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Reducing radiation exposure in an electrophysiology lab with introduction of newer fluoroscopic technology

Munish Sharma, Koroush Khalighi
  • Munish Sharma
    Department of Internal Medicine, Easton Hospital, Easton, PA, United States |
  • Koroush Khalighi
    Department of Cardiology, Easton Hospital, Easton, PA, United States


The use of fluoroscopic devices exposes patients and operators to harmful effects of ionizing radiation in an electrophysiology (EP) lab. We sought to know if the newer fluoroscopic technology (Allura Clarity) installed in a hybrid EP helps to reduce prescribed radiation dose. We performed radiation dose analysis of 90 patients who underwent various procedures in the EP lab at a community teaching hospital after the introduction of newer fluoroscopic technology in June of 2016.Watchman device insertion, radiofrequency ablation procedures, permanent pacemaker (PPM)/implantable cardioverter defibrillator (ICD) placement and battery changes were included in the study to compare radiation exposure during different procedures performed commonly in an EP lab. In all cases of watchman device placement, radiofrequency ablation procedures, PPM/ICD placement and battery changes, there was a statistically significant difference (<0.05) in radiation dose exposure. Significant reduction in radiation exposure during various procedures performed in an EP lab was achieved with aid of newer fluoroscopic technology and better image detection technology.


Radiation exposure; electrophysiology lab; newer fluoroscopic system; watchman device; radiofrequency ablation; permanent pacemaker; insertable cardioverter defibrillator.

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Submitted: 2017-04-30 21:43:55
Published: 2017-09-11 10:47:45
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Copyright (c) 2017 Munish Sharma, Koroush Khalighi

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