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| http://dx.doi.org/10.19102/icrm.2020.110406 | DOI Listing |
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Case Report: A novel method of needle-free transseptal puncture.
Front Cardiovasc Med
December 2024
Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Background: In the era of fluoroless catheter ablation (CA), achieving a successful transseptal puncture (TSP) presents a significant challenge. We introduce a novel technique for zero-fluoroscopy and cost-effective needle-free TSP.
Case Summary: We describe two cases where a GMS-1 guidewire (0.
Pulsed-field ablation for atrial fibrillation without the use of fluoroscopy.
J Interv Card Electrophysiol
August 2024
Cardiac Electrophysiology, South Denver Cardiology Associates, 1000 Southpark Drive, Littleton, CO, 80111, USA.
Introduction: Pulsed-field ablation (PFA) and fluoroless ablation (FA) are emerging techniques in contemporary in electrophysiology. With widespread use of 3D electroanatomic mapping systems and advanced intracardiac echo (ICE) imaging, fluoroless ablation has become more widely adopted. However, with the importance of tissue contact for lesion durability, initial PFA has been used with fluoroscopic guidance, but both ICE and electroanatomic mapping make fluoroless PFA feasible.
View Article and Find Full Text PDFInitial experience with zero-fluoroscopy pulmonary vein isolation in patients with atrial fibrillation: single-center observational trial.
Sci Rep
July 2024
Medical School, Heart Institute, University of Pecs, Ifjusag utja 13., 7624, Pecs, Hungary.
Pulmonary vein isolation (PVI) stands as a widely practiced cardiac ablation procedure on a global scale, conventionally guided by fluoroscopy. The concurrent application of electroanatomical mapping systems (EAMS) and intracardiac echocardiography offers a means to curtail radiation exposure. This study aimed to compare procedural outcomes between conventional and our initial zero-fluoroscopy cases in patients with paroxysmal or persistent atrial fibrillation (AF), undergoing point-by-point PVI.
View Article and Find Full Text PDFThe use of Intracardiac Echocardiography in Catheter Ablation of Atrial Fibrillation.
Curr Cardiol Rep
September 2024
Department of Cardiology, Mitera Hospital, 6 Erithrou Stavrou str., Marousi, Athens, 151 23, Greece.
Purpose Of The Review: Intracardiac echocardiography (ICE) provides real-time, fluoroless imaging of cardiac structures, allowing optimal catheter positioning and energy delivery during ablation procedures. This review summarizes the use of ICE in catheter ablation of atrial fibrillation (AF).
Recent Findings: Growing evidence suggests that the use of ICE improves procedural safety and facilitates radiofrequency and cryoballoon AF ablation.
Catheter ablation for focal atrial tachycardias during pregnancy: A systematic review.
Int J Cardiol
October 2024
Department of Clinical Electrophysiology & Cardiac Pacing, Centro Cardiologico Monzino, IRCCS, Milan, Italy; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
Article Synopsis
- - The study examines the use of catheter ablation (CA) as a treatment for focal atrial tachycardia (AT) in pregnant women, highlighting the risks of medical interventions and the potential benefits of CA, particularly with non-fluoroscopic navigation systems.
- - A systematic literature search reviewed 278 papers, ultimately including 15 studies with 24 patients; the results showed an impressive acute success rate of 95.8% with CA, and a significant number of procedures were performed without fluoroscopy.
- - The findings suggest that CA is a viable option for treating incessant AT during pregnancy, with minimal long-term recurrence; however, further large-scale studies are needed to better assess its safety and effectiveness.
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