Nonfluoroscopic Catheter Navigation for Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Children

Abstract

The use of a nonfluoroscopic system for catheter navigation significantly reduced fluoroscopy exposure and total procedure duration of RCA of common SVT substrates in children.

The Benefit of a General, Systematic Use of Mapping Systems During Electrophysiological Procedures in Children and Teenagers: The Experience of an Adult EP Laboratory

“…An obvious aspect and indeed an advantage of the use of a mapping system are a significant reduction in fluoroscopy exposure for both patients and operators. In the field of electrophysiology, there are several papers based on randomized and non-randomized studies in adults [14,32] and paediatric populations [24,25], which demonstrate this advantage.…”

“…Additionally, studies published in research literature have demonstrated that NMSs can confer the extra benefit of significantly reducing radiation exposure [10,14,32,33] during CA and also during paediatric electrophysiological procedures [9,13,24,25,26,30]. However, the use of NMSs during paediatric electrophysiological procedures is not a standard in many EP laboratories, and some colleagues are trying to reduce fluoroscopy exposure using low-dose fluoroscopy rather than utilizing NMSs [17,27,31].…”

Single center experience of fluoroless AVNRT ablation guided by electroanatomic reconstruction in children and adolescents

“…Recently, it has been shown that non fluoroscopic electroanatomic (EA) mapping systems allows to reduce X-ray exposure for ablation procedures in children [10][11][12][13][14] . In addition, in few reports the feasibility of fluoroless procedures in children and adolescents has been demonstrated [14][15][16][17] , with a similar success and complication rate compared to conventional standard ablation procedures.…”

Very Low Fluoroscopy Ablation for Atrial Fibrillation Can Be Fast and Safe

“…1 Other physicians reported successful ablation of right-sided supraventricular tachycardia using multiple catheters using virtual navigation with the EnSite NavX system (St. Jude Medical, St Paul, MN). [2][3][4][5] The subsequent addition of transesophaeal echo guidance facilitated nonfluoroscopic transseptal puncture for left-sided accessory pathway ablation, first reported in 2008. 6 These techniques were then adapted to catheter ablation of AF, and small series have demonstrated the feasibility of completely eliminating x-ray fluoroscopy for complex left atrial ablation using the combination of 3D mapping and intracardiac echocardiography.…”