Reduction of Fluoroscopy Time and Radiation Dosage During Catheter Ablation for Atrial Fibrillation
Reduction of Fluoroscopy Time and Radiation Dosage During Catheter Ablation for Atrial Fibrillation
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DOI：
10.15420/aer.2016.16.2
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发表时间：
2016-09-01
影响因子：
3
通讯作者：
Kautzner, Josef
中科院分区：
文献类型：
--
作者：
Yamagata, Kenichiro;Aldhoon, Bashar;Kautzner, Josef
射频导管消融术已成为抗心律失常药物治疗无效的房颤（AF）的首选治疗方法。在手术过程中，透视成像仍然被认为是实时可视化导管的必要条件。然而，辐射往往被医生忽视，因为它是不可见的，长期风险被低估。在这方面，必须强调的是，辐射照射对病人和医生都有各种潜在的有害影响，如急性皮肤损伤、恶性肿瘤和遗传疾病。出于这个原因，每个电生理学家都应该意识到这个问题，并应该学习如何通过改变系统的设置和使用互补的成像技术来减少辐射暴露。在这篇综述中，我们的目的是讨论X射线照射的基础知识，并就如何在AF消融术期间减少辐射剂量提出实用说明。
Radiofrequency catheter ablation has become the treatment of choice for atrial fibrillation (AF) that does not respond to antiarrhythmic drug therapy. During the procedure, fluoroscopy imaging is still considered essential to visualise catheters in real-time. However, radiation is often ignored by physicians since it is invisible and the long-term risks are underestimated. In this respect, it must be emphasised that radiation exposure has various potentially harmful effects, such as acute skin injury, malignancies and genetic disease, both to patients and physicians. For this reason, every electrophysiologist should be aware of the problem and should learn how to decrease radiation exposure by both changing the setting of the system and using complementary imaging technologies. In this review, we aim to discuss the basics of X-ray exposure and suggest practical instructions for how to reduce radiation dosage during AF ablation procedures.