651 ZERO FLUOROSCOPY CARDIAC ABLATION: A NOVEL WORKFLOW FOR ATRIAL FIBRILLATION

Abstract Background and Rationale A fluoroscopy-based approach to an electrophysiological procedure is widely validated has been recognized as the gold standard for a long time. The use of fluoroscopy exposes both healthcare staff patient non-negligible dose radiation. To minimize risks associated with fluoroscopy, it would be reasonable perform ablation procedures zero fluoroscopy. This used in simple procedures, but not complex procedures. In atrial fibrillation (AF) remains main technology used, particularly guide transseptal puncture. Main results Implications We present workflow complete zero-fluoroscopy AF using 3D electro-anatomical mapping system, intracardiac echocardiography novel steerable guiding sheath that can visualized on system. two one performed paroxysmal (Fig.1) persistent (Fig. 2, Fig 3) during which we applied this workflow, achieving successful pulmonary vein isolation without complications exposure.