Nonfluoroscopic navigation systems are essential not only to reduce the radiation absorbed by patients and health personnel, but also to ensure the correct 3-dimensional positioning of catheters during intracardiac mapping procedures and the correct localization of the lesions generated. In view of its importance, electrophysiology laboratories used for therapeutic ablation procedures must have at least 1 nonfluoroscopic navigation system.. The outfitting of additional systems depends on the volume of the unit and other considerations, such as the existence of research programs, but excessive atomization of procedures through the use of different navigation systems can hinder the accumulation of experience by operators.
Installation of an additional nonfluoroscopic navigation system should be considered if a center performs more than ablation procedures per year with nonfluoroscopic navigation.. Included is a series of equipment necessary to perform the most frequent procedures in clinical electrophysiology. The analysis of activation patterns and sequences of intracavitary electrograms remain the basis of the diagnostic and therapeutic approach.
Each electrophysiology laboratory should be equipped with a digital recording system with a minimum of 64 intracavitary channels, surface ECG, and a basic hemodynamic module for recording intracavitary pressures. Because intracavitary signals are especially sensitive to noise, the room must be sufficiently shielded to allow the correct recording of multiple signals without interference.. Cryoablation equipment. Cryoablation has advantages over radiofrequency for the management of para-Hisian and atrioventricular nodal reentrant tachycardia pathways in children.
It is highly recommended for centers performing more than ablations per year. In atrial fibrillation AF , it allows procedures with similar outcomes to radiofrequency, but is less demanding for operators. Its incorporation is highly recommended in centers performing more than 50 AF ablations per year. In any case, in centers performing AF ablations, their performance should always be possible by means of a point-to-point ablation procedure guided by a nonfluoroscopic navigation system..
Radiofrequency source. Electrophysiology units must have at least 2 radiofrequency sources with compatible infusion pump systems for irrigated catheters.. Ultrasound console with capacity for transesophageal and intracardiac echocardiography.
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Basic echocardiography equipment is essential for the early detection of complications, as well as support for both simple techniques, such as transseptal puncture, and more sophisticated techniques, such as intracardiac echocardiography.. There must be an external defibrillation system for manual operation in each room..
- Structured electronic design: negative-feedback amplifiers.
- Quick Access.
- European Association of Cardiovascular Imaging (EACVI).
Robotic navigation systems. Robotic navigation systems are a highly expensive tool of debatable practicality. Minimum Requirements for an Electrophysiology Laboratory. Cardiology as a medical discipline has undergone considerable progress during the last 2 decades. These advances have significantly reduced the mortality rates of the main cardiovascular diseases. This impressive improvement has gone hand-in-hand with technological innovations. The development of new and better equipment has allowed cardiologists to treat more patients and achieve better results.
Continuous innovation and appropriate advances in the available technology are essential to further improve clinical practice and guarantee health outcomes.. This report could act as a reference for harmonizing the equipment needed for the main cardiological procedures.. Descargar PDF. Autor para correspondencia. Table 1. Table 2. Table 5. The current report attempts to describe the current situation and the conditions that must concur to update, replace or adopt new technologies in the field of cardiology.
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Texto completo. The ultimate aim is to uphold quality of care, improve efficiency, maintain the safety of medical activity, and facilitate innovation in a setting of health system sustainability, based on evidence-based criteria that provide objective elements for decision-making. The expert committee of the Spanish Society of Cardiology SEC has similarly established longevity recommendations for equipment used in cardiological diagnostic procedures based on their degree of use Table 1.
CMR, cardiac magnetic resonance; CT, computed tomography. Figure 1. Figure 2. Figure 3. Figure 4. Table 3. Figure 5. Figure 6. Figure 7. Table 4. Figure 8. Figure 9. Figure Table 6. Medical Imaging Equipment. Age Profile and Density. Accessed 25 Jan Datos Diciembre Circular n. Picard, D. Adams, S. Bierig, et al. American Society of Echocardiography.
American Society of Echocardiography recommendations for quality echocardiography laboratory operations. J Am Soc Echocardiogr. Hahn, T. Abraham, M. Adams, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. Anesth Analg. Lang, L. Badano, W.
Tsang, et al. Eur Heart J Cardiovasc Imaging. Zamorano, L. Badano, C. Bruce, et al. Eur Heart J. Abbara, P. Blanke, C.
Maroules, et al. J Cardiovasc Comput Tomogr. Leipsic, S. Abbara, S. Achenbach, et al. Hendel, M. Patel, C. J Am Coll Cardiol. Kramer, J. Barkhausen, S.
Flamm, R. Kim, E. Standardized cardiovascular magnetic resonance CMR protocols update. J Cardiovasc Magn Reson. Salerno, C. Advances in parametric mapping with CMR imaging. Moon, D. Messroghli, P.
Schulz-Menger, D. Bluemke, J. Bremerich, et al. Standardized image interpretation and post processing in cardiovascular magnetic resonance: Society for Cardiovascular Magnetic Resonance SCMR board of trustees task force on standardized post processing. Windecker, P. Kolh, F. Alfonso, et al.
Cavalcante, L. Rodriguez, S. Kapadia, E. Tuzcu, W. Role of echocardiography in percutaneous mitral valve interventions. Giannopoulos, O. Rev Esp Cardiol. Moris de La Tassa, A.
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Cequier Fillat, J. Moreu Burgos, H. Perez Hernandez, J. Aguirre Salcedo. Valle Tudela, A. Gutierrez Morlote, G. Sanz Romero. Bashore, E. Bates, P. Berger, et al. American College of Cardiology. Smith, T. Feldman, J. Hirshfeld, et al. Arcocha, et al. Antonia Sambola. Are you a health professional able to prescribe or dispense drugs? Si continua navegando, consideramos que acepta su uso. To improve our services and products, we use "cookies" own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.
Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Portable X-ray. X-ray fluoroscopy. Interventional integrated C-arm fluoroscopy.
Cardiovascular Imaging Textbooks
Mobile C-arm fluoroscopy. Interventional angiography. Catheterization laboratory. Electrophysiology laboratory. Cardiac CT. M, 2-dimensional, and color and spectral Doppler both flow and tissue modes Harmonic imaging. Patient data. High and low frequency Nonimaging Doppler. High and low frequency Nonimaging Doppler 3-dimensional Pediatric. Multiplanar probe 3-dimensional. Gantry rotation. Dual-head desirable. Radiation report. Multiplanar reconstructions.
Om boka This book is focused on the use of non-invasive imaging in clinical cardiology. Many different clinical issues are discussed, including valvular disease, coronary artery disease, and myocardial and pericardial disease. The majority of chapters are illustrated with a clinical case study and with moving images, which are contained on the accompanying CD.
These case studies offer excellent examples of how to use the imaging modalities in clinical cardiology. The contributors are from Europe, the US and Asia to provide a global perspective.
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- Clinical Mobile Resources.
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The series is designed to provide medical professionals with the latest information about the understanding, diagnosis and management of cardiovascular diseases. Where available, management recommendations are based on the established European Guidelines, which encompass the best techniques to use with each cardiac disease.
Related Cardiovascular Imaging: A Handbook for Clinical Practice (European Society of Cardiology)
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