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Review
. 2020 Nov;9(3):121-127.
doi: 10.15420/aer.2020.02.

A New Era in Zero X-ray Ablation

Giuseppe Mascia  1 , Marzia Giaccardi  2
Affiliations
Review

A New Era in Zero X-ray Ablation

Giuseppe Mascia et al. Arrhythm Electrophysiol Rev. 2020 Nov.

Abstract

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.

Keywords: Arrhythmia; X-ray ablation approach; cancer prevention; catheter ablation; radiation risk; zero-fluoroscopy.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Ultrasound-guided Central Venous Cannulation
Figure 2:
Figure 2:. Anterior Catheter Direction May Lead from the Groin Area to the Heart with No Intermediate Stops
Figure 3:
Figure 3:. Patent Foramen Ovale Allowing Left-side Procedures Without the Need for Transseptal Puncture
Figure 4:
Figure 4:. Transseptal Puncture Highlighting the Tip of the Needle to Confirm its Descent
Figure 5:
Figure 5:. Contact-force Catheter Inserted Through the Femoral Artery
Figure 6:
Figure 6:. 3D Imaging of the OesophagusAB
See this image and copyright information in PMC

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