First experience with zero-fluoroscopic ablation for supraventricular tachycardias using a novel impedance and magnetic-field-based mapping system

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
Katie A WalshG Szeplaki

Abstract

Zero- and near-zero-fluoroscopic ablation techniques reduce the harmful effects of ionizing radiation during invasive electrophysiology procedures. We aimed to test the feasibility and safety of a zero-fluoroscopic strategy using a novel integrated magnetic and impedance-based electroanatomical mapping system for radiofrequency ablation (RFA) of supraventricular tachycardias (SVTs). We retrospectively studied 92 consecutive patients undergoing electrophysiology studies with/without RFA for supraventricular tachycardia (SVT) performed by a single operator at a single center. The first 42 (Group 1) underwent a conventional fluoroscopic-guided approach and the second 50 (Group 2) underwent a zero-fluoroscopic approach using the Ensite Precision™ 3-D magnetic and impedance-based mapping system (Abbott Inc). Group 1 comprised 14 AV-nodal re-entrant tachycardia (AVNRT), 12 typical atrial flutter, 4 accessory pathway (AP), 2 atrial tachycardia (AT), and 9 diagnostic EP studies (EPS). Group 2 comprised 16 AVNRT, 17 atrial flutter, 6 AP, 3 AT, 2 AV-nodal ablations, and 7 EPS. A complete zero-fluoroscopic approach was achieved in 94% of Group 2 patients. All procedures were acutely successful, and no complications occurred. There was a s...Continue Reading

References

Sep 6, 2002·Journal of Cardiovascular Electrophysiology·Fabrizio DragoShoshana Leibovich
Apr 18, 2007·Pacing and Clinical Electrophysiology : PACE·Grace Smith, John M Clark
Nov 23, 2011·Cardiovascular Ultrasound·Eugenio Picano, Eliseo Vano
Aug 4, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Philipp SommerChristopher Piorkowski
Feb 20, 2013·The American Journal of Cardiology·Ariel RoguinJames A Goldstein
Feb 27, 2013·Pacing and Clinical Electrophysiology : PACE·E Kevin HeistMoussa Mansour
Jun 14, 2013·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Nathaniel R SmilowitzGiora Weisz
Jan 23, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Moritz SeiffertDirk Westermann
Mar 5, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Katharina SchoenePhilipp Sommer
May 20, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Ulrich KrauseHeike E Schneider
Sep 25, 2015·Journal of the International Neuropsychological Society : JINS·Donatella MarazzitiEugenio Picano
Nov 13, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michela CasellaClaudio Tondo
May 5, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Thomas KleemannRalf Zahn
Jun 13, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Christian SohnsAndreas Metzner
Jun 30, 2016·European Heart Journal·Fiorenzo GaitaMatteo Anselmino
Aug 25, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Jedrzej KosiukAndreas Bollmann
Oct 6, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Aldo BonsoClaudia Licciardello
Mar 10, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·David DunckerChristian Veltmann
Jul 21, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Axel SchmermundStephan Achenbach
Aug 30, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Tilko ReentsGabriele Hessling

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Citations

May 23, 2019·Arrhythmia & Electrophysiology Review·Demosthenes G Katritsis
Oct 12, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Dierk ThomasNiels Voigt
Sep 6, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Patrick LeitzL Eckardt
May 14, 2020·Expert Review of Medical Devices·Laura RottnerAndreas Rillig
Jun 27, 2019·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Matteo BertiniRoberto Ferrari
Feb 3, 2021·The International Journal of Cardiovascular Imaging·Mehmet YaziciMatevž Jan
May 18, 2021·Clinical Cardiology·Lorraine Lok Wing ChiangUNKNOWN International Health Informatics Study (IHIS) Network
Aug 25, 2021·Journal of Cardiovascular Electrophysiology·Chanavuth KanitsoraphanLeenhapong Navaravong

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Methods Mentioned

BETA
sedation

Software Mentioned

EnSite
EnSite NavX
EnSite TM
SPSS

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