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Cardiovascular and metabolic science
On-line version ISSN 2954-3835Print version ISSN 2683-2828
Abstract
SANCHEZ-GUEVARA, Emanuel; LARA-VACA, Susano; ALVAREZ DE LA CADENA-SILLAS, Jorge and ASENSIO-LAFUENTE, Enrique. Initial experience with zero or near zero-fluoroscopy to perform catheter ablation of supraventricular tachycardias in a private practice setting. Cardiovasc. metab. sci [online]. 2023, vol.34, n.3, pp.107-113. Epub Apr 15, 2024. ISSN 2954-3835. https://doi.org/10.35366/112759.
Introduction:
fluoroscopy has been the main navigation tool in electrophysiology for decades, but it has inherent risks to both patients and the medical team. Zero-fluoroscopy systems have been used for several years now and they show a safer profile, although their costs are of concern.
Material and methods:
in 2022, we collected information about patients selected for electrophysiological study and supraventricular arrhythmia ablation in our group in central Mexico City and presented them as a series of cases.
Results:
ten patients were treated without fluoroscopy or with minimal radiation exposure during the year. They were mostly young (43.6 ± 20.8 years old) female subjects (80%). The mean procedure duration time was 118 ± 17.1 minutes. There were no immediate complications, and all the procedures were successful regarding the elimination of the arrhythmia substrate.
Conclusions:
this is a small series of patients representing an initial approach in our community to introduce 0-F procedures with good results and within safe limits for patients and the medical team.
Keywords : zero-fluoroscopy; radiofrequency ablation; atrioventricular node reentry; supraventricular tachycardia; electro-anatomical mapping.