Implantation of cardioverter defibrillators with minimal fluoroscopy using a three-dimensional navigation system: a feasibility study

Abstract

Fluoroscopy-free defibrillators implantation is feasible using a navigation system. Suitable placement of the proximal coil is a critical stage and requires a reliable and complete reconstruction of the superior vena cava.

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 .…”

“…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. [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.…”

Implantation of Permanent Pacemaker and ICD Leads in Children Using a Three‐Dimensional Electroanatomic Mapping System as an Aid to Fluoroscopy

“…They did not use fluoroscopy to confirm that the active fixation screw was deployed and they noted one lead dislodgement requiring reoperation. Castrejon‐Castrejon et al described the implantation of mostly single‐chamber ICD leads in 35 adult patients using minimal fluoroscopy . Del Greco et al reported four patients in whom biventricular defibrillators were implanted with the aid of Ensite in addition to fluoroscopy, although they still required a range of 4.2–16.9 minutes of fluoroscopy …”

“…Castrejon-Castrejon et al described the implantation of mostly singlechamber ICD leads in 35 adult patients using minimal fluoroscopy. 20 Del Greco et al reported four patients in whom biventricular defibrillators were implanted with the aid of Ensite in addition to fluoroscopy, although they still required a range of 4.2-16.9 minutes of fluoroscopy. 8 This report describes our experience of using 3D mapping in pediatric patients undergoing implantation of transvenous PMs or defibrillators.…”

Electroanatomic mapping‐guided localization of alternative right ventricular septal pacing sites in children

“…Currently, such EAMs are not routinely used during pacemaker implantation. However, some experiences with pacemakers and defibrillators in adults have been reported, in a grown‐up congenital heart defect (CHD) patient and in pediatric patients . In children with complete atrioventricular block (CAVB), the endocardial pacing site is often the right ventricular (RV) apex (RVA), although alternative RV sites (RVAPS) have been proposed to prevent or reduce RV pacing‐induced left ventricular (LV) dysfunction .…”