Reduction of radiation exposure in catheter ablation of atrial fibrillation: Lesson learned

World Journal of Cardiology
Roberto De Ponti

Abstract

Over the last decades, the concern for the radiation injury hazard to the patients and the professional staff has increased in the medical community. Since there is no magnitude of radiation exposure that is known to be completely safe, the use of ionizing radiation during medical diagnostic or interventional procedures should be as low as reasonably achievable (ALARA principle). Nevertheless, in cardiovascular medicine, radiation exposure for coronary percutaneous interventions or catheter ablation of cardiac arrhythmias may be high: for ablation of a complex arrhythmia, such as atrial fibrillation, the mean dose can be > 15 mSv and in some cases > 50 mSv. In interventional electrophysiology, although fluoroscopy has been widely used since the beginning to navigate catheters in the heart and the vessels and to monitor their position, the procedure is not based on fluoroscopic imaging. Therefore, non-fluoroscopic three-dimensional systems can be used to navigate electrophysiology catheters in the heart with no or minimal use of fluoroscopy. Although zero-fluoroscopy procedures are feasible in limited series, there may be difficulties in using no fluoroscopy on a routine basis. Currently, a significant reduction in radiation exp...Continue Reading

Citations

Feb 21, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Severin WannagatAlexander Wutzler
Oct 13, 2018·Journal of Cardiovascular Electrophysiology·Kaustubha D Patil, Joseph E Marine
Nov 20, 2018·European Heart Journal·Fredrik HolmqvistPer Insulander
Oct 27, 2016·Expert Review of Cardiovascular Therapy·Jonathan M BeharChristopher A Rinaldi
Jun 30, 2016·European Heart Journal·Fiorenzo GaitaMatteo Anselmino
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·Philipp AttanasioMartin Huemer
Sep 28, 2021·Journal of Cardiovascular Electrophysiology·Giacomo M CioffiGiovanni Battista Forleo

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