Sub-Zero: A Review of the Current Evidence and Evolving Technologies Enabling Zero‑Fluoroscopy Procedures

At a glance

Type of study

Narrative review

Who was studied

Electrophysiologists, Patients

Topics

Dose reduction techniquesCancer riskEye lens and cataractsMusculoskeletal injury and ergonomicsTraining and educationPatient dose

Summary based on

the abstract

What it found

• Zero- or near-zero fluoroscopy workflows are reported to achieve procedural success, complication rates and long-term outcomes comparable to fluoroscopy-guided procedures while substantially reducing radiation exposure.

• Reduced fluoroscopy is described as mitigating occupational risks including malignancy, cataract and orthopedic injury.

• Zero-fluoroscopy workflows bring their own challenges, including vascular access complications, catheter thrombus and navigation errors.

• Some complex procedures still rely on fluoroscopy, and operator experience and fluoroscopic bailout strategies remain important.

• The authors call for standardized training and robust randomized studies.

Limits to keep in mind

Narrative review summarized from the abstract only; no quantitative data, search methods or included study counts are reported, and health-risk reductions are inferred rather than measured.

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