The growing culture of a minimally fluoroscopic approach in electrophysiology lab
Casella, Michela; Russo, Eleonora; Pizzamiglio, Francesca; Conti, Sergio; Al-Mohani, Ghaliah; Colombo, Daniele; Casula, Victor; D’Alessandra, Yuri; Biagioli, Viviana; Carbucicchio, Corrado; Riva, Stefania; Fassini, Gaetano; Moltrasio, Massimo; Tundo, Fabrizio; Zucchetti, Martina; Majocchi, Benedetta; Marino, Vittoria; Forleo, Giovanni; Santangeli, Pasquale; Di Biase, Luigi; Dello Russo, Antonio; Natale, Andrea; Tondo, Claudio (2014-08-01)
Casella, et al. (2014) The growing culture of a minimally fluoroscopic approach in electrophysiology lab. Journal of atrial fibrillation 7(2): 1104.
© 2014 The Authors. Creative Commons 2.5 Generic.
Most of interventional procedures in cardiology are carried out under fluoroscopic imaging guidance. Besides other peri-interventional risks, radiation exposure should be considered for its stochastic (inducing malignancy) and deterministic effects on health (tissue reactions like erythema, hair loss and cataracts). In this article we analized the radiation risk from cardiovascular imaging to both patients and medical staff and discusses how customize the X-ray system and how to implement shielding measures in the cath lab. Finally, we reviewed the most recent developments and the latest findings in catheter navigation and 3D electronatomical mapping systems that may help to reduce patient and operator exposure.
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