Non-fluoro EP Practice: Tips and tricks (Joint Session)-Non-fluoro EP Practice: Tips and tricks (Joint Session)

Video Transcription

Video Summary

The video transcript features a series of discussions and presentations at a medical conference focusing on non-fluoroscopic techniques in electrophysiology, especially during ablation procedures. Dr. Eduardo Assad discusses pericardial puncture for epicardial mapping and ablation procedures without the use of fluoroscopy in an EP lab. He describes the traditional sub-xiphoid approach and notes the potential complications such as RV puncture and intra-abdominal bleeding, as well as techniques to improve safety like using CO2 to create space between cardiac structures.<br /><br />The advantages of non-fluoroscopic methods are emphasized, including reducing radiation exposure for both patients and staff, which is particularly beneficial for pregnant women. Dr. Eliane Medea-Lopez explains preventing and managing complications without fluoroscopy, using tools like intracardiac echo and 3D mapping systems.<br /><br />The discussion also covers experiences at various institutions, including the implementation of procedures in non-traditional settings like surgical rooms without DSA equipment. Data from the Real AF Registry, presented by Dr. Zhe, supports the effectiveness of zero-fluoro techniques, showing comparable outcomes to traditional methods in AF ablation. Moreover, the potential to extend these techniques to other procedures, like pulse field ablation, indicates a promising future for this approach.<br /><br />The sessions signify a move towards safer, more precise techniques in electrophysiology, with ongoing studies demonstrating the feasibility and benefits of minimizing fluoroscopy in favor of advanced imaging technologies.

Keywords

non-fluoroscopic techniques

electrophysiology

ablation procedures

pericardial puncture

epicardial mapping

radiation reduction

intracardiac echo

3D mapping systems

zero-fluoro techniques

pulse field ablation