Cardiac Rhythm Management

About the Fluoro Reduction in the EP Lab Council

As fluoroscopy exposure to patient, operator, and staff is both a safety and ethical issue; it is vital for the electrophysiology clinician community to have access to state-of-the-art solutions that reduce or eliminate fluoroscopy levels in clinical practice, which is a principle tenet of the Council.

The Council, led by the Chairs, Paul C. Zei, MD, PhD, Director of Comprehensive Atrial Fibrillation Program at Brigham and Women's Hospital and Mansour Razminia, MD, Director of Cardiac Electrophysiology Amita St Joseph Hospital, is comprised of world-renowned physicians and leading Industry partners who are dedicated to supporting the mission of the Council.

The Council’s mission is to identify existing practice gaps and unmet needs as it relates to best practices for minimizing or eliminating radiation in the modern electrophysiology lab, and to support policy, enact initiatives and develop educational programming that bridges existing knowledge gaps, and fulfils unmet clinical needs.

The Council is committed to serving as a strong advocate for policy, guidelines, and procedural strategies that successfully decrease or eliminate fluoroscopy use within daily clinical practice.

 

Council Chairs

tmb webcast fluoro 2019 M Razminia

Mansour Razminia, MD
Director, Cardiac Electrophysiology
Amita St Joseph Hospital
Elgin, IL

tmb webcast fluoro 2019 Paul Zei

Paul C. Zei, MD, PhD
Director of Comprehensive Atrial Fibrillation Program
Brigham and Women's Hospital
Boston, MA

Dr. Mansour Razminia and Dr. Paul Zei are the editors of the textbook, Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias, which has been developed to assist the electrophysiologist and their team to safely and effectively work toward the significant reduction in fluoroscopy utilization while also likely improving procedural safety, i.e., fewer complications, after the adoption of these techniques.

tmb fluoro reduction bookThis practical guide:

  • Covers the entire spectrum of commonly (and less commonly) performed ablation procedures via endocardial approach.
  • Discusses general principles that are applicable across ICE and EAM platforms.
  • Will assist the electrophysiologist and their team to safely and effectively work toward the significant reduction in fluoroscopy utilization while also likely improving procedural safety, i.e., fewer complications, after the adoption of these techniques.
  • Includes a library of 50 videos, with 9 extended films (108 minutes) by Dr. Razminia detailing step-by-step procedures and techniques.

“An important text for all electrophysiologists, replete with crucial advice on the optimal use of nonfluoroscopic tools for better ablation safety and efficacy.”
-  Amin Al-Ahmad, MD

“I congratulate Drs. Razminia and Zei on a wonderful contribution to the electrophysiology literature that will foster continued advances in the field that will improve safety and outcomes. This book is a wonderful source of guidance toward that goal.”
-  William G. Stevenson, MD

Click Here for additional information about Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias, including table of contents, available formats, and ordering options.

Council Members

Council Chairs

   

Mansour Razminia, MD
Director, Cardiac Electrophysiology
Amita St Joseph Hospital
Elgin, IL

  Paul C. Zei, MD, PhD
Director of Comprehensive Atrial Fibrillation Program
Brigham and Women's Hospital
Boston, MA

Council Members

   

Amin Al-Ahmad, MD, FACC, FHRS
Texas Cardiac Arrhythmia Institute
Austin, TX

Jim W. Cheung, MD
Weil Cornell Medicine
New York, NY

John Clark, MD, FAAP
Akron Children’s Hospital
Akron, OH 

Hany Demo, MD
Swedish Covenant Medical Group
Chicago, IL

Oliver D'Silva, MD
Advocate Healtcare
Chicago, IL

Carola Gianni, MD, PhD
Texas Cardiac Arrhythmia Institute,
Austin, TX,  
University of Milan
Milan, Italy

Rodney Horton, MD
Texas Cardiac Arrhythmia Institute
Austin, TX

Ian Law, MD      
University of Iowa Stead Family Children’s Hospital
Iowa City, IA

Raman Mitra, MD, PHD, FACC
Beacon Health System
South Bend, IN

Sandeep Kumar Goyal, MD
Piedmont Healthcare
Atlanta, GA

 

Jose Osorio, MD
Grandview Medical Center
Birmingham, AL

Jose Mauricio Sanchez, MD
St. Luke’s Hospital
Saint Louis, MO 

Saurabh Shah, MD          
Advocate Heart Institute
Chicago, IL 

Philipp Sommer, MD, FHRS
Heart Center Leipzig
Leipzig, Germany

Srikanth Sundaram, MD
South Denver Cardiology
Denver, CO

Thomas Michael Tadros, MD
Brigham and Women’s Hospital
Boston, MA

Amit Thosani, MD             
Allegheny General Hospital
Pittsburgh, PA

Roderick Tung, MD, FHRS, FACC
The University of Chicago Medicine
Chicago, IL

Nicholas Von Bergen, MD
University of Wisconsin School of Medicine and Public Health
Madison, WI

Michael Cameron Willoughby, MD
McLaren Heart Rhythm Treatment
Clinton Township, MI

Initiatives

Introduction

Initiatives and educational campaigns crafted by the Council are enacted to advocate and verify rationale and methodologies for reducing or eliminating fluoroscopy use in the modern electrophysiology lab, with the ultimate objective of establishing a low- or zero-fluoro environment as the gold standard of care in the modern electrophysiology.

Council Initiatives

  • Webcasts
  • Educational Symposia
  • Step-by-Step Procedural Video Cases
  • Live Case Training and Proctorship Programs
  • FDA Engagement and Policy Advocacy
  • Practice Guidelines and Consensus Statements
  • White Papers and Manuscripts
  • Centers of Excellence Spotlights
  • Ask the Expert Interviews

 

 

Webcast Series

Fluoro Reduction Webcast Series Introduction

Catheter ablation has become a widely employed approach to treat various cardiac arrhythmias, with traditional approaches to catheter ablation procedures guided by fluoroscopic imaging to obtain catheter position during mapping leading to the deleterious effects of radiation exposure.
Based upon a principle tenet of the Council, which identifies fluoroscopy exposure to patient, operator, and staff as both a safety and ethical issue, the webcast series will explore a wide array of critical topics which thoroughly address the problematic nature of radiation exposure during EP cases, including evidence-based methodologies for successfully establishing a low- or zero-fluoro environment within the electrophysiology lab.

Upcoming Webcasts


Approaches to Catheter Ablation without the Use of Fluoroscopy
Panel Discussion & Case Reviews

Activity Description
This interactive and highly educational webcast will review the current state of fluoroscopy use in the EP lab, examine evidence for deleterious effects of fluoroscopy and lead apron use, and assess optimal approaches, clinical decision making strategies, and procedural techniques for achieving a low- or zero-fluoro environment. The webcast features a live Q&A session with the faculty, Dr. Mansour Razminia and Dr. Paul Zei.

Registration – Coming Soon

 


How to Use ICE to Reduce Fluoroscopy
Rationale & Stepwise Approaches

Activity Description
This interactive and highly educational webinar has been designed to provide a practical assessment of the rationale and best practices for using Intracardiac Echocardiography (ICE) to reduce fluoroscopy. The webcast features a live Q&A session with the faculty Dr. Mansour Razminia and Dr. Paul Zei.

Registration – Coming Soon

 


 

Contact

The Fluoro Reduction in the EP Lab Council has been established to serve as the preeminent advocate and educator for reducing or eliminating fluoroscopy use in the modern electrophysiology lab.

Please complete the following contact form to inquire about the Council, including its various initiatives and campaigns. A member of MediaSphere Medical, who is serving as the management company for the Council, will be in touch shortly regarding any inquiries.

Questions and Assistance

MediaSphere Medical, LLC
Telephone: 856-438-5385
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

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