Comparative evaluation of zero-fluoroscopy and conventional fluoroscopy approaches in catheter ablation of premature ventricular contractions: a single-center experience

Description

A O D Demirtas and A T Sahin compare zero-fluoroscopy ablation with the conventional X-ray guided approach for extra ventricular beats, in a 2026 retrospective study. Mapping systems now let operators navigate catheters without radiation, an attractive option for younger patients and repeat procedures. The single-center series covered 150 patients treated between January 2023 and March 2025, split evenly between the two approaches.

Overall acute success reached about seventy-nine percent, nearly identical in both groups, at roughly seventy-nine and eighty percent. Procedure times and complication rates also matched, near ninety minutes and four percent respectively. Anatomy drove the differences instead: origins high in the left ventricle or at the summit took longer, while lower right sided origins succeeded most often. Higher beat burden and longer procedures predicted failure. The authors judge the radiation-free method a safe, effective substitute.

Catalog record

Source: https://europepmc.org/articles/PMC13300560