Key result
ICE and 3D mapping enable successful zero-radiation pacemaker implantation in a pregnant patient.
Demonstrates the feasibility of a completely fluoroless pacemaker implantation using intracardiac echocardiography and 3D mapping in a pregnant patient to avoid radiation exposure.
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May support fluoroless pacing in select pregnant patients; leaves open generalizability and safety confirmation in prospective studies.
We describe a case of pacemaker implant guided by intracardiac echocardiography and three-dimensional anatomical mapping in a pregnant patient, with no peri-procedural use of radiation.
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Gianni et al. (2021) studied this question. Pacemaker implantation guided by intracardiac echocardiography and 3D anatomical mapping was successfully performed in a pregnant patient without any peri-procedural radiation.
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