Review of Techniques for Zero Fluoroscopy Ablation: Bonus Video Library

Interested in learning more about zero fluoroscopy ablation in the EP lab? View this featured content in EP Lab Digest:


The SANS FLUORO Approach to Ablation

Robert Lee Percell, Jr., MD, FACC, FHRS from Bryan Heart Institute in Lincoln, Nebraska presents a brief case highlighting the SANS FLUORO technique. Bonus video content shows an example of typical AVNRT in combination with a concealed left-sided anterior lateral pathway. An additional video demonstrates an anterior left atrial view with a voltage map and ablation points shown for left atrial flutter.


Fluoroless Cryoballoon Ablation for Atrial Fibrillation

Nazem Akoum, MD, MS and colleagues from the University of Washington Medical Center in Seattle, Washington demonstrate how cryoballoon ablation can be performed using intracardiac echocardiography (ICE) guidance without contrast or x-ray exposure. Submitted videos demonstrate 1) a three-dimensional model of the left atrium with atrial fibrosis obtained from the pre-procedure MRI, 2) transseptal puncture guided by ICE, and 3) cryoballoon occlusion of the left inferior pulmonary vein.


Starting a Zero Fluoro Ablation Program

Joseph Dell’Orfano, MD from Saint Francis Hospital and Medical Center in Hartford, Connecticut discusses his experience adopting a completely fluoroless approach for all ablations, including atrial fibrillation ablations. Four featured videos demonstrate 1) transseptal puncture being performed under ICE guidance, 2) color Doppler in use to evaluate the flow around the cryoballoon prior to ablation, 3) a basket catheter being deployed in the left atrium in preparation for focal impulse and rotor modulation (FIRM) mapping; and 4) ablation of atrial flutter.