Document Detail


Visualization of multiple catheters with electroanatomical mapping reduces X-ray exposure during atrial fibrillation ablation.
MedLine Citation:
PMID:  21421574     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims Atrial fibrillation (AF) ablation still requires long procedural time and high radiation exposure with its related risk for the patient and the operators. This study was designed to compare three different approaches of AF ablation to verify the hypothesis that image integration with electroanatomic mapping allows minimal use of fluoroscopy. Therefore, we evaluated the procedure and fluoroscopy times of ablation using three imaging modalities: conventional fluoroscopy, image integration electroanatomic mapping, and a new electroanatomic mapping system that provides visualization of multiple catheters. Methods and results One hundred and twenty patients with symptomatic refractory AF were enrolled in the study. Patients were randomly assigned to fluoroscopy alone (Group A, 40 patients), electroanatomic integration (Cartomerge(®), Group B, 40 patients), and electroanatomic integration plus catheters visualization (Carto(®) 3 System, Group C, 40 patients) guided procedures. The ablation procedure aimed at isolating the pulmonary veins and creating lesion lines at the left atrial roof and left isthmus. Procedure and fluoroscopy parameters were recorded in all patients. Total procedure time and skin to catheter positioning time did not significantly differ between the groups. Total fluoroscopy time was statistically different between all three groups (Group A, 18'09″ ± 5'00″; Group B, 9'48″ ± 3'41″; Group C, 2'28″ ± 1'40″; P< 0.001). A significant difference was noted in ablation fluoroscopy time between all groups (P < 0.001), mainly due to shortened fluoroscopy time in Group B (7'34″ ± 3'15″) and Group C (0'21″ ± 0'31″) when compared with Group A (16'07″ ± 5'04″). Conclusion Image integration and, to a larger extent, visualization of multiple catheters allowed a minimal use of fluoroscopy in transcatheter AF ablation.
Authors:
Marco Scaglione; Luigi Biasco; Domenico Caponi; Matteo Anselmino; Andrea Negro; Paolo Di Donna; Antonella Corleto; Antonio Montefusco; Fiorenzo Gaita
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-18
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  -     ISSN:  1532-2092     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Cardiology Department, Cardinal Massaia Hospital, Asti, Italy.
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