Cost Optimization When Using 3-D Mapping Systems for a Non-fluoroscopic EP Lab

  • Pablo Moriña Vazquez
  • Félix Ayala-ParedesEmail author


There is a wider adoption of 3-D mapping systems all around the world, to decrease (ALARA: as low as reasonable achievable) or to eliminate fluoroscopy in the electrophysiology (EP) lab. These systems need the use of proprietary either patches or catheters that increases the cost of the EP procedures. For arrhythmias involving the so-called complex substrates, it is now widely acceptable to use these 3-D mapping systems as a standard of care. Cost seems to be a barrier to expand 3-D mapping systems utilization to simple substrates or to all cases at the EP lab. We discuss different components of cost while using these systems, and we describe how we do manage to constraint cost to expand 3-D use to every substrate and to become a routine utilization in our EP lab.


Ablation Cost Cost optimization Radiofrequency Cryocatheter Cryoablation Non-fluoro Less-fluoro Zero-fluoro Fluoroscopy reduction 3-D mapping 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Arrhythmia and Pacing UnitHospital Juan Ramon JiménezHuelvaSpain
  2. 2.Division of CardiologyCentre Hospitalier Universitaire de SherbrookeSherbrookeCanada

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