Extensive Use of 3D Nonfluoroscopic Mapping Systems for Reducing Radiation Exposure during Catheter Ablation Procedures: An Analysis of 10 Years of Activity
المؤلفون المشاركون
Marini, Massimiliano
Ravanelli, Daniele
Martin, Marta
Del Greco, Maurizio
Guarracini, Fabrizio
Quintarelli, Silvia
Coser, Alessio
Valentini, Aldo
Bonmassari, Roberto
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-03-10
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Purpose.
3D nonfluoroscopic mapping systems (NMSs) are generally used in the catheter ablation (CA) of complex ventricular and atrial arrhythmias.
The aim of this study was to evaluate the efficacy, safety, and long-term effect of the extended, routine use of NMSs for CA.
Methods.
Our study involved 1028 patients who underwent CA procedures from 2007 to 2016.
Initially, CA procedures were performed mainly with the aid of fluoroscopy.
From October 2008, NMSs were used for all procedures.
Results.
The median fluoroscopy time of the overall CA procedures fell by 71%: from 29.2 min in 2007 to 8.4 min in 2016.
Over the same period, total X-ray exposure decreased by 65%: from 58.18 Gy⁎cm2 to 20.19 Gy⁎cm2.
This reduction was achieved without prolonging the total procedure time.
In AF CA procedures, the median fluoroscopy time fell by 85%, with an 86% reduction in total X-ray exposure.
In SVT CA procedures, the median fluoroscopy time fell by 93%, with a 92% reduction in total X-ray exposure.
At the end of the follow-up period, the estimated probability of disease-free survival was 67.7% at 12 months for AF CA procedures and 97.2% at 3 months for SVT CA, without any statistically significant difference between years.
Conclusions.
Our study shows the feasibility of using NMSs as the main imaging modality to guide CA.
The extended, routine use of NMSs dramatically reduces radiation exposure, with only slight fluctuations due to the process of acquiring experience on the part of untrained operators, without affecting disease-free survival.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Marini, Massimiliano& Martin, Marta& Ravanelli, Daniele& Del Greco, Maurizio& Quintarelli, Silvia& Guarracini, Fabrizio…[et al.]. 2019. Extensive Use of 3D Nonfluoroscopic Mapping Systems for Reducing Radiation Exposure during Catheter Ablation Procedures: An Analysis of 10 Years of Activity. BioMed Research International،Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1125193
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Marini, Massimiliano…[et al.]. Extensive Use of 3D Nonfluoroscopic Mapping Systems for Reducing Radiation Exposure during Catheter Ablation Procedures: An Analysis of 10 Years of Activity. BioMed Research International No. 2019 (2019), pp.1-10.
https://search.emarefa.net/detail/BIM-1125193
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Marini, Massimiliano& Martin, Marta& Ravanelli, Daniele& Del Greco, Maurizio& Quintarelli, Silvia& Guarracini, Fabrizio…[et al.]. Extensive Use of 3D Nonfluoroscopic Mapping Systems for Reducing Radiation Exposure during Catheter Ablation Procedures: An Analysis of 10 Years of Activity. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1125193
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1125193
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر