The Use of Electroanatomic Mapping Systems to Reduce Fluoroscopic Exposure in Pediatric Ablations

Abstract

Concerns about the long-term effects of ionizing radiation for both patients and electrophysiology laboratory personnel combined with the development of electroanatomic mapping systems have made it possible to perform ablation of dysrhythmia substrates with minimal or no use of fluoroscopy. This article reviews the current literature demonstrating the safety and efficacy of this technique in pediatric patients. While most reports are retrospective and single-center studies, there is a growing interest in developing multicenter studies to further refine this technique.