An approach to fluoroless radiofrequency atrial fibrillation ablation
Atrial fibrillation is the most prevalent arrhythmia with a lifetime risk of nearly 30%. It can be associated with reduced quality of life and complications such as heart failure and stroke. Pulmonary vein isolation (PVI) is the most effective treatment for rhythm control. It has initially been perf...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-01-01
|
| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1524426/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832591731030228992 |
|---|---|
| author | Thaïs Pittet Etienne Delacrétaz Stéphane Cook Hari Vivekanantham |
| author_facet | Thaïs Pittet Etienne Delacrétaz Stéphane Cook Hari Vivekanantham |
| author_sort | Thaïs Pittet |
| collection | DOAJ |
| description | Atrial fibrillation is the most prevalent arrhythmia with a lifetime risk of nearly 30%. It can be associated with reduced quality of life and complications such as heart failure and stroke. Pulmonary vein isolation (PVI) is the most effective treatment for rhythm control. It has initially been performed with fluoroscopic catheter guiding. The advent of three-dimensional (3D) electro-anatomical mapping has significantly reduced the need for fluoroscopy. More recently, intracardiac echography (ICE) techniques have been used to eliminate the need for x-rays. Additional advantages include providing electrophysiology lab personnel with a lead-free working environment and avoiding radiation exposure for both patients and physicians. ICE may also enhance the safety of the procedure by enabling a safe trans-septal puncture and the early recognition of cardiac tamponade. In this article, we present our approach to fluoroless radiofrequency PVI using ICE and 3D electro-anatomical mapping. |
| format | Article |
| id | doaj-art-d1495812c093454ca8a05db71302cbd3 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-d1495812c093454ca8a05db71302cbd32025-01-22T07:11:10ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011210.3389/fcvm.2025.15244261524426An approach to fluoroless radiofrequency atrial fibrillation ablationThaïs PittetEtienne DelacrétazStéphane CookHari VivekananthamAtrial fibrillation is the most prevalent arrhythmia with a lifetime risk of nearly 30%. It can be associated with reduced quality of life and complications such as heart failure and stroke. Pulmonary vein isolation (PVI) is the most effective treatment for rhythm control. It has initially been performed with fluoroscopic catheter guiding. The advent of three-dimensional (3D) electro-anatomical mapping has significantly reduced the need for fluoroscopy. More recently, intracardiac echography (ICE) techniques have been used to eliminate the need for x-rays. Additional advantages include providing electrophysiology lab personnel with a lead-free working environment and avoiding radiation exposure for both patients and physicians. ICE may also enhance the safety of the procedure by enabling a safe trans-septal puncture and the early recognition of cardiac tamponade. In this article, we present our approach to fluoroless radiofrequency PVI using ICE and 3D electro-anatomical mapping.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1524426/fullatrial fibrillationelectro-anatomical mappingfluoroless radiofrequency ablationintracardiac echocardiographypulmonary vein isolation |
| spellingShingle | Thaïs Pittet Etienne Delacrétaz Stéphane Cook Hari Vivekanantham An approach to fluoroless radiofrequency atrial fibrillation ablation Frontiers in Cardiovascular Medicine atrial fibrillation electro-anatomical mapping fluoroless radiofrequency ablation intracardiac echocardiography pulmonary vein isolation |
| title | An approach to fluoroless radiofrequency atrial fibrillation ablation |
| title_full | An approach to fluoroless radiofrequency atrial fibrillation ablation |
| title_fullStr | An approach to fluoroless radiofrequency atrial fibrillation ablation |
| title_full_unstemmed | An approach to fluoroless radiofrequency atrial fibrillation ablation |
| title_short | An approach to fluoroless radiofrequency atrial fibrillation ablation |
| title_sort | approach to fluoroless radiofrequency atrial fibrillation ablation |
| topic | atrial fibrillation electro-anatomical mapping fluoroless radiofrequency ablation intracardiac echocardiography pulmonary vein isolation |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1524426/full |
| work_keys_str_mv | AT thaispittet anapproachtofluorolessradiofrequencyatrialfibrillationablation AT etiennedelacretaz anapproachtofluorolessradiofrequencyatrialfibrillationablation AT stephanecook anapproachtofluorolessradiofrequencyatrialfibrillationablation AT harivivekanantham anapproachtofluorolessradiofrequencyatrialfibrillationablation AT thaispittet approachtofluorolessradiofrequencyatrialfibrillationablation AT etiennedelacretaz approachtofluorolessradiofrequencyatrialfibrillationablation AT stephanecook approachtofluorolessradiofrequencyatrialfibrillationablation AT harivivekanantham approachtofluorolessradiofrequencyatrialfibrillationablation |