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Title of Journal: J Interv Card Electrophysiol

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Abbravation: Journal of Interventional Cardiac Electrophysiology

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Springer US

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DOI

10.1002/ange.196407613114

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1572-8595

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Fluoroless catheter ablation in adults a single c

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
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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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Other Papers In This Journal:

  1. Adenosine triphosphate-induced atrial fibrillation: the clinical significance and relevance to spontaneous atrial fibrillation
  2. Trends in percutaneous pericardial access during catheter ablation of ventricular arrhythmias: a single-center experience
  3. Comparison between pulsed and continuous radiofrequency delivery
  4. Factors associated with fluoroscopy exposure during pediatric catheter ablation utilizing electroanatomical mapping
  5. Electrophysiologic characteristics of atrial tachycardia originating from the superior vena cava
  6. Clinical evaluation of a new technique to monitor return electrode skin temperature during radiofrequency ablation
  7. Arrhythmia phenotype in mouse models of human long QT
  8. Contact force and impedance decrease during ablation depends on catheter location and orientation: insights from pulmonary vein isolation using a contact force-sensing catheter
  9. Long-term monitoring of respiratory rate in patients with heart failure: the Multiparametric Heart Failure Evaluation in Implantable Cardioverter-Defibrillator Patients (MULTITUDE-HF) study
  10. Association between red blood cell distribution width and response to cardiac resynchronization therapy
  11. Modification of atrioventricular conduction in dogs by laser irradiation of Koch’s triangle guided by balloon-tipped cardioscope
  12. Novel SCN5A mutations in two families with “Brugada-like” ST elevation in the inferior leads and conduction disturbances
  13. Clinical criteria for predicting benefit of ICD/PM in post myocardial infarction patients: an AVID and CAST analysis
  14. Characteristics and distribution of complex fractionated atrial electrograms in patients with paroxysmal and persistent atrial fibrillation
  15. Predictors of serious arrhythmic events in patients with nonischemic heart failure
  16. Ablation time efficiency and lesion volume - in vitro comparison of 4 mm, non irrigated, gold- and platinum-iridium-tip radiofrequency ablation catheters
  17. Late thromboembolic events after circumferential pulmonary vein ablation of atrial fibrillation
  18. Patient care and physician conflicts of interests: the Hydra grows new heads but is any Hercules in sight?
  19. Cardiac calcified amorphous tumor in a patient presenting for ventricular tachycardia ablation: intracardiac echocardiogram diagnosis and management
  20. Atrial fibrillation ablation in patients with gastroesophageal reflux disease or irritable bowel syndrome—the heart to gut connection!
  21. Clinical outcome of left atrial ablation for paroxysmal atrial fibrillation is related to the extent of radiofrequency ablation
  22. Predictors of chronic pulmonary vein reconnections after contact force-guided ablation: importance of completing electrical isolation with circumferential lines and creating sufficient ablation lesion densities
  23. Left atrial posterior wall isolation: the icing on the cake
  24. Catheter ablation of arrhythmic storm triggered by monomorphic ectopic beats in patients with coronary artery disease
  25. Verapamil-sensitive left anterior fascicular ventricular tachycardia associated with a healed myocardial infarction: changes in the delayed Purkinje potential during sinus rhythm

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