Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias

Edited by Mansour Razminia, MD; Paul C. Zei, MD, PhD

Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias

Product Details:
Publication Date: May 2019
ISBN: 9781942909309
Trim Size: 8.5 x 11
Full color interior
Format: Paperback; eBook only


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 malignancy and other radiation exposure-related disease. Also, the protective lead garments worn day in, day out, increases risks of orthopedic injury. Current advanced mapping and intracardiac echocardiography technology have allowed the development of endocardial catheter ablation techniques without the use of fluoroscopy safely and effectively. This text provides practical information for the practicing electrophysiologist, trainee, and EP lab staff to reduce and eliminate the use of fluoroscopy in EP catheter procedures.

In addition to more than 25 video clips provided by the contributors, this book also contains nine extended videos by Dr. Razminia, ranging from 5 to 35 minutes in length, that supplement the text and provide additional clarity of procedures and techniques.

Table of Contents*

Section 1: Basis of Imaging in the EP Lab           

1 Radiation Safety in the EP Lab                       
John Clark
2     How to Use Intracardiac Ultrasound to Reduce Fluoroscopy                                                           
Cameron Willoughby
3     How to Use Electroanatomic Mapping to Reduce Fluoroscopy
John Clark 
4     How to Use Technologies Such as MediGuide and UniVu to Reduce Fluoroscopy During Catheter Ablation
Philipp Sommer 
5 How to Obtain Vascular Access Using Real-Time Ultrasound
Amin Al Ahmad 
6     How to Perform Transseptal Puncture Without Fluoroscopy
Jose Mauricio Sanchez
7     How to Maintain Safety With a Reduced Fluoroscopy Approach                                                   
Jose Osorio and Gustavo Morales
8     How to Monitor Esophageal Temperature Without Fluoroscopy
Oliver D’Silva and Mansour Razminia 

Section 2:            Ablation of Supraventricular Tachycardia 

9 How to Ablate AVNRT Using No Fluoroscopy
Nicholas Von Bergen
10 How to Ablate Accessory Pathways Using No Fluoroscopy
Raman Mitra
11 How to Ablate typical Atrial Flutter Using No Fluoroscopy                                                           
Saurabh Shah
12 How to Ablate Atrial Tachycardia and Atypical Flutter Using No Fluoroscopy                                   
Sri Sundaram

    Section 3:            Ablation of Atrial Fibrillation

13 How to Perform Radiofrequency Ablation of Atrial Fibrillation Using No Fluoroscopy 
Paul C. Zei
14      How to Perform Cryo-Balloon Ablation of Atrial Fibrillation Using No Fluoroscopy 
Mansour Razminia  and Oliver D’Silva                

Section 4:            Ablation of Ventricular Arrhythmias           

15       How to Perform PVC Ablation From RV and RVOT Using No Fluoroscopy                                   
Rod Tung
16       How to Perform PVC From Coronary Cusps Using No Fluoroscopy                                               
Jose Mauricio Sanchez
17       How to Perform PVC from LVOT Using No Fluoroscopy
James Cheung
18       How to Perform Papillary Muscle  PVC Ablation Using No Fluoroscopy                                               
Hany Demo, Mansour Razminia
19       How to Perform Ischemic and Non-Ischemic VT Ablation Using No Fluoroscopy
Amit Thosani 

Section 5:            Special Populations           

20 Performing Catheter Ablation During Pregnancy
John Ferguson
21      Catheter Ablation in the Pediatric Population
Nicholas Von Bergen and Ian Law                     

 *Working Table of Contents, 12/10/2018