title: Atrioventricular node ablation and permanent ventricular pacemaker implantation without fluoroscopy: use of an electroanatomic navigation system.
abstract: Non-fluoroscopy AV ablation and pacemaker implantation. Fluoroscopic guidance is the standard tool used for transvenous pacemaker implantations and for electrophysiological and ablation procedures. It implies X-ray exposure, occasionally with high dose of radiation for the patient and operator. We describe the case of a 47-year-old man with uncontrollable permanent atrial fibrillation to whom ablation of the AV conduction and a permanent ventricular pacemaker implantation were successfully performed under the guidance of an electroanatomic navigation EnSite NavX system and with no use of fluoroscopy. This case illustrates the stand-alone use of one of the new non-fluoroscopic navigation systems for a complete procedure such as AV ablation and pacemaker implantation.
authors.affiliation: Arrhythmia Unit, Department of Cardiology, Hospital Clinico Universitario, Valencia, Spain. ruiz_ric@gva.es
authors.forename: Ricardo
authors.initials: R
authors.lastname: Ruiz-Granell
authors.forename: Salvador
authors.initials: S
authors.lastname: Morell-Cabedo
authors.forename: Angel
authors.initials: A
authors.lastname: Ferrero-De-Loma
authors.forename: Roberto
authors.initials: R
authors.lastname: García-Civera
mesh_terms: D001281:Atrial Fibrillation / Q000601:surgery*; D001283:Atrioventricular Node / Q000601:surgery*; D017115:Catheter Ablation; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D025321:Surgery, Computer-Assisted