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Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias

Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias
Author: Mansour Razminia, MD
Publisher: Cardiotext Publishing
Total Pages: 232
Release: 2019-05-01
Genre: Medical
ISBN: 1942909357

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Catheter ablation has become a widely used approach to treating various cardiac arrhythmias. Traditionally, catheter ablation procedures are guided by fluoroscopic imaging to help understand catheter position during mapping. The potentially significant exposure to radiation to the patient, physician, and staff increases risks of radiation exposure-related disease. Also, the protective lead garments worn increases risks of orthopedic injury. Current advanced electroanatomic mapping and intracardiac echocardiography technology have allowed the development of endocardial catheter ablation techniques without the use of fluoroscopy safely and effectively. A host of expert and experienced authors present a practical overview of the rationale and methodology for a low- or zero-fluoro environment in the electrophysiology lab with the critical goal of significantly reducing radiation exposure to the patient, physician, and staff. This practical guide: -Covers the entire spectrum of commonly (and less commonly) performed ablation procedures via endocardial approach. -Discusses general principles that are applicable across ICE and EAM platforms. -Will assist the electrophysiologist and their team to safely and effectively work toward the significant reduction in fluoroscopy utilization while also likely improving procedural safety, i.e., fewer complications, after the adoption of these techniques. -Includes a library of 50 videos, with 9 extended films (108 minutes) by Dr. Razminia detailing step-by-step procedures and techniques.


Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias

Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias
Author: Mansour Razminia
Publisher: Cardiotext Incorporated
Total Pages: 0
Release: 2019-05
Genre: Arrhythmia
ISBN: 9781942909309

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A hands-on guide for the reduction or elimination of fluoroscopy during the mapping and catheter ablation of cardiac arrhythmias using intracardiac echocardiography (ICE) and electroanatomic mapping (EAM). Includes a library of 50 videos, and discusses general low- or zero-fluoro principles that are applicable across ICE and EAM platforms.


Catheter Ablation of Cardiac Arrhythmias in Children and Patients with Congenital Heart Disease

Catheter Ablation of Cardiac Arrhythmias in Children and Patients with Congenital Heart Disease
Author: Edward P. Walsh
Publisher: CRC Press
Total Pages: 709
Release: 2021-12-30
Genre: Medical
ISBN: 1000511286

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This authoritative book explores electrophysiologic testing and therapeutic catheter ablation for cardiac arrhythmias in children, and in patients of all ages with congenital heart disease. It reviews the anatomic and physiologic background to these procedures, emphasizing the tools for mapping and tissue ablation that continue to improve patient outcomes. Additionally, individual chapters are dedicated to specific congenital heart defects (for instance, tetralogy of Fallot, Ebstein’s anomaly, univentricular heart) guiding the reader to anticipate the type of arrhythmia, the most likely location for effective ablation, and the technical challenges that may be encountered in each condition. Key Features Provides a detailed review of the unique challenges presented by young patients with small heart size, and patients of any age with distorted anatomy due to congenital heart disease, in this long overdue, updated text Intends to guide all cardiologists engaged in invasive electrophysiology at both the training level and established practice who are exposed to such exceptional cases Includes an internationally recognized group of experts who discuss the technical approaches, success rates, complication rates, and special precautions needed to achieve optimal outcomes


Catheter Ablation of Cardiac Arrhythmias

Catheter Ablation of Cardiac Arrhythmias
Author: Shoei K. Huang
Publisher: Elsevier Health Sciences
Total Pages: 672
Release: 2011
Genre: Medical
ISBN: 1437713688

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The breadth and range of the topics covered, and the consistent organization of each chapter, give you simple but detailed access to information on anatomy, diagnostic criteria, differential diagnosis, mapping, and ablation. the book includes a unique section on troubleshooting difficult cases for each arrhythmia, and the use of tables, illustrations, and high-quality figures is unmatched among publications in the field.


The Effect of Electroanatomic Imaging on Fluoroscopic Exposure in Catheter Ablation of Cardiac Arrhythmias

The Effect of Electroanatomic Imaging on Fluoroscopic Exposure in Catheter Ablation of Cardiac Arrhythmias
Author: Diana Bracher
Publisher:
Total Pages: 77
Release: 2019
Genre:
ISBN:

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Background: Atrial fibrillation is a growing problem among the population worldwide. For ablation of atrial fibrillation, fluoroscopic imaging is generally essential for visualization purposes. The usage of x-rays can lead to various adverse effects like cancer.The aim of this master ́s thesis was to evaluate, if the use of electroanatomic 3D imaging technologies leads to a reduction in fluoroscopic exposure, compared to cryoablation.Methods: A retrospective, single-center study was conducted to compare the use of RF ablation (including a 3D mapping system) with cryoablation in pulmonary vein isolation. The primary endpoint is the mean dose area product in μGy*m2. Secondary endpoints are comparisons of body mass indices, the fluoroscopic exposure time (min), an analysis of the subgroups (paroxysmal and persistent AF) and the effect of an ultra low dose fluoroscopy program.Results: Of the 284 patients that were encompassed in the study, 167 underwent pulmonary vein isolation with RF ablation and the use of a 3D mapping system. 117 were treated with cryoablation to achieve pulmonary vein isolation.The use of RF ablation with a 3D mapping system resulted in a dose area reduction of 51.67% (2369.73 μGy*m2 vs. 4903.51 μGy*m2), compared to cryoablation, including all procedures between August 2015 and December 2017.Conclusion: The use of RF ablation including imaging with a 3D mapping system resulted in a reduction of the mean dose area product in the ablation of atrial fibrillation, compared to the usage of cryoablation.*****Background: Atrial fibrillation is a growing problem among the population worldwide. For ablation of atrial fibrillation, fluoroscopic imaging is generally essential for visualization purposes. The usage of x-rays can lead to various adverse effects like cancer.The aim of this master ́s thesis was to evaluate, if the use of electroanatomic 3D imaging technologies leads to a reduction in fluoroscopic exposure, compared to cryoablation.Methods: A retrosp


Catheter Ablation of Cardiac Arrhythmias

Catheter Ablation of Cardiac Arrhythmias
Author: C. Schmitt
Publisher: Springer Science & Business Media
Total Pages: 287
Release: 2006-08-13
Genre: Medical
ISBN: 379851576X

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This book on catheter ablation gives a comprehensive overview of the subject. It is a practical guide for exact diagnosis of cardiac arrhythmias, mapping of cardiac arrhythmias with newest 3D technology and catheter ablation of various arrhythmias from WPW syndrome to atrial fibrillation. Colored intracardiac tracings, as well as fluoroscopic and 3D mapping images, reflect the situation in the EP lab and will lead to the right diagnosis and successful ablation.


Intracardiac Echocardiography:

Intracardiac Echocardiography:
Author: Mansour Razminia
Publisher:
Total Pages:
Release: 2021-10
Genre:
ISBN: 9781942909392

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Catheter Ablation of Atrial Fibrillation

Catheter Ablation of Atrial Fibrillation
Author: Etienne Aliot
Publisher: John Wiley & Sons
Total Pages: 333
Release: 2011-08-31
Genre: Medical
ISBN: 1444356143

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Catheter Ablation of Atrial Fibrillation Edited by Etienne Aliot, MD, FESC, FACC, FHRS Chief of Cardiology, Hôpital Central, University of Nancy, France Michel Haïssaguerre, MD Chief of Electrophysiology, Hôpital Cardiologique du Haut-Lévêque, France Warren M. Jackman, MD Chief of Electrophysiology, University of Oklahoma Health Science Center, USA In this text, internationally recognized authors explore and explain the advances in basic and clinical electrophysiology that have had the greatest impact on catheter ablation of atrial fibrillation (AF). Designed to assist in patient care, stimulate research projects, and continue the remarkable advances in catheter ablation of AF, the book covers: the fundamental concepts of AF, origin of signals, computer simulation, and updated reviews of ablation tools the present practical approaches to the ablation of specific targets in the fibrillating atria, including pulmonary veins, atrial neural network, fragmented electrograms, and linear lesions, as well as the strategies in paroxysmal or chronic AF or facing left atrial tachycardias the special challenge of heart failure patients, the impact of ablation on mortality, atrial mechanical function, and lessons from surgical AF ablation Richly illustrated by numerous high-quality images, Catheter Ablation of Atrial Fibrillation will help every member of the patient care team.


Intracardiac Echocardiography: A Handbook for Electrophysiologists

Intracardiac Echocardiography: A Handbook for Electrophysiologists
Author: Mansour Razminia, MD
Publisher: Cardiotext Publishing
Total Pages: 420
Release: 2022-01-01
Genre: Medical
ISBN: 194290956X

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A focus on intracardiac echocardiography (ICE), with an emphasis on practical use during electrophysiological procedures This illustrated text, complemented by over 50 instructional videos, presents description, rationale, and instruction in ICE utilization for the complete range of currently performed EP procedures, including mapping and ablation procedures, device implantation procedures, and all common variations on these procedures. ICE is the only continuous real-time imaging modality with widespread utilization by electrophysiologists: ~Reliably and accurately visualize intracardiac and extracardiac structures and placement of catheters within the heart chambers. ~Observe anatomic detail otherwise invisible. ~Potentially improve procedural safety and efficacy. This text is written and edited by experts with extensive experience and knowledge that they have imparted to the reader. The editors have previously collaborated on a related textbook from Cardiotext Publishing, Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias.


Cryoablation of Cardiac Arrhythmias E-Book

Cryoablation of Cardiac Arrhythmias E-Book
Author: Audrius Bredikis
Publisher: Elsevier Health Sciences
Total Pages: 257
Release: 2011-05-17
Genre: Medical
ISBN: 1437737870

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Cryoablation of Cardiac Arrhythmias, by Audrius Bredikis, MD and David Wilber, MD, is the first comprehensive text devoted solely to the effective and appropriate use of cryoablation in the management of cardiac arrhythmias. This user-friendly, all-in-one reference provides clear explanations complemented by abundant, high-quality, full-color clinical photos, and at-a-glance tables making it easy to access the information you need to master even the most challenging cryoablation procedures for adult patients, pediatric/adolescent patients, and cardiac surgery patients. Deepen your understanding of all aspects of cryoablation in cardiac arrhythmias while building your clinical knowledge of the latest technologies and procedures. Master the latest cryoablation procedures for adult patients (AVNRT cryoablation, WPW and septal pathways, atrial flutter, atrial fibrillation, balloon-based cryoablation, RVOT cryoablation); pediatric and adolescent patients (AVNRT cryoablation, WPW cryoablation, cryoablation for pediatric coronary sinus); and cardiac surgery patients (left atrial cryoablation procedure for AF; epicardial cryoablation of AF in patients undergoing mitral valve surgery; epicardial ablation with argon-based cryo-clamp; cryoablation of ventricular tachycardias). Implement truly diverse perspectives and worldwide best practices from a team of contributors and editors comprised of the world’s leading experts. Find information quickly and easily thanks to consistent and tightly focused chapters and a full-color design with tables, illustrations, and high-quality images.