Journal
ARRHYTHMIA & ELECTROPHYSIOLOGY REVIEW
Volume 9, Issue 3, Pages 121-127Publisher
RADCLIFFE CARDIOLOGY
DOI: 10.15420/aer.2020.02
Keywords
Arrhythmia; cancer prevention; catheter ablation; radiation risk; zero-fluoroscopy; X-ray ablation approach
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In this article, the authors focus on the importance of the zero X-ray ablation approach in electrophysiology. Radiation exposure related to conventional transcatheter ablation carries small but non-negligible stochastic and deterministic effects on health. Non-fluoroscopic mapping systems can significantly reduce, or even completely avoid, radiological exposure. The zero X-ray approach determines potential clinical benefits in terms of reduction of ionising radiation exposure, as well as safe technical advantages. The use of this method can result in similar outcomes when compared to the conventional fluoroscopic technique. These results are achieved without altering the duration, or compromising the effectiveness and safety, of the procedure. The zero X-ray ablation approach is a feasible and safe alternative to fluoroscopy, which is often only used in selected cases for troubleshooting. The non-fluoroscopic approach is considered a milestone for cancer prevention in ablation procedures.
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