Chinese expert consensus on the construction of the fluoroless cardiac electrophysiology laboratory and related techniques

被引：1

作者：

Jiang, Chenyang ^{[1
,32
]}

Ma, Changsheng ^{[2
,33
]}

Chen, Songwen ^{[3
]}

Chen, Shiquan ^{[1
]}

Jiang, Chenxi ^{[2
]}

Jiang, Ruhong ^{[1
]}

Ju, Weizhu ^{[4
]}

Long, Deyong ^{[2
]}

Li, Ding ^{[5
]}

Li, Jia ^{[6
]}

Liu, Qiang ^{[1
]}

Ma, Wei ^{[7
]}

Pu, Xiaobo ^{[8
]}

Wang, Rui ^{[9
]}

Wang, Yuegang ^{[10
]}

Yi, Fu ^{[11
]}

Zou, Cao ^{[12
]}

Zhang, Jidong ^{[13
]}

Zhang, Xi ^{[14
]}

Zhao, Yujie ^{[15
]}

Zei, Paul C. ^{[16
]}

Biase, Luigi Di ^{[17
]}

Chang, Dong ^{[18
]}

Cai, Heng ^{[19
]}

Chen, Lianghua ^{[20
]}

Chen, Minglong ^{[4
]}

Fu, Guosheng

Fu, Hua

Fan, Jie ^{[14
]}

Gui, Chun ^{[21
]}

Jiang, Tingbo ^{[12
]}

Liu, Shaowen ^{[3
]}

Li, Xuebin ^{[5
]}

Li, Yigang ^{[22
]}

Shu, Maoqin ^{[23
]}

Wang, Yan ^{[24
]}

Xu, Jian ^{[25
]}

Xie, Ruiqin

Xia, Yunlong ^{[26
]}

Xue, Yumei ^{[27
]}

Yang, Pingzhen ^{[28
]}

Yuan, Yiqiang ^{[29
]}

Zhong, Jingquan ^{[30
]}

Zhu, Wenqing ^{[31
]}

机构：

[1] Zhejiang Univ, Sir Run Run Shaw Hosp, Sch Med, Hangzhou, Peoples R China

[2] Capital Med Univ, Beijing Anzhen Hosp, Beijing, Peoples R China

[3] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Shanghai, Peoples R China

[4] Nanjing Med Univ, Jiangsu Prov Hosp, Affiliated Hosp 1, Nanjing, Peoples R China

[5] Peking Univ Peoples Hosp, Beijing, Peoples R China

[6] Wenzhou Med Univ, Affiliated Hosp 2, Yuying Childrens Hosp, Wenzhou, Peoples R China

[7] Tianjin Chest Hosp, Tianjin, Peoples R China

[8] Sichuan Univ, West China Hosp, Chengdu, Peoples R China

[9] First Hosp Shanxi Med Univ, Taiyuan, Peoples R China

[10] Southern Med Univ, Nanfang Hosp, Guangzhou, Peoples R China

[11] Air Force Med Univ, Xijing Hosp, Affiliated Hosp 1, Xian, Peoples R China

[12] Soochow Univ, Affiliated Hosp 1, Suzhou, Peoples R China

[13] Hebei Med Univ, Hosp 2, Shijiazhuang, Peoples R China

[14] First Peoples Hosp Yunnan Prov, Kunming, Peoples R China

[15] Seventh Peoples Hosp Zhenzhou, Zhengzhou, Peoples R China

[16] Brigham & Womens Hosp, Boston, MA USA

[17] Montefiore Med Ctr, Albert Einstein Coll Med, Bronx, NY USA

[18] Xiamen Univ, Xiamen Cardiovasc Hosp, Xiamen, Peoples R China

[19] Tianjin Med Univ Gen Hosp, Tianjin, Peoples R China

[20] Shandong Prov Hosp, Jinan, Peoples R China

[21] Guangxi Med Univ, Affiliated Hosp 1, Nanning, Peoples R China

[22] Shanghai Jiao Tong Univ, Xinhua Hosp, Sch Med, Shanghai, Peoples R China

[23] Army Med Univ, Southwest Hosp, Affiliated Hosp 1, Chongqing, Peoples R China

[24] Tongji Hosp, Tongji Med Coll HUST, Wuhan, Peoples R China

[25] Anhui Prov Hosp, Affiliated Hosp USTC 1, Hefei, Peoples R China

[26] Dalian Med Univ, Affiliated Hosp 1, Dalian, Peoples R China

[27] Guangdong Prov Peoples Hosp, Guangzhou, Peoples R China

[28] Southern Med Univ, Zhujiang Hosp, Guangzhou, Peoples R China

[29] Henan Prov Chest Hosp, Zhengzhou, Peoples R China

[30] Shandong Univ, Qilu Hosp, Cheeloo Coll Med, Dept Cardiol, Jinan, Peoples R China

[31] Fudan Univ, Zhongshan Hosp, Shanghai, Peoples R China

[32] Zhejiang Univ, Sir Run Run Shaw Hosp, Sch Med, Dept Cardiol, 3 East Qingchun Rd, Hangzhou 310016, Zhejiang, Peoples R China

[33] Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiol, 2 Beijing Anzhen Rd, Beijing 100029, Peoples R China

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2023年 / 46卷 / 09期

关键词：

arrhythmia; catheter ablation; fluoroless catheter ablation; fluoroless electrophysiology catheterization laboratory; intracardiac echocardiography; three-dimensional mapping; OCCUPATIONAL-HEALTH HAZARDS; ZERO FLUOROSCOPIC EXPOSURE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ATRIAL-FIBRILLATION; CATHETER ABLATION; INTRACARDIAC ECHOCARDIOGRAPHY; RETROPERITONEAL HEMORRHAGE; ARRHYTHMIAS; MANAGEMENT; HEMATOMA;

D O I：

10.1111/pace.14782

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter radiofrequency ablation has been widely introduced for the treatment of tachyarrhythmias. The demand for catheter ablation continues to grow rapidly as the level of recommendation for catheter ablation. Traditional catheter ablation is performed under the guidance of X-rays. X-rays can help display the heart contour and catheter position, but the radiobiological effects caused by ionizing radiation and the occupational injuries worn caused by medical staff wearing heavy protective equipment cannot be ignored. Three-dimensional mapping system and intracardiac echocardiography can provide detailed anatomical and electrical information during cardiac electrophysiological study and ablation procedure, and can also greatly reduce or avoid the use of X-rays. In recent years, fluoroless catheter ablation technique has been well demonstrated for most arrhythmic diseases. Several centers have reported performing procedures in a purposefully designed fluoroless electrophysiology catheterization laboratory (EP Lab) without fixed digital subtraction angiography equipment. In view of the lack of relevant standardized configurations and operating procedures, this expert task force has written this consensus statement in combination with relevant research and experience from China and abroad, with the aim of providing guidance for hospitals (institutions) and physicians intending to build a fluoroless cardiac EP Lab, implement relevant technologies, promote the standardized construction of the fluoroless cardiac EP Lab.

引用

页码：1035 / 1048

页数：14

共 48 条

[1] Transseptal Techniques for Emerging Structural Heart Interventions [J].

Alkhouli, Mohamad ;

Rihal, Charanjit S. ;

Holmes, David R., Jr. .

JACC-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (24) :2465-2480

[2] Cryoablation or Drug Therapy for Initial Treatment of Atrial Fibrillation [J].

Andrade, Jason G. ;

Wells, George A. ;

Deyell, Marc W. ;

Bennett, Matthew ;

Essebag, Vidal ;

Champagne, Jean ;

Roux, Jean-Francois ;

Yung, Derek ;

Skanes, Allan ;

Khaykin, Yaariv ;

Morillo, Carlos ;

Jolly, Umjeet ;

Novak, Paul ;

Lockwood, Evan ;

Amit, Guy ;

Angaran, Paul ;

Sapp, John ;

Wardell, Stephan ;

Lauck, Sandra ;

Macle, Laurent ;

Verma, Atul .

NEW ENGLAND JOURNAL OF MEDICINE, 2021, 384 (04) :305-315

[3] Comparison of intracardiac echocardiography and transesophageal echocardiography for imaging of the right and Left atrial appendages [J].

Anter, Elad ;

Silverstein, Joshua ;

Tschabrunn, Cory M. ;

Shvilkin, Alexei ;

Haffajee, Charles I. ;

Zimetbaum, Peter J. ;

Buxton, Alfred E. ;

Josephson, Mark E. ;

Gelfand, Eli ;

Manning, Warren J. .

HEART RHYTHM, 2014, 11 (11) :1890-1897

[4]

Balakrishnan Mahesh, 2021, Card Electrophysiol Clin, V13, P357, DOI 10.1016/j.ccep.2021.03.002

[5] Intracardiac Echocardiography for Detection of Thrombus in the Left Atrial Appendage Comparison With Transesophageal Echocardiography in Patients Undergoing Ablation for Atrial Fibrillation: The Action-Ice I Study [J].

Baran, Jakub ;

Stec, Sebastian ;

Pilichowska-Paszkiet, Ewa ;

Zaborska, Beata ;

Sikora-Frac, Malgorzata ;

Krynski, Tomasz ;

Michalowska, Ilona ;

Lopatka, Rafal ;

Kulakowski, Piotr .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2013, 6 (06) :1074-1081

[6] Procedural outcomes of fluoroless catheter ablation outside the traditional catheterization lab [J].

Bigelow, Amee M. ;

Smith, Philip C. ;

Timberlake, Dylan T. ;

McNinch, Neil L. ;

Smith, Grace L. ;

Lane, John R. ;

Clark, John M. .

EUROPACE, 2017, 19 (08) :1378-1384

[7] Cardiac tamponade in catheter ablation of atrial fibrillation: German-wide analysis of 21 141 procedures in the Helios atrial fibrillation ablation registry (SAFER) [J].

Bollmann, Andreas ;

Ueberham, Laura ;

Schuler, Ekkehard ;

Wiedemann, Michael ;

Reithmann, Christopher ;

Sause, Armin ;

Tebbenjohanns, Juergen ;

Schade, Anja ;

Shin, Dong-In ;

Staudt, Alexander ;

Zacharzowsky, Udo ;

Ulbrich, Michael ;

Wetzel, Ulrike ;

Neuser, Hans ;

Bode, Kerstin ;

Kuhlen, Ralf ;

Hindricks, Gerhard .

EUROPACE, 2018, 20 (12) :1944-1951

[8] 2019 ESC Guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC): Developed in collaboration with the Association for European Paediatric and Congenital Cardiology (AEPC) [J].

Brugada, Josep ;

Katritsis, Demosthenes G. ;

Arbelo, Elena ;

Arribas, Fernando ;

Bax, Jeroen J. ;

Blomstrom-Lundqvist, Carina ;

Calkins, Hugh ;

Corrado, Domenico ;

Deftereos, Spyridon G. ;

Diller, Gerhard-Paul ;

Gomez-Doblas, Juan J. ;

Gorenek, Bulent ;

Grace, Andrew ;

Ho, Siew Yen ;

Kaski, Juan-Carlos ;

Kuck, Karl-Heinz ;

Lambiase, Pier David ;

Sacher, Frederic ;

Sarquella-Brugada, Georgia ;

Suwalski, Piotr ;

Zaza, Antonio .

EUROPEAN HEART JOURNAL, 2020, 41 (05) :655-720

[9] Catheter Ablation of Atrial Fibrillation Using Zero-Fluoroscopy Technique: A Randomized Trial [J].

Bulava, Alan ;

Hanis, Jiri ;

Eisenberger, Martin .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2015, 38 (07) :797-806

[10] Near zerO fluoroscopic exPosure during catheter ablAtion of supRavenTricular arrhYthmias: the NO-PARTY multicentre randomized trial [J].

Casella, Michela ;

Dello Russo, Antonio ;

Pelargonio, Gemma ;

Del Greco, Maurizio ;

Zingarini, Gianluca ;

Piacenti, Marcello ;

Di Cori, Andrea ;

Casula, Victor ;

Marini, Massimiliano ;

Pizzamiglio, Francesca ;

Zucchetti, Martina ;

Riva, Stefania ;

Russo, Eleonora ;

Narducci, Maria Lucia ;

Soldati, Ezio ;

Panchetti, Luca ;

Startari, Umberto ;

Bencardino, Gianluigi ;

Perna, Francesco ;

Santangeli, Pasquale ;

Di Biase, Luigi ;

Cichocki, Fabrizio ;

Fattore, Giovanni ;

Bongiorni, Mariagrazia ;

Picano, Eugenio ;

Natale, Andrea ;

Tondo, Claudio .

EUROPACE, 2016, 18 (10) :1565-1572

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