Research summary, original research, 2017

The non-fluoroscopic navigation reduces significantly not only the fluoroscopic exposure during catheter ablation of the cavotricuspid isthmus but the total radiofrequency time as well

Shalganov T, Stoyanov M, Kunev B. Acta cardiologica. 2017

Read the original paper

In plain language

In 124 patients undergoing atrial flutter ablation, using non-fluoroscopic navigation roughly halved fluoroscopy time and dose-area product without lengthening procedures. Staff dose was not measured, but less fluoroscopy likely means less exposure for the electrophysiology team.

At a glance

Type of study
Original research, Retrospective cohort study
Who was studied
Patients
Size
n = 124 patients
Summary based on
the abstract

What it found

  • Non-fluoroscopic navigation shortened fluoroscopy time during cavotricuspid isthmus ablation.

    Key figures: 9.4 vs 16.7 min, P < 0.05

  • Dose-area product was roughly halved with non-fluoroscopic navigation.

    Key figures: 2,128.3 vs 4,129.9 μGy*m2, P < 0.05

  • Total radiofrequency time was shorter with non-fluoroscopic navigation.

    Key figures: 1,870.5 vs 2,335.5 sec, P < 0.05

  • Procedure duration and recurrence did not differ significantly between groups.

    Key figures: 169.6 vs 157.6 min; recurrences 6.5 vs 11.3%

  • Acute success was high overall.

    Key figures: 122 patients (98.4%)

Limits to keep in mind

Retrospective, single-series comparison of 124 patients without randomization; only patient-level exposure metrics (fluoroscopy time, dose-area product (DAP)) were reported, with no staff dosimetry. Country and centre not stated in the abstract.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.