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CPC 2018
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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Evaluation of a new fluoroscopy integrated 3D mapping in radiation exposure during atrioventricular nodal reentry tachycardia and atrioventricular reentry tachycardia ablation
Session:
Posters 4 - Écran 08 - Arritmologia Invasiva
Speaker:
João Carmo
Congress:
CPC 2018
Topic:
C. Arrhythmias and Device Therapy
Theme:
06. Supraventricular Tachycardia (non-AF)
Subtheme:
06.4 Supraventricular Tachycardia (non-AF) - Treatment
Session Type:
Posters
FP Number:
---
Authors:
João Carmo; Nicodemus Lopes; Diogo Cavaco; Pedro Lopes Do Carmo; Francisco Bello Morgado; Francisco Moscoso Costa; Maria Salomé Carvalho; Carlos Lovatto; João Mesquita; Micaela Rodrigues Neto; Pedro Adragão; Miguel Mendes
Abstract
<p>Background: The use of electroanatomic mapping systems in ablation of supraventricular arrhythmias significantly reduces fluoroscopy time. Recently, it was developed a new 3D mapping system with fluoroscopy integrated module (CARTO- UNIVU) which reduces radiation exposure for wide spectrum of arrhythmias. The role of this technology during slow pathway ablation was not described yet.</p> <p>Aims: To assess the reduction in radiation exposure with new fluoroscopy integrated 3D mapping when compared to conventional electroanatomic mapping in atrioventricular nodal reentry tachycardia (AVNRT) or atrioventricular reentry tachycardia (AVRT) ablation.</p> <p>Methods and results: Ninety-nine consecutive patients were either ablated with the guidance of CARTO-3 and EnSite NavX <sup>TM </sup>or with CARTO-UNIVU system between November 2015 and November 2016. The mean age was 48 ± 16 years, with a predominance of females (64%). Seventy-four patients underwent slow pathway ablation (36 with CARTO-UNIVU) and 24 underwent ablation of accessory pathways (16 with CARTO-UNIVU). The acute success rate was 100% in both groups and no complications were observed. The fluoroscopy time was significantly lower in the 3D mapping system group (median 3.8 minutes versus 8 minutes, P = 0.002) but only for slow pathway ablation as no relevant reduction of the fluoroscopy time was found in accessory pathways ablation. The procedure times were similar between the two groups in both types of ablation.</p> <p>Conclusions: This study showed that a 3D-mapping system with the option of fluoroscopy integrated module reduces radiation exposure for patients and medical staff during AVNRT ablation, without comprising safety.</p> <p> </p>
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