Table 2:
Studies Including AF Patients in Whom Near-zero- or Zero-fluoroscopy Catheter Ablation Was Performed
| Study | No. of Fluoroless Patient(s) | Arrhythmia Type(s) | Imaging Modality | Procedural Time | Fluoroscopy Time for Study Group | Follow-up Success Rate(s) | Complication Rate(s) |
|---|---|---|---|---|---|---|---|
| Percell et al.9 | 72 | AF | EAM, ICE | 210.38 min | 0.1 min | 68% at 3 months | 5% |
| Bulava et al.17 | 40 | AF | EAM, ICE | 92.5 ± 22.9 min | 8 s, 97.5% zero fluoroscopy | 85% at 12 months | 0% |
| Yamada et al.18 | 15 | AF | EAM, CT, MediGuide™ | NA | NA | 82% at 12.2 ± 4.5 months | 0% |
| Rolf et al.46 | 80 | AF | EAM, MediGuide™, fluoroscopy | 167 ± 47 min | 4.6 min | NA | 4% minor |
| Sommer et al.47 | 1000 | AF | EAM, MediGuide™, fluoroscopy | 120 min | 0.9 min | NA | 2% |
| Reddy et al.49 | 20 | AF | EAM, ICE, fluoroscopy | 244 ± 75 min | 244 ± 75 min | 90% at 6.1 ± 2.2 months | 0% |
| Lyan et al.50 | 245 | AF | EAM, ICE, fluoroscopy | 108.8 ± 18.2 min | 35, 44, and 107 s, 98.8% zero fluoroscopy | 73.5% at 15.2 ± 4.1 months | 1.2% cardiac tamponade in the no-fluorocopy group |
| Ferguson et al.51 | 22 | AF | EAM, ICE, fluoroscopy | 208 min | 2–16 min, 86.3% zero fluoroscopy | 76% at 7 months | 0% |
| O’Brien et al.53 | 69 | AF | EAM, TEE, fluoroscopy | 124.04 ± 45.41 min | 54% (development phase) vs. 93.3% (implementation phase) zero fluoroscopy | NA | 4.3% |
| Liu et al.54 | 200 | AF | EAM, ICE | 106.2 ± 23.2 min | 100% zero fluoroscopy | 76% at 11 months | 1% |
AF: atrial fibrillation, CT: computed tomography, EAM: electroanatomic mapping, ICE: intracardiac echocardiography, NA: not applicable, TEE: transesophageal echocardiography.