79. Optimizing Patient Safety and Image Quality with Cardiac Mapping and Imaging Tools During Catheter Ablation

  1. Mohammad Shenasa MD2,
  2. Gerhard Hindricks MD3,
  3. Martin Borggrefe MD4,
  4. Günter Breithardt MD5 and
  5. Mark E. Josephson MD6
  1. Monica Jiddou and
  2. David E. Haines

Published Online: 18 DEC 2012

DOI: 10.1002/9781118481585.ch79

Cardiac Mapping, Fourth Edition

Cardiac Mapping, Fourth Edition

How to Cite

Jiddou, M. and Haines, D. E. (2013) Optimizing Patient Safety and Image Quality with Cardiac Mapping and Imaging Tools During Catheter Ablation, in Cardiac Mapping, Fourth Edition (eds M. Shenasa, G. Hindricks, M. Borggrefe, G. Breithardt and M. E. Josephson), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118481585.ch79

Editor Information

  1. 2

    Attending Physician, Department of Cardiovascular Services, O'Connor Hospital, Heart & Rhythm Medical Group, San Jose, California, USA

  2. 3

    Professor of Medicine (Cardiology), University Leipzig, Heart Center, Director, Department of Electrophysiology, Leipzig, Germany

  3. 4

    Professor of Medicine (Cardiology), Head, Department of Cardiology, Angiology and Pneumology, University Medical Center, Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany

  4. 5

    Professor Emeritus of Medicine and Cardiology, Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany

  5. 6

    Chief, Cardiovascular Medicine Division, Director, Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Deaconess Medical Center, Herman C. Dana Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. Department of Cardiovascular Medicine, Oakland University William Beaumont School of Medicine and Beaumont Health System, Royal Oak, MI, USA

Publication History

  1. Published Online: 18 DEC 2012
  2. Published Print: 10 JAN 2013

ISBN Information

Print ISBN: 9780470670460

Online ISBN: 9781118481585

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Keywords:

  • radiation exposure;
  • radiation safety;
  • electrophysiology study;
  • radiofrequency catheter ablation;
  • fluoroscopy time;
  • electroanatomical mapping;
  • radiation risk;
  • cardiac arrhythmias;
  • dosimetry

Summary

The field of cardiac electrophysiology is continuously advancing, making it possible to treat difficult cardiac arrhythmias. Treatment often requires the use of fluoroscopy which subjects patients and physicians to radiation exposure. There is no known safe level of radiation and its effects are cumulative. It is therefore important to recognize the dangers of radiation exposure and to find alternatives to radiation use in treating cardiac arrhythmias. This chapter describes the risks of radiation exposure, means of reducing fluoroscopy times and new technologies that may make non-fluoroscopic treatment of cardiac arrhythmias the mainstay of therapy.