title: Non-fluoroscopic catheter tracking for fluoroscopy reduction in interventional electrophysiology.
abstract: A technological platform (MediGuide) has been recently introduced for non-fluoroscopic catheter tracking. In several studies, we have demonstrated that the application of this non-fluoroscopic catheter visualization system (NFCV) reduces fluoroscopy time and dose by 90-95% in a variety of electrophysiology (EP) procedures. This can be of relevance not only to the patients, but also to the nurses and physicians working in the EP lab. Furthermore, in a subset of indications such as supraventricular tachycardias, NFCV enables a fully non-fluoroscopic procedure and allows the lab staff to work without wearing lead aprons. With this protocol, we demonstrate that even complex procedures such as ablations of atrial fibrillation, that are typically associated with fluoroscopy times of >30 min in conventional settings, can safely be performed with a reduction of >90% in fluoroscopy exposure by the additional use of NFCV.
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig; philipp.sommer@herzzentrum-leipzig.de.
authors.forename: Philipp
authors.initials: P
authors.lastname: Sommer
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig.
authors.forename: Simon
authors.initials: S
authors.lastname: Kircher
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig.
authors.forename: Sascha
authors.initials: S
authors.lastname: Rolf
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig.
authors.forename: Sergio
authors.initials: S
authors.lastname: Richter
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig.
authors.forename: Micha
authors.initials: M
authors.lastname: Doering
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig.
authors.forename: Arash
authors.initials: A
authors.lastname: Arya
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig.
authors.forename: Andreas
authors.initials: A
authors.lastname: Bollmann
authors.affiliation: Department of Electrophysiology, Heart Center, University of Leipzig.
authors.forename: Gerhard
authors.initials: G
authors.lastname: Hindricks
mesh_terms: D001281:Atrial Fibrillation / Q000601:surgery*; D054849:Cardiac Electrophysiology / Q000295:instrumentation / Q000379:methods*; D017115:Catheter Ablation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005471:Fluoroscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D025321:Surgery, Computer-Assisted