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Multicolor Fluorescence Detection for Droplet Microfluidics Using Optical Fibers

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Published on: May 5, 2016

SANS FLUORO Too Big to Fail.

Robert L Percell¹, Matthew E Johnson², Raghuveer Dendi³

¹SANS FLUORO Institute, Electrophysiology Department, Bryan Heart Institute, 1600 S 48th Street, Lincoln, NE 68506.

Journal of Atrial Fibrillation

|December 24, 2021

Summary

Treating super morbidly obese patients with atrial fibrillation presents challenges. This case highlights difficulties and the use of zero fluoroscopy for pacemaker insertion in such complex cases.

Keywords:

Atrial Fibrillation Ablation Fluoroless procedures Obesity

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Area of Science:

Cardiology
Medical Technology

Background:

Super morbid obesity (BMI > 60) poses significant challenges in managing cardiac arrhythmias.
Drug-refractory symptomatic persistent atrial fibrillation requires advanced treatment strategies.

Observation:

A super morbidly obese patient with persistent atrial fibrillation underwent an unsuccessful pulmonary vein isolation (PVI) ablation.
The patient subsequently received atrioventricular (AV) node ablation and cardiac resynchronization therapy with a pacemaker (CRT-P).

Findings:

The cardiac resynchronization therapy with pacemaker (CRT-P) insertion was performed using a zero fluoroscopy technique.
This approach minimized radiation exposure, crucial for patients requiring repeated procedures.

Implications:

This case underscores the complexities of treating arrhythmias in massively obese individuals.
It demonstrates the feasibility and potential benefits of zero fluoroscopy techniques in managing complex cardiac device implantations.