• Section 1: Basis of Imaging in the Electrophysiology Lab
1 Radiation Safety in the Electrophysiology Lab
2 How to Use Intracardiac Echocardiography to Reduce Fluoroscopy
3 How to Use Electroanatomic Mapping to Reduce Fluoroscopy
4 How to Use Technologies such as MediGuide and CARTOUNIVU to Reduce Fluoroscopy During Catheter Ablation
5 How to Obtain Central Vascular Access Using Real-time Ultrasound
6 How to Perform Transseptal Puncture Without Fluoroscopy
7 How to Maintain Safety With a Reduced Fluoroscopy Approach
8 How to Monitor Esophageal Temperature Without Fluoroscopy
• Section 2: Ablation of Supraventricular Tachycardia
9 How to Ablate Atrioventricular Nodal Reentrant Tachycardia Using No Fluoroscopy
10 How to Ablate Accessory Pathways Using No Fluoroscopy
11 How to Ablate Typical Atrial Flutter Using No Fluoroscopy
12 How to Ablate Atrial Tachycardia and Atypical Flutter Using No Fluoroscopy
• Section 3: Ablation of Atrial Fibrillation
13 How to Perform Radiofrequency Ablation of Atrial Fibrillation Using No Fluoroscopy
14 How to Perform Cryo-Balloon Ablation of Atrial Fibrillation Using No Fluoroscopy
• Section 4: Ablation of Ventricular Arrhythmias
15 How to Perform Premature Ventricular Complex Ablation Originating From the Right Ventricle and Right Ventricular Outflow Tract Using No Fluoroscopy
16 How to Perform Ablation in the Coronary Cusps Using No Fluoroscopy
17 How to Perform Ablation of Premature Ventricular Complexes Originating from the Left Ventricular Outflow Tract Using No Fluoroscopy
18 How to Perform Papillary Muscle Premature Ventricular Complex Ablation Using No Fluoroscopy
19 How to Perform Ablation of Ischemic and Non-Ischemic Ventricular Tachycardia Using No Fluoroscopy
• Section 5: Special Populations
20 How to perform Catheter Ablation During Pregnancy: Special Considerations
21 How to Perform Catheter Ablation in the Pediatric Population Using No Fluoroscopy
Catheter ablation has become a widely used approach to treating various cardiac arrhythmias. Traditionally, catheter ablation procedures are guided by fluoroscopic imaging to help understand catheter position during mapping. The potentially significant exposure to radiation to the patient, physician, and staff increases risks of radiation exposure-related disease. Also, the protective lead garments worn increases risks of orthopedic injury. Current advanced electroanatomic mapping and intracardiac echocardiography technology have allowed the development of endocardial catheter ablation techniques without the use of fluoroscopy safely and effectively.
A host of expert and experienced authors present a practical overview of the rationale and methodology for a low- or zero-fluoro environment in the electrophysiology lab with the critical goal of significantly reducing radiation exposure to the patient, physician, and staff.
This practical guide:
• Covers the entire spectrum of commonly (and less commonly) performed ablation procedures via endocardial approach.
• Discusses general principles that are applicable across ICE and EAM platforms.
• Will assist the electrophysiologist and their team to safely and effectively work toward the significant reduction in fluoroscopy utilization while also likely improving procedural safety, i.e., fewer complications, after the adoption of these techniques.
• Includes a library of 50 videos, with 9 extended films (108 minutes) by Dr. Razminia detailing step-by-step procedures and techniques.