Transseptal puncture during catheter ablation associated with higher radiation exposure

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dc.authorid0000-0001-9008-4997
dc.contributor.authorRahman, Maryam
dc.contributor.authorSmith, Grace
dc.contributor.authorJohnsrude, Chris
dc.contributor.authorLaPage, Martin
dc.contributor.authorMoore, Jeremy
dc.contributor.authorShannon, Kevin
dc.contributor.authorAnderson, Chris
dc.contributor.authorPapagiannis, John
dc.contributor.authorLau, Kelvin
dc.contributor.authorSanatani, Shubhayan
dc.contributor.authorRazminia, Mansour
dc.contributor.authorTuzcu, Volkan
dc.contributor.authorGothard, David
dc.contributor.authorShauver, Lisa
dc.contributor.authorClark, John
dc.date.accessioned2023-06-02T06:15:42Z
dc.date.available2023-06-02T06:15:42Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBACKGROUND: Electroanatomic mapping systems are increasingly used during ablations to decrease the need for fluoroscopy and therefore radiation exposure. For left-sided arrhythmias, transseptal puncture is a common procedure performed to gain access to the left side of the heart. We aimed to demonstrate the radiation exposure associated with transseptal puncture. METHODS: Data were retrospectively collected from the Catheter Ablation with Reduction or Elimination of Fluoroscopy registry. Patients with left-sided accessory pathway-mediated tachycardia, with a structurally normal heart, who had a transseptal puncture, and were under 22 years of age were included. Those with previous ablations, concurrent diagnostic or interventional catheterisation, and missing data for fluoroscopy use or procedural outcomes were excluded. Patients with a patent foramen ovale who did not have a transseptal puncture were selected as the control group using the same criteria. Procedural outcomes were compared between the two groups. RESULTS: There were 284 patients in the transseptal puncture group and 70 in the patent foramen ovale group. The transseptal puncture group had a significantly higher mean procedure time (158.8 versus 131.4 minutes, p = 0.002), rate of fluoroscopy use (38% versus 7%, p < 0.001), and mean fluoroscopy time (2.4 versus 0.6 minutes, p < 0.001). The acute success and complication rates were similar. CONCLUSIONS: Performing transseptal puncture remains a common reason to utilise fluoroscopy in the era of non-fluoroscopic ablation. Better tools are needed to make non-fluoroscopic transseptal puncture more feasible.
dc.identifier.citationRahman, M., Smith, G., Johnsrude, C., LaPage, M., Moore, J., Shannon, K. ... Clark, J. (2023). Transseptal puncture during catheter ablation associated with higher radiation exposure. Cardiology in the Young, 33(5), 754-759. https://doi.org/10.1017/S1047951122001676
dc.identifier.doi10.1017/S1047951122001676
dc.identifier.endpage759
dc.identifier.issn1047-9511
dc.identifier.issn1467-1107
dc.identifier.issue5
dc.identifier.pmid35673794
dc.identifier.scopus2-s2.0-85160010280
dc.identifier.scopusqualityQ3
dc.identifier.startpage754
dc.identifier.urihttps://doi.org/10.1017/S1047951122001676
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11011
dc.identifier.volume33
dc.identifier.wos000807832400001en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTuzcu, Volkan
dc.language.isoen
dc.publisherCambridge University Press
dc.relation.ispartofCardiology in the Youngen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subject3D Mapping
dc.subjectAblation
dc.subjectArrhythmia
dc.subjectFluoroscopy
dc.subjectRadiation
dc.subjectTransseptal Puncture
dc.titleTransseptal puncture during catheter ablation associated with higher radiation exposure
dc.typeArticle

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