Getting to zero: impact of electroanatomical mapping on fluoroscopy use in pediatric catheter ablation

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Bradley C ClarkJeffrey P Moak

Abstract

Over the past several years, alternative imaging techniques including electroanatomic mapping systems such as CARTO®3 (C3) have been developed to improve anatomic resolution and potentially limit radiation exposure in electrophysiology (EP) procedures. We retrospectively examined the effect of the introduction of C3 on patient radiation exposure during EP studies and ablation procedures at a children's hospital. All patients that underwent EP and ablation procedures between January 2012 and August 2015 were included; demographic information, fluoroscopy time (FT), total radiation dose (RAD), and dose-area product (DAP) were collected. Patients were stratified by time period (before vs. after C3 introduction) in three groups: (1) normal heart, (2) congenital heart disease (CHD), and (3) those requiring trans-septal (TS) access. The normal heart group was further separated by arrhythmia diagnosis (accessory pathway (AP), AV nodal reentry tachycardia (AVNRT), atrial, or ventricular arrhythmia). Mean values were compared using a single sample t test, as well as analysis of covariance to control for age, weight, and arrhythmia diagnosis. Mean FT decreased after introduction of C3 in patients in all three patient groups (p < 0.01). W...Continue Reading

References

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Apr 18, 2007·Pacing and Clinical Electrophysiology : PACE·Grace Smith, John M Clark
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Oct 19, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Wilson KwongJoel A Kirsh
Aug 3, 2012·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Grace WanJeremy P Moore
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Nov 19, 2014·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Nikola PavlovićChristian Sticherling

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Citations

Sep 13, 2017·Pacing and Clinical Electrophysiology : PACE·Bradley C ClarkJeffrey P Moak
Jul 9, 2017·Circulation. Arrhythmia and Electrophysiology·Elizabeth D Sherwin, Charles I Berul
Dec 14, 2019·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Ellis RochelsonRobert H Pass
Nov 11, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Bradley C ClarkRobert H Pass

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