Tuesday, May 24, 2016

The Growing Culture Of A Minimally Fluoroscopic Approach In Electrophysiology Lab

Citation: Michela Casella, Eleonora Russo, Francesca Pizzamiglio, Sergio Conti, Ghaliah Al-Mohani, Daniele Colombo, Victor Casula, Yuri D’Alessandra, Viviana Biagioli, Corrado Carbucicchio, Stefania Riva, Gaetano Fassini, Massimo Moltrasio, Fabrizio Tundo, Martina Zucchetti, Benedetta Majocchi, Vittoria Marino, Giovanni Forleo, Pasquale Santangeli, Luigi Di Biase, Antonio Dello Russo, Andrea Natale, Claudio Tondo

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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