Why the study?
Does zero-fluoroscopy radiofrequency catheter ablation provide similar efficacy and safety compared to minimal-fluoroscopy in patients with atrial fibrillation?
Does zero-fluoroscopy radiofrequency catheter ablation provide similar efficacy and safety compared to minimal-fluoroscopy in patients with atrial fibrillation?
Comparable arrhythmia freedom with zero- versus minimal-fluoroscopy; leaves open whether randomized trials will confirm safety and efficacy in AF.
; Biosense Webster, Irvine, CA, USA) and ICE. Ultimately, two patients did not pursue CA postenrollment. A total of 104 (66%) patients had paroxysmal AF with a mean ejection fraction of 58% ± 9%. Twenty-six (16.3%) patients were scheduled for repeat ablation. A total of 100 (63%) procedures were performed with zero fluoroscopy. The mean fluoroscopy time in the minimal-fluoroscopy group was 1.7 minutes ± 2.8 minutes. Further, the mean procedure duration was 192 minutes ± 37 minutes in the zero-fluoroscopy group and 201 minutes ± 29 minutes in the minimal-fluoroscopy group (p = 0.96). Pulmonary vein isolation was achieved in 153 patients (100%), with an acute procedural complication rate of 1.8%. One-year follow-up data were available for 152 (95%) patients with a mean follow-up time of 11.3 months ± 1.8 months. A total of 118 (76%) patients remained free from arrhythmia for up to 12 months, with no difference between the minimal- and zero-fluoroscopy cohorts (p = 0.18).
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Zei et al. (2020) studied this question.
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