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Atrioventricular Node Ablation and Permanent Ventricular Pacemaker Implantation Without Fluoroscopy: Use of an Electroanatomic Navigation System
Author(s) -
RUIZGRANELL RICARDO,
MORELLCABEDO SALVADOR,
FERRERODELOMA ANGEL,
GARCÍACIVERA ROBERTO
Publication year - 2005
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1046/j.1540-8167.2005.40774.x
Subject(s) - medicine , fluoroscopy , ablation , permanent pacemaker , atrial fibrillation , atrioventricular node , cardiology , electrical conduction system of the heart , catheter ablation , radiofrequency ablation , radiology , electrocardiography , tachycardia
Fluoroscopic guidance is the standard tool used for transvenous pacemaker implantations and for electrophysiological and ablation procedures. It implies X‐ray exposure, occasionally with high dose of radiation for the patient and operator. We describe the case of a 47‐year‐old man with uncontrollable permanent atrial fibrillation to whom ablation of the AV conduction and a permanent ventricular pacemaker implantation were successfully performed under the guidance of an electroanatomic navigation EnSite NavX ® system and with no use of fluoroscopy. This case illustrates the stand‐alone use of one of the new non‐fluoroscopic navigation systems for a complete procedure such as AV ablation and pacemaker implantation.