Cardiac Interventions in Pregnant Patients without Fluoroscopy

Abstract

Successful cardiac catheterization and pacemaker implantation can be performed safely in selected pregnant patients using an electroanatomic mapping system guidance without fluoroscopy.

Zero‐fluoroscopy permanent pacemaker implantation using Ensite NavX system: Clinical viability or fanciful technique?

“…To our knowledge, prior reports have described the feasibility of cardiac device implantation utilizing a minimal radiation exposure technique, which combining 3D mapping systems and fluoroscopy . Seldom single cases have described the feasibility of pacemaker implantation without fluoroscopy . In our study, all permanent pacemakers were successfully implanted with satisfactory parameters and without any complications using the Ensite NavX system.…”

“…[11][12][13][14] Seldom single cases have described the feasibility of pacemaker implantation without fluoroscopy. [5][6][7][8][9]15 In our study, all permanent pacemakers were successfully implanted with satisfactory parameters and without any complications using the Ensite NavX system. Other imaging systems, such as transthoracic echocardiography or transesophageal echocardiography, were not used in our procedures.…”

“…With the development of 3D navigation systems, the Ensite NavX system has been introduced to guide the implantation of a cardioverter defibrillator for pregnant patients . The Ensite NavX system combined the transthoracic echocardiography or minimal fluoroscopy has already been reported for the permanent pacemaker implantation in pregnant patients …”

Permanent pacemaker implantation without fluoroscopy in a pregnant woman with complete atrioventricular block: A case report

“…Few case-series exist on using EAM guidance for PPM insertion in general population [4], [6]. To the best of our knowledge this is the third case of dual chamber PPM in a pregnant women using EAM system [3], [7]. The EAM helped creating a geometric image of cardiac chambers, and with help of intracardiac recordings and pacing maneuvers, we were able to navigate our catheters properly.…”

Near-zero fluoroscopy implantation of dual-chamber pacemaker in pregnancy using electroanatomic mapping

“…During pregnancy specifically, there have been case reports of successful single-chamber implantable cardioverter defibrillator implantation using the St. Jude Ensite NavX 10 . There are a few case reports of single-lead pacemaker implantation11, 12 and 2 case reports of dual-chamber pacemaker implantation using nonfluoroscopy 3D mapping 13, 14. In a retrospective analysis at a single center by a single operator, 10 patients who underwent biventricular implantation guided by fluoroscopy were compared with 10 patients who received their implants with the aid of EAM.…”