Initial experience with zero or near zero-fluoroscopy to perform catheter ablation of supraventricular tachycardias in a private practice setting
Abstract: Introduction: fluoroscopy has been the main navigation tool in electrophysiology for decades, but it has inherent risks to both patients and the medical team. Zero-fluoroscopy systems have been used for several years now and they show a safer profile, although their costs are of concern. Material and methods: in 2022, we collected information about patients selected for electrophysiological study and supraventricular arrhythmia ablation in our group in central Mexico City and presented them as a series of cases. Results: ten patients were treated without fluoroscopy or with minimal radiation exposure during the year. They were mostly young (43.6 ± 20.8 years old) female subjects (80%). The mean procedure duration time was 118 ± 17.1 minutes. There were no immediate complications, and all the procedures were successful regarding the elimination of the arrhythmia substrate. Conclusions: this is a small series of patients representing an initial approach in our community to introduce 0-F procedures with good results and within safe limits for patients and the medical team.
| Main Authors: | , , , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Asociación Nacional de Cardiólogos de México A.C.
2023
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| Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2954-38352023000300107 |
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| Summary: | Abstract: Introduction: fluoroscopy has been the main navigation tool in electrophysiology for decades, but it has inherent risks to both patients and the medical team. Zero-fluoroscopy systems have been used for several years now and they show a safer profile, although their costs are of concern. Material and methods: in 2022, we collected information about patients selected for electrophysiological study and supraventricular arrhythmia ablation in our group in central Mexico City and presented them as a series of cases. Results: ten patients were treated without fluoroscopy or with minimal radiation exposure during the year. They were mostly young (43.6 ± 20.8 years old) female subjects (80%). The mean procedure duration time was 118 ± 17.1 minutes. There were no immediate complications, and all the procedures were successful regarding the elimination of the arrhythmia substrate. Conclusions: this is a small series of patients representing an initial approach in our community to introduce 0-F procedures with good results and within safe limits for patients and the medical team. |
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