Key result
A zero-fluoroscopy pulmonary vein isolation procedure was safely and successfully performed in a patient with six intracardiac leads from a CRT-D and an Optimizer III device, resulting in freedom from atrial fibrillation at six months.
Case Report (n=1)
No
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Zero-fluoroscopy pulmonary vein isolation is feasible and safe even in patients with complex cardiac device systems, including those with CRT-D and Optimizer III devices.
We offer the first reported case of a pulmonary vein isolation (PVI) procedure performed in a patient with two devices, specifically a cardiac resynchronization therapy defibrillator (CRT-D) and an Optimizer™ III device (Impulse Dynamics, Mount Laurel, NJ, USA), using the SANS FLUORO technique with zero fluoroscopy. In total, this patient had six leads traversing the right atrium, including two right atrial leads, three right ventricular leads-two associated with the Optimizer™ system and one implantable cardiac defibrillator lead-and a left ventricular lead.
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Percell et al. (2020) conducted a case report in Atrial fibrillation (n=1). SANS FLUORO technique (zero fluoroscopy) for pulmonary vein isolation was evaluated on Procedural success and freedom from atrial fibrillation. A zero-fluoroscopy pulmonary vein isolation procedure was safely and successfully performed in a patient with six intracardiac leads from a CRT-D and an Optimizer III device, resulting in freedom from atrial fibrillation at six months.
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