Key result
Zero-fluoroscopy EP ablation proves feasible without compromising safety or efficacy across all arrhythmias.
Why the study?
Disadvantages linked to radiation exposure for operators and patients have created a need for zero-fluoroscopy approaches in electrophysiology ablation procedures.
Are zero-fluoroscopy approaches feasible, safe, and effective for electrophysiology ablation procedures compared to traditional fluoroscopy?
Are zero-fluoroscopy approaches feasible, safe, and effective for electrophysiology ablation procedures compared to traditional fluoroscopy?
This review highlights the growing evidence and technological advancements supporting the routine use of zero-fluoroscopy techniques in electrophysiology procedures to eliminate radiation exposure.
Answers are grounded in this paper and cite their sources.
Zero-fluoroscopy protocols show promise for radiation reduction; leaves open broad adoption pending randomized confirmation.
Fluoroscopy has traditionally been the mainstay imaging technique for guidance during electrophysiology (EP) ablation procedures. The numerous disadvantages associated with radiation exposure for both operators and patients have created the need for zero-fluoroscopy (ZF) approaches. Today, electrophysiologists have access to a wide range of ZF tools, including electroanatomic mapping systems, transoesophageal and intracardiac echocardiography, visualisable sheaths, contact-force sensing catheters, preprocedural advanced cardiac imaging integration, and real-time cardiac magnetic resonance EP guidance. An increasing body of evidence supports the adoption of ZF protocols in managing of the full spectrum of arrhythmias, with feasibility demonstrated without compromise to efficacy or safety. The future of ZF appears highly promising, driven not only by continued refinement of the existing systems but also by the seamless convergence of emerging technologies.
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Kotzadamis et al. (2026) conducted a review in Arrhythmias. Zero-fluoroscopy approaches vs. Fluoroscopy was evaluated. Zero-fluoroscopy approaches for electrophysiology ablation procedures demonstrate feasibility without compromising efficacy or safety across the full spectrum of arrhythmias.
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