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Do we still need X-rays to ablate atrial fibrillation? A novel zero-fluoroscopy workflow
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  • Matteo Bertini,
  • Michele Malagù,
  • Alessio Fiorio,
  • Cristina Balla,
  • Francesco Vitali,
  • Claudio Rapezzi
Matteo Bertini
University of Ferrara

Corresponding Author:[email protected]

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Michele Malagù
University of Ferrara
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Alessio Fiorio
University of Ferrara
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Cristina Balla
Universita degli Studi di Ferrara Dipartimento di Scienze Mediche
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Francesco Vitali
University of Ferrara
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Claudio Rapezzi
University of Ferrara
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Abstract

In atrial fibrillation (AF) procedures, fluoroscopy remains the main technology used to guide the transseptal puncture. We present a workflow to perform a zero-fluoroscopy ablation procedure of both paroxysmal and persistent AF using a 3D electro anatomical mapping (EAM) system, intracardiac echocardiography (ICE) and a novel steerable guiding sheath that can be visualized on the mapping system. We present two case reports during which we applied this novel workflow achieving a successful pulmonary vein isolation without complications and zero-fluoroscopy exposure.