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

Ferguson, John

doi:10.1161/circep.114.002110

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Although there is growing literature showing the safety of zero fluoroscopy AF RFA, [5][6][7] there are no training pathways available. Even though minimizing fluoroscopy has obvious benefit to patients, physicians and staff members, most EPs interested in adopting these techniques have been learning largely on their own.…”

Section: Zero-fluoroscopy Rfamentioning

confidence: 99%

“…The evolution of these new technologies has enabled physicians to develop techniques to perform catheter RFA for AF and other RFAs with zero-fluoroscopy. [5][6][7] However, these advances in techniques and technologies have increased the complexity of our procedures. We now have a great deal more information available and must consider many more variables during AF RFA.…”

Section: Introductionmentioning

confidence: 99%

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Single Day Observational Experience at High Volume Ablation Programs: What is the Impact to Practicing Electrophysiologists?

Osorio

Bubien

Ruff³

et al. 2018

Journal of Atrial Fibrillation

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Background: Significant improvements in catheter technology, electro-anatomic (EA) mapping and techniques to reduce fluoroscopy during radiofrequency ablation (RFA) of atrial fibrillation (AF) are ongoing. However, few educational opportunities are available post fellowship for Electrophysiologists (EPs) to understand and integrate them into their practice, preventing widespread adoption. The impact of observational learning for adoption of new technologies and techniques in the field of cardiac electrophysiology has not been studied. We sought to report the impact of a visit to a high-volume center with experience in new technologies and fluoroscopy reduction to the clinical practice of EPs. Methods: Between 8/2014 and 10/2017 a total of 150 EPs visited 3 hospitals that perform a high volume of AF RFAs. EPs observed a minimum of 4 RFAs, primarily AF. AF RFAs were performed without fluoroscopy, using Carto 3 Version 4 (Biosense Webster) and intracardiac Echocardiography. There was ample interaction and discussion between hosting and visiting EP. Results: 73 EPs (48.6% of visitors) completed an electronic survey after the visit. The majority reported a significant reduction in fluoroscopy (>50%) and procedure (>20%) times. 68% adopted a rigorous workflow and reported an increase in their confidence level with intracardiac echo (79%), continuous mapping (52%) and the Visitag module (61%). Conclusions: Observational experience can have an immense impact on the clinical practice of EPs. Further effort should be devoted to such programs and to study in a more systematic way their ultimate impact on patient care.

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Section: Zero-fluoroscopy Rfamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%