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Zero-fluoroscopy permanent pacemaker implantation using Ensite NavX system: Clinical viability or fanciful technique?
Ping Guo1,2, Jie Qiu1, Yan Wang1
1Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
Pacing and Clinical Electrophysiology : PACE
|December 10, 2017
Summary
This study shows that permanent pacemaker implantation without fluoroscopy is feasible and safe, particularly for pregnant patients. Utilizing 3D mapping systems like Ensite NavX offers a reliable alternative to reduce radiation exposure.
Area of Science:
- Cardiology
- Medical Imaging
- Electrophysiology
Background:
- Fluoroscopy is standard for cardiac device implantation but poses radiation risks.
- Novel 3D mapping systems aid catheter navigation in electrophysiology.
- Limited data exists on 3D mapping for cardiac device implantation.
Purpose of the Study:
- To evaluate the feasibility and safety of permanent pacemaker implantation without fluoroscopy.
- To assess the efficacy of 3D mapping systems in zero-fluoroscopy procedures.
Main Methods:
- A retrospective study compared six patients undergoing zero-fluoroscopy pacemaker implantation with 20 controls using fluoroscopy.
- The Ensite NavX system was used for navigation in the zero-fluoroscopy group.
- Procedure times and complications were recorded for both groups.
Main Results:
- No complications occurred in either the zero-fluoroscopy or fluoroscopy groups.
- Pacemaker parameters were satisfactory in all patients.
- Dual-chamber pacemaker implantation took longer in the zero-fluoroscopy group (88.3 ± 19.6 min) compared to the fluoroscopy group (67.3 ± 7.6 min, P=0.013).
Conclusions:
- The Ensite NavX system provides a reliable and safe method for zero-fluoroscopy pacemaker implantation.
- This approach is suitable for specific patient populations, including pregnant women.
- It offers an alternative when fluoroscopy is unavailable or contraindicated.
