has been reported in small cohorts We report a single center experience of fluoroless ablation after adoption of this technique for all endovascular ablationsThis retrospective study evaluated 107 consecutive patients who underwent a catheter ablation procedure for an atrial or ventricular arrhythmias after adoption of a completely fluoroless technique No fluoroscopy was used in any case A mapping system was utilized in all cases Intracardiac echocardiography ICE catheters were utilized in 75 of the ablation cases 704 Of the 107 patients who underwent EP study three patients did not undergo ablation as they were noninducible for SVT Of the remaining 104 patients 56 patients 538 underwent ablation for atrial fibrillation 23 patients 221 for SVT 10 patients 96 for lone atrial flutter and 16 patients 154 for a ventricular arrhythmia including PVC idiopathic VT or ventricular tachycardiaCatheters were able to be placed in 100 of patients without complication Time to placement in the coronary sinus was 21 min ± 14 min Mean transseptal time was 354 min ± 3 min Mean procedure time for all ablations was 2 h 6 min ± 50 min There were no complications in the series of patients
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