Purpose: Electrophysiological studies and ablation procedures expose both physicians and patients to a significant amount of radiation. Most 3-D mapping systems provide improved tracking of catheters and enable radiation exposure to be reduced or even eliminated. However, there are no data on the ability of the Rhythmia ™ mapping system (Boston Scientific) to minimize fluoroscopy time and dose. Methods: Here, we report on the feasibility and safety of a novel non-fluoroscopic approach (NFA) that uses the Rhythmia ™ mapping system and a novel navigation-enabled ablation catheter in SVT and atrial flutter procedures, and describe in detail our modified procedural work-flow. A total of 20 consecutive patients who were referred to our center for RF ablation of SVT arrhythmias were included in this analysis to test our procedural work flow. Results: In our preliminary experience of the NFA work-flow, fluoroscopy times and radiological exposure were significantly reduced in comparison with the conventional approach. Conclusion: In our preliminary experience, arrhythmia ablation through a near-zero fluoroscopy approach involving the use of a novel ablation technology and the Rhythmia™ mapping system proved to be safe, feasible and effective in common atrial arrhythmias.

A new mapping method with the Rhythmia™ navigation system reduces radiation exposure. Preliminary experience in SVT procedures / Cauti, F. M.; Rossi, P.; Iaia, L.; Bianchi, S.. - In: JOURNAL OF ELECTROCARDIOLOGY. - ISSN 0022-0736. - 58:(2020), pp. 92-95. [10.1016/j.jelectrocard.2019.11.049]

A new mapping method with the Rhythmia™ navigation system reduces radiation exposure. Preliminary experience in SVT procedures

Cauti F. M.
;
2020

Abstract

Purpose: Electrophysiological studies and ablation procedures expose both physicians and patients to a significant amount of radiation. Most 3-D mapping systems provide improved tracking of catheters and enable radiation exposure to be reduced or even eliminated. However, there are no data on the ability of the Rhythmia ™ mapping system (Boston Scientific) to minimize fluoroscopy time and dose. Methods: Here, we report on the feasibility and safety of a novel non-fluoroscopic approach (NFA) that uses the Rhythmia ™ mapping system and a novel navigation-enabled ablation catheter in SVT and atrial flutter procedures, and describe in detail our modified procedural work-flow. A total of 20 consecutive patients who were referred to our center for RF ablation of SVT arrhythmias were included in this analysis to test our procedural work flow. Results: In our preliminary experience of the NFA work-flow, fluoroscopy times and radiological exposure were significantly reduced in comparison with the conventional approach. Conclusion: In our preliminary experience, arrhythmia ablation through a near-zero fluoroscopy approach involving the use of a novel ablation technology and the Rhythmia™ mapping system proved to be safe, feasible and effective in common atrial arrhythmias.
2020
Fluoroscopy reduction; Low fluoro; Rhythmia mapping system
01 Pubblicazione su rivista::01a Articolo in rivista
A new mapping method with the Rhythmia™ navigation system reduces radiation exposure. Preliminary experience in SVT procedures / Cauti, F. M.; Rossi, P.; Iaia, L.; Bianchi, S.. - In: JOURNAL OF ELECTROCARDIOLOGY. - ISSN 0022-0736. - 58:(2020), pp. 92-95. [10.1016/j.jelectrocard.2019.11.049]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1552891
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