Editorial
Fluoroscopy and the skin: Implications for radiofrequency catheter ablation

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    • Cited by (35)

    • Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes

      2020, Cardiac Electrophysiology Clinics
      Citation Excerpt :

      Exposure to ionizing radiation is known to result in 2 types of injury patterns: dose-dependent or deterministic (tissue reactions) injuries and non–dose-dependent or stochastic (carcinogenic, genetic effects) injuries. The dose-dependent injuries include skin erythema and cataracts; the non–dose-dependent injuries include malignancy and birth defects.8–13 A single procedure of AF ablation typically involves a high median dose of radiation exposure (∼16.6 mSv); (range: 6.6–59.2 mSv).14,15

    • Atrial Fibrillation Ablation: Do We Really Need Preprocedural Imaging?

      2012, Cardiac Electrophysiology Clinics
      Citation Excerpt :

      Catheter ablation of AF is often a complex and long procedure requiring long fluoroscopy exposure time and often preceded and followed by CT scans. An important, less easily recognized, and rarely considered potential complication of AF ablation is the delayed effect of the radiation received by the patients, including acute and subacute skin injury,53,54 malignancy, and genetic abnormalities.53 Radiation exposure during AF ablation has been evaluated by Lickfett and colleagues.55

    • 2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

      2012, Heart Rhythm

    • Catheter ablation of atrial fibrillation without the use of fluoroscopy

      2010, Heart Rhythm
      Citation Excerpt :

      In the treatment of paroxysmal atrial fibrillation (PAF), fluoroscopy-guided catheter ablation exposes both patients and the medical staff to significant and potentially deleterious doses of ionizing radiation.1–9 Although the consequences of x-ray exposure during catheter ablation are not yet fully known, prolonged radiation exposure is known to increase the incidence of dermatitis, cataracts, birth defects, and malignancies.9–14 This risk is compounded by ancillary radiation exposure introduced by preprocedural computed tomography (CT) imaging to delineate the anatomy of the left atrium (LA) and pulmonary veins (PVs), as well as a 15%–50% incidence of recurrent AF requiring additional ablation procedures.

    • HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Personnel, Policy, Procedures and Follow-Up. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA)

      2007, Heart Rhythm
      Citation Excerpt :

      Catheter ablation of AF is often a complex and long procedure requiring long fluoroscopy exposure time and often preceded and followed by CT scans. An important, less easily recognized, and rarely considered potential complication of AF ablation is the delayed effect of the radiation received by the patients, including acute and sub-acute skin injury,280-282 malignancy, and genetic abnormalities.280-289 Prolonged fluoroscopy is required for the various components of the procedure such as double trans-septal catheterization, PV angiography, and extensive RF applications.

    • Chronic radiodermatitis following cardiac catheterization

      2001, Actas Dermo-Sifiliograficas
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