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Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Authors:Philipp Sommer  Simon Kircher  Sascha Rolf  Sergio Richter  Micha Doering  Arash Arya  Andreas Bollmann  Gerhard Hindricks
Institution:1.Department of Electrophysiology, Heart Center, University of Leipzig
Abstract:A technological platform (MediGuide) has been recently introduced for non-fluoroscopic catheter tracking. In several studies, we have demonstrated that the application of this non-fluoroscopic catheter visualization system (NFCV) reduces fluoroscopy time and dose by 90-95% in a variety of electrophysiology (EP) procedures. This can be of relevance not only to the patients, but also to the nurses and physicians working in the EP lab. Furthermore, in a subset of indications such as supraventricular tachycardias, NFCV enables a fully non-fluoroscopic procedure and allows the lab staff to work without wearing lead aprons. With this protocol, we demonstrate that even complex procedures such as ablations of atrial fibrillation, that are typically associated with fluoroscopy times of >30 min in conventional settings, can safely be performed with a reduction of >90% in fluoroscopy exposure by the additional use of NFCV.
Keywords:Medicine  Issue 99  Fluoroscopy  ablation  radiation exposure  atrial fibrillation  3D mapping  electrophysiology
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