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http://dx.doi.org/10.1016/j.hrcr.2021.01.002 | DOI Listing |
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.
J Interv Card Electrophysiol
October 2024
Department of Pediatric Cardiology, Akron Children's Hospital, Akron, OH, USA.
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 PDFJ Interv Card Electrophysiol
August 2024
Cardiac Electrophysiology, South Denver Cardiology Associates, 1000 SouthPark Drive, Littleton, CO, 80111, USA.
Introduction: Cardioneural ablation (CNA) and fluoroless ablation (FA) are emerging procedures and movements in contemporary in electrophysiology. Ablation of ganglionated plexus (GP) inputs in the atrium has been successfully targeted as a treatment for symptomatic bradyarrhythmias due to increased parasympathetic tone. As most of these patients are young, avoidance of ionizing radiation is of critical importance to limit potential long term deleterious effects.
View Article and Find Full Text PDFSci 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.
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