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Related Experiment Video

Updated: May 29, 2026

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
10:46

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

A Standardized Zero-Fluoroscopy, 3D-Guided Workflow for AVNRT Ablation With Same-Day Discharge: PICENO AVNRT

Procolo Marchese1, Francesca Gennaro1, Giovanni Mazzotta1

  • 1EP Unit, Cardiology, AST Ascoli Piceno, Ascoli Piceno, Italy.

Pacing and Clinical Electrophysiology : PACE
|May 28, 2026
PubMed
Summary

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A novel 3D-guided workflow for atrioventricular nodal re-entrant tachycardia (AVNRT) ablation is safe and effective. This standardized approach achieved 100% acute success with no heart block, eliminating fluoroscopy use.

Area of Science:

  • Electrophysiology
  • Cardiac Ablation

Background:

  • Atrioventricular nodal re-entrant tachycardia (AVNRT) ablation is effective but risks heart block.
  • A standardized, 3D-guided workflow for AVNRT ablation is needed.

Purpose of the Study:

  • To define a standardized, safety-driven, 3D-guided workflow for AVNRT ablation.
  • To evaluate the feasibility and outcomes of this approach in a day-hospital setting.

Main Methods:

  • Retrospective analysis of 150 AVNRT patients undergoing ablation (2017-2025).
  • Utilized the PICENO AVNRT approach integrating Koch's triangle pace mapping and voltage-bridge mapping.
  • Standardized 3D-guided, safety-driven workflow without fluoroscopy.

Main Results:

Keywords:
AVNRTCatheter ablationCryoablationElectroanatomic mappingKoch's triangleSlow pathway ablationZero fluoroscopy

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Related Experiment Videos

Last Updated: May 29, 2026

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
10:46

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

Robotic Ablation of Atrial Fibrillation
11:21

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

  • 100% acute procedural success.
  • Zero cases of transient or permanent atrioventricular block.
  • 0.7% recurrence rate at 30.5 months follow-up.
  • Mean procedure time: 62 ± 14 minutes.
  • Conclusions:

    • A standardized 3D-guided workflow for AVNRT ablation is feasible and reproducible.
    • This safety-driven approach achieves excellent outcomes in a day-hospital setting.
    • Elimination of fluoroscopy is possible due to procedural reliability.