Cardiac Interventions in Pregnant Patients without Fluoroscopy

Area of Science:

• Cardiology
• Medical Imaging
• Obstetrics

Background:

• Fluoroscopy during pregnancy poses significant risks to the fetus.
• This study reviews three pregnant patients undergoing cardiac procedures.

Purpose of the Study:

• To evaluate the safety and efficacy of cardiac interventions in pregnant patients without fluoroscopy.
• To assess the utility of electroanatomic mapping systems in these procedures.

Main Methods:

• Utilized the EnSite system for cardiac structure reconstruction and lead navigation.
• Performed procedures without fluoroscopy, relying on electroanatomic mapping and transthoracic echocardiography.
• Included two pacemaker implantations and one diagnostic cardiac catheterization.

Main Results:

• All three pregnant patients underwent successful procedures without complications.
• Pacemaker implantation and diagnostic catheterization were completed safely.
• Pregnancy continued uneventfully in all cases, with successful deliveries.

Conclusions:

• Electroanatomic mapping systems enable safe cardiac catheterization and pacemaker implantation in selected pregnant patients.
• Fluoroscopy-free cardiac interventions are feasible and effective during pregnancy.
• This technique minimizes fetal exposure to radiation while achieving successful cardiac treatment.