A practical guide and review of the literature on zero-fluoroscopy electrophysiology catheter navigation by intracardiac echocardiography.

Int J Cardiovasc Imaging

Department of Internal Medicine, Division of Cardiology and Angiology, Magdeburg University, Magdeburg, Germany.

Published: November 2024

AI Article Synopsis

  • The text discusses the use of intracardiac echocardiography (ICE) for navigating electrophysiology (EP) catheters, which helps eliminate the need for fluoroscopy during procedures.
  • This technique is particularly useful for treating common heart rhythm issues like atrial fibrillation and certain types of tachycardia.
  • The guide provides practical insights and highlights areas that still need research and exploration in the field of ICE-guided EP catheter navigation.

Article Abstract

Navigation of electrophysiology (EP) catheters using intracardiac echocardiography (ICE) is an emerging technique to avoid fluoroscopy and simplify EP procedures. It enables zero-fluoroscopy catheter ablation of most common arrhythmias such as atrial fibrillation, atrioventricular-nodal-reentry-tachycardia, or cavotricuspid isthmus-dependent atrial flutter. In this practical guide, we share our experience and illustrate the principles as well as common manoeuvres for endovascular and intracardiac EP catheter navigation relying solely on ICE visualisation. We also review the available data and highlight the topics which require further investigation in this field.

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Source
http://dx.doi.org/10.1007/s10554-024-03275-9DOI Listing

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