Clin Res Cardiol (2022). https://doi.org/10.1007/s00392-022-02002-5 |
||
Near-Zero-Fluoroscopy Ablation of Atrial fibrillation without ICE or non-fluoroscopic tracking systems: First insights from the SHORT LOOK registry | ||
M. Borlich1, E.-M. Jungclaus1, S. Groschke1, R. Weinert1, G. Richardt2, L. Iden1 | ||
1Herzzentrum, Segeberger Kliniken GmbH, Bad Segeberg; 2Herz- Gefäßzentrum, Segeberger Kliniken GmbH, Bad Segeberg; | ||
Background: Further, increased procedural duration has been associated with higher complication rates. Due to increasing numbers of patients undergoing ablation therapy and limitation of resources, short procedural times and are warranted without compromising procedural outcome or patient’s safety. Objective: Methods: Workflow: All patients were treated with the CARTO 3 System by three different operators. Standard workflow consisted of: Nonfluoroscopic placement of CS catheter by previous creation of a 3D-Matrix with the ablation catheter followed by single transseptal puncture with fluoroscopy guidance and passage of the ablation catheter along the guidewire resulting in double transseptal access. Afterwards, 3D-FAM-Maps were created without additional imaging and PVI was done according to the CLOSE-Protocol described elsewhere. Deployment of additional lesions was possible at the operator’s discretion. Results: Baseline characteristics of patients are shown in Tab. 1; distribution of procedural and fluoroscopy time and dose are shown in Fig. 1 and 2 respectively. Procedural data and in-hospital complications are shown in Tab. 2. Out of the first 100 patients of the SHORT LOOK registry, one patient suffered a serious adverse event (pericardial tamponade).
Conclusion: In this cohort, a lean, near-zero fluoroscopy workflow was feasible and associated with favorable procedure times without compromising the procedural safety profile. As the follow-up for 12 month is still ongoing, data regarding the efficacy endpoint is unavailable at present. |
||
https://dgk.org/kongress_programme/jt2022/aP502.html |