Published on March 6, 2014
Jose Osorio, MD
Elective Procedure Potentially serious or even fatal complications SAFE PROCEDURE - #1 Priority Specially if you are just out of a fellowship
It has to be safe for you as well
Afib ablation 100% fluoroscopic navigation Mapping system used for “tagging” No ultrasound
3 months out of fellowship Exceeded the radiation exposure at the VA Making changes was not optional Changes Rad-Pad Better use of shields/Rad Tech Carto
There are many ways How do other EPs do? Visit other sites Literature Afib ablation during fellowship You should not stop there Constant improvement
CS catheter placement “Trust” the 3D map You really don’t need the fluoroscopic images Know the anatomy really well Intracardiac Echo
FAM VISITAG™ MODULE Curve Visualization UNIVU™ MODULE Intracardiac Echo Cartographer
65 yo man Typical flutter ablation 2 years ago Paroxysmal Afib shortly after No CAD Failed Bystolic and diltiazem Very symptomatic
Follow guidelines: - Try drug therapy first - Informed Consent / Patient education - The more informed the better No unrealistic expectations
Analyze PACs Entrance and Exit Block
Local PV capture with exit block
Tags of Isolation Points
Patient selection Rely heavily on Carto Single Transeptal Endpoints
Safe Procedure Patient You and the Staff 3D mapping tools Fluoroscopy reduction EP Fellowship The beginning of your journey as an EP
If medication is not effective or not tolerated for atrial fibrillation, ... Catheter ablation is considered safe. Most people do well afterward.
Atrial fibrillation ... Ablation may prevent recurrence ... Some individuals with atrial fibrillation do well with normal activity but develop ...
The ablation of atrial fibrillation is an invasive technique ... The current recommendation for atrial fibrillation ablation requires documentation of ...
During catheter ablation for atrial fibrillation the doctor will ... Catheter Ablation. Atrial Fibrillation. ... How do I prepare for catheter ablation?
... patients with atrial fibrillation who do not respond to medications or electrical cardioversion ... Ablation essentially creates scars in the heart ...
... and blood clots on having this atrial fibrillation ... a Candidate for a Catheter Ablation? ... and Surgical Ablation of Atrial Fibrillation: ...
by heart What is Atrial Fibrillation? • Surgery, a pacemaker or other procedures may be needed. ... Do you have questions for the doctor or nurse?:
... Radiofrequency ablation or catheter ablation, ... Non-surgical Procedures for Atrial ... but for some patients their atrial fibrillation ...
Clinical Therapeutics from The New England Journal of Medicine — Catheter Ablation for Atrial Fibrillation. ... Martin DO, et al. Radiofrequency ablation ...
Ablating Atrial Fibrillation. The Holy Grail in the quest for treating atrial fibrillation has been to develop a way to cure the arrhythmia with ablation.