Abstract
Reduction of radiation exposure during cardiac arrhythmia ablation procedures is desirable. We sought to evaluate the utility of a new image integration module (CARTOUNIVU(TM) ) in reducing fluoroscopy times and dosages during left atrial arrhythmia (LAA) and ventricular tachycardia (VT) ablation procedures. Consecutive patients undergoing LAA (n = 28)/VT (n = 13) ablation using the CARTOUNIVU(TM) module were included. Total fluoroscopy time, radiation dose (total dose area product [tDAP], effective dose [ED]), and procedure duration were evaluated. A retrospective cohort of patients who underwent LAA (n = 16)/VT(n = 8) ablation without the new image integration module served as a control group. The use of the new image integration module significantly reduced mean fluoroscopy time (5.2 minutes [IQR 1.9;6.8] in the LAA ablation UNIVU group vs. 28.2 minutes [IQR 15.3;37.8] in the control group, P<0.001; 9.8 minutes [IQR 4.5;13.1] vs. 25.5 minutes [IQR 14.1;30.9] for VT ablation, P = 0.013), tDAP (2,088 cGy*cm(2) [IQR 664;2911] vs. 5,893 cGy*cm(2) [IQR 3088;8483], P< 0.001 for LAA ablation; 3,917 cGy*cm(2) [IQR 948;4217] vs. 12,377 cGy*cm(2) (IQR 3385;23157) for VT ablation patients, P = 0.025) and ED (4.1 mSv [IQR 1;5.8] vs. 11....Continue Reading
References
Oct 14, 1998·Circulation·P KovoorD L Ross
Jul 4, 2001·Circulation·K PerisinakisN Gourtsoyiannis
Mar 20, 2004·Journal of Cardiovascular Electrophysiology·Simon C SportonRichard J Schilling
Feb 4, 2009·Circulation·Thomas C GerberMichael V Yester
Dec 17, 2009·Circulation. Arrhythmia and Electrophysiology·John D FergusonJohn P DiMarco
Jan 30, 2010·Lancet·Karl-Heinz KuckUNKNOWN VTACH study group
Apr 20, 2010·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·Domenico CaponiFiorenzo Gaita
Jun 12, 2012·Lancet·Mark S PearceAmy Berrington de González
Dec 1, 2010·Annals of the ICRP·M M RehaniJ Persliden
Jul 17, 2012·American Heart Journal·Atul VermaRoberto Mantovan
May 18, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Sascha RolfPhilipp Sommer
May 23, 2013·BMJ : British Medical Journal·John D MathewsSarah C Darby
Aug 27, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Lukas R C DekkerAlbert Meijer
Nov 12, 2013·Circulation·Borislav DinovArash Arya
May 6, 2014·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·Hein HeidbuchelFrancisco Femenia
May 8, 2014·PloS One·Wenli ZhangWenquan Niu
Jun 25, 2014·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Waqas UllahRichard J Schilling
Jul 21, 2014·Circulation. Arrhythmia and Electrophysiology·Philipp SommerGerhard Hindricks
Aug 16, 2014·Journal of the American College of Cardiology·Andrea NataleFrancis E Marchlinski
Citations
Sep 30, 2017·Journal of Cardiovascular Electrophysiology·Blerim LuaniRüdiger C Braun-Dullaeus
Feb 7, 2016·Circulation. Arrhythmia and Electrophysiology·Óscar CanoLuis Martínez-Dolz
May 11, 2019·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·Edmond M CroninUNKNOWN ESC Scientific Document Group
Jun 13, 2019·Cardiovascular Ultrasound·Blerim LuaniRüdiger C Braun-Dullaeus
Jun 15, 2017·Medicine·Ji Hyun LeeYou-Ho Kim
Jun 22, 2017·Journal of Cardiovascular Electrophysiology·Girish M NairDavid H Birnie
Jan 28, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Edmond M CroninKatja Zeppenfeld
Nov 26, 2019·European Heart Journal Cardiovascular Imaging·Bin-Feng MoYi-Gang Li
Oct 25, 2017·Journal of Cardiovascular Electrophysiology·Bernard ThibaultPaul Khairy
Nov 1, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Óscar CanoLuis Martínez-Dolz
Feb 3, 2021·International Journal of Cardiology·Tao ChenYun-Dai Chen