ABC | Volume 114, Nº6, Junho 2020

Artigo Original Saad et al. Ablação por Cateter Sem uso de Raios X para Tratamento de Fibrilação Atrial e Arritmias Atriais Arq Bras Cardiol. 2020; 114(6):1015-1026 ablacionados sem a necessidade de fluoroscopia de backup. Não foram observadas complicações. Contribuição dos autores Concepção e desenho da pesquisa, Obtenção de dados, Análise e interpretação dos dados e Revisão crítica do manuscrito quanto ao conteúdo intelectual importante: Saad EB, Slater C, Inácio Jr. LAO, Santos GV, Dias LC, Camanho LEM; Redação do manuscrito: Saad EB, Slater C. Potencial conflito de interesses Declaro não haver conflito de interesses pertinentes. Fontes de financiamento O presente estudo não teve fontes de financiamento externas. Vinculação acadêmica Não há vinculação deste estudo a programas de pós- graduação. Aprovação ética e consentimento informado Este artigo não contém estudos com humanos ou animais realizados por nenhum dos autores. 1. Calkins H, Hindricks G, Cappato R, Kim YH, Saad EB, Aguinaga L, et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Heart Rhythm. 2017;14(10):e275-e444. 2. January CT, Wann LS, Calkins H, Chen LY, Cigarroa JE, Cleveland JC Jr, et al. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons. Circulation. 2019;140(2):e125-e51. 3. Heidbuchel H, Wittkampf FH, Vano E, Ernst S, Schilling R, Picano E, et al. Practical ways to reduce radiation dose for patients and staff during device implantations and electrophysiological procedures. Europace. 2014;16(7):946-64. 4. Perisinakis K, Damilakis J, Theocharopoulos N, Manios E, Vardas P, Gourtsoyiannis N. Accurate assessment of patient effective radiation dose and associated detriment risk from radiofrequency catheter ablation procedures. Circulation. 2001;104(1):58-62. 5. Lickfett L, Mahesh M, Vasamreddy C, Bradley D, Jayam V, Eldadah Z, et al. Radiation exposure during catheter ablation of atrial fibrillation. Circulation. 2004;110(19):3003-10. 6. Ector J, Dragusin O, Adriaenssens B, Huybrechts W, Willems R, Ector H, et al. Obesity is a major determinant of radiation dose in patients undergoing pulmonary vein isolation for atrial fibrillation. J Am Coll Cardiol. 2007;50(3):234-42. 7. Fazel R, Krumholz HM, Wang Y, Ross JS, Chen J, Ting HH, et al. Exposure to low-dose ionizing radiation frommedical imaging procedures. N Engl J Med. 2009;361(9):849-57. 8. Bourier F, Reents T, Ammar-Busch S, Buiatti A, Kottmaier M, Semmler V, et al. Evaluation of a new very low dose imaging protocol: feasibility and impact on X-ray dose levels in electrophysiology procedures. Europace. 2016;18(9):1406-10. 9. Duran A, Hian SK, Miller DL, Le Heron J, Padovani R, Vano E. Recommendations for occupational radiation protection in interventional cardiology. Catheter Cardiovasc Interv. 2013;82(1):29-42. 10. Lerman BB, Markowitz SM, Liu CF, Thomas G, Ip JE, Cheung JW. Fluoroless catheter ablation of atrial fibrillation. Heart Rhythm. 2017;14(6):928-34. 11. Ferguson JD, Helms A, Mangrum JM, Mahapatra S, Mason P, Bilchick K, et al. Catheter ablation of atrial fibrillation without fluoroscopy using intracardiac echocardiography and electroanatomic mapping. Circ Arrhythm Electrophysiol. 2009;2(6):611-9. 12. Reddy VY, Morales G, Ahmed H, Neuzil P, Dukkipati S, Kim S, et al. Catheter ablation of atrial fibrillation without the use of fluoroscopy. Heart Rhythm. 2010;7(11):1644-53. 13. Macias R, Uribe I, Tercedor L, Jimenez-Jaimez J, Barrio T, Alvarez M. A zero- fluoroscopyapproachtocavotricuspid isthmuscatheterablation:comparative analysisoftwoelectroanatomicalmappingsystems.PacingClinElectrophysiol. 2014;37(8):1029-37. 14. Bulava A, Hanis J, Eisenberger M. Catheter ablation of atrial fibrillation using zero-fluoroscopy technique: a randomized trial. Pacing Clin Electrophysiol. 2015;38(7):797-806. 15. Razminia M, Willoughby MC, Demo H, Keshmiri H, Wang T, D’Silva OJ, et al. Fluoroless catheter ablation of cardiac arrhythmias: a 5-year experience. Pacing Clin Electrophysiol. 2017;40(4):425-33. 16. Yang L, Sun G, Chen X, Chen G, Yang S, Guo P, et al. Meta-analysis of zero or near-zerofluoroscopyuseduringablationofcardiacarrhythmias.AmJCardiol. 2016;118(10):1511-8. 17. Enriquez A, Saenz LC, Rosso R, Silvestry FE, Callans D, Marchlinski FE, et al. Use of intracardiac echocardiography in interventional cardiology: working withtheanatomyratherthan fighting it.Circulation.2018;137(21):2278-94. 18. Saad EB, Costa IP, Camanho LE. Use of intracardiac echocardiography in the electrophysiology laboratory. Arq Bras Cardiol. 2011;96(1):e11-7. 19. Rolf S, Hindricks G, Sommer P, Richter S, Arya A, Bollmann A, et al. Electroanatomical mapping of atrial fibrillation: review of the current techniques and advances. J Atr Fibrillation. 2014;7(4):1140. 20. Nedios S, Sommer P, Bollmann A, Hindricks G. Advanced mapping systems to guide atrial fibrillation ablation: electrical information that matters. J Atr Fibrillation. 2016;8(6):1337. 21. DemoH,WilloughbyC,JazayeriMA,RazminiaM.Fluorolesscatheterablation of cardiac arrhythmias. Card Electrophysiol Clin. 2019;11(4):719-29. 22. RazminiaM,ManankilMF,EryaziciPL,Arrieta-GarciaC,WangT,D’SilvaOJ,et al.Nonfluoroscopiccatheterablationofcardiacarrhythmiasinadults:feasibility, safety, and efficacy. J Cardiovasc Electrophysiol. 2012;23(10):1078-86. 23. BaykanerT,QuadrosKK,ThosaniA,YasmehB,MitraR,LiuE,etal.Safetyand efficacy of zero fluoroscopy transseptal puncture with different approaches. Pacing Clin Electrophysiol. 2020;43(1):12-8. 24. RazminiaM, D’Silva O. Fluoroless catheter ablation of cardiac arrhythmia: is it ready for prime time? Pacing Clin Electrophysiol. 2020;43(1):19-20. 25. Brugada J, Katritsis DG, Arbelo E, Arribas F, Bax JJ, Blomstrom-Lundqvist C, et al. 2019 ESC Guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients withsupraventriculartachycardiaoftheEuropeanSocietyofCardiology(ESC). Eur Heart J. 2020;41(5):655-720. Referências 1025

RkJQdWJsaXNoZXIy MjM4Mjg=