The future of cardiac electrophysiology, ablation without using the X-ray device (zero fluoro)

    Authors

    Keywords

    electrophysiology, X-ray device

    DOI

    https://doi.org/10.15836/ccar2018.492

    Full Text

    With the development of technology which enabled a catheter display in the patient’s body without using X-ray radiation, there was an idea that an electrophysiology procedure should be used on high risk patients, such as younger patients, children and pregnant women, without using an X-ray diascope device. ( 1 ) The procedure requires the highly experienced operator and a team because manipulation with catheters can cause harm to the patient such as perforation of cardiac structures or blood vessels. Trough the case reports of ablated patients by this zero fluoro method in the period from February 2018 to November 2018 we will present experiences from the Centre for Electrophysiology at the University Hospital Centre Split. Some of the crucial intraprocedural steps will be shown, such as the process of mapping the path to the heart, map processing, recognition of anatomical structures through intracardial electrography, as well as their marking on the map. Our experience is based on 20 patients who underwent the procedure of ablation without using X-ray device. We will especially highlight the case of a patient in the 6th month of pregnancy with atrioventricular nodal reentry tachycardia.

    Cardiologia Croatica
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    The future of cardiac electrophysiology, ablation without using the X-ray device (zero fluoro)

    Extended Abstract
    Issue11-12
    Published
    Pages492
    PDF via DOIhttps://doi.org/10.15836/ccar2018.492
    electrophysiology
    X-ray device

    Authors

    Ante Borovina*ORCIDUniversity Hospital Centre Split, Split, Croatia

    Full Text

    With the development of technology which enabled a catheter display in the patient’s body without using X-ray radiation, there was an idea that an electrophysiology procedure should be used on high risk patients, such as younger patients, children and pregnant women, without using an X-ray diascope device. ( 1 ) The procedure requires the highly experienced operator and a team because manipulation with catheters can cause harm to the patient such as perforation of cardiac structures or blood vessels. Trough the case reports of ablated patients by this zero fluoro method in the period from February 2018 to November 2018 we will present experiences from the Centre for Electrophysiology at the University Hospital Centre Split. Some of the crucial intraprocedural steps will be shown, such as the process of mapping the path to the heart, map processing, recognition of anatomical structures through intracardial electrography, as well as their marking on the map. Our experience is based on 20 patients who underwent the procedure of ablation without using X-ray device. We will especially highlight the case of a patient in the 6th month of pregnancy with atrioventricular nodal reentry tachycardia.