Format

Send to

Choose Destination
J Am Heart Assoc. 2018 May 22;7(11). pii: e008233. doi: 10.1161/JAHA.117.008233.

X-Ray Exposure in Cardiac Electrophysiology: A Retrospective Analysis in 8150 Patients Over 7 Years of Activity in a Modern, Large-Volume Laboratory.

Author information

1
Heart Rhythm Center, Centro Cardiologico Monzino IRCCS, Milan, Italy michela.casella@ccfm.it.
2
Heart Rhythm Center, Centro Cardiologico Monzino IRCCS, Milan, Italy.
3
Albert Einstein College of Medicine, Montefiore Hospital, Bronx, NY.
4
Texas Cardiac Arrhythmia Institute, St Davis Medical Center, Austin, TX.
5
Department of Biomedical Engineering, University of Texas at Austin, TX.
6
Department of Cardiology, University of Foggia, Italy.
7
Dell Medical School, University of Texas at Austin, TX.
8
California Pacific Medical Center, San Francisco, CA.
9
Department of Clinical Science and Community Health, University of Milan, Italy.

Abstract

BACKGROUND:

Only a few studies have systematically evaluated fluoroscopy data of electrophysiological and device implantation procedures. Aims of this study were to quantify ionizing radiation exposure for electrophysiological/device implantation procedures in a large series of patients and to analyze the x-ray exposure trend over years and radiation exposure in patients undergoing atrial fibrillation ablation considering different technical aspects.

METHODS AND RESULTS:

We performed a retrospective analysis of all electrophysiological/device implantation procedures performed during the past 7 years in a modern, large-volume laboratory. We reported complete fluoroscopy data on 8150 electrophysiological/device implantation procedures (6095 electrophysiological and 2055 device implantation procedures); for each type of procedure, effective dose and lifetime attributable risk of cancer incidence and mortality were calculated. Over the 7-year period, we observed a significant trend reduction in fluoroscopy time, dose area product, and effective dose for all electrophysiological procedures (P<0.001) and a not statistically significant trend reduction for device implantation procedures. Analyzing 2416 atrial fibrillation ablations, we observed a significant variability of fluoroscopy time, dose area product and effective dose among 7 different experienced operators (P<0.0001) and a significant reduction of fluoroscopy use over time (P<0.0001) for all of them. Considering atrial fibrillation ablation techniques, fluoroscopy time was not different (P = 0.74) for radiofrequency catheter ablation in comparison with cryoablation, though cryoablation was still associated with higher dose area product and effective dose values (P<0.001).

CONCLUSIONS:

Electrophysiological procedures involve a nonnegligible x-ray use, leading to an increased risk of malignancy. Awareness of radiation-related risk, together with technological advances, can successfully optimize fluoroscopy use.

KEYWORDS:

atrial fibrillation; catheter ablation; x‐ray

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center