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4. Picano E. Informed consent and communication of risk from radiological and 8. De Ponti R. Reduction of radiation exposure in catheter ablation of atrial fibrilla-
nuclear medicine examinations: how to escape from a communication inferno. tion: lesson learned. World J Cardiol 2015;7:442 – 8.
BMJ 2004;329:849–51. 9. Wassef AW, Hiebert B, Ravandi A, Ducas J, Minhas K, Vo M et al. Radiation dose
5. McFadden SL, Mooney RB, Shepherd PH. X-ray dose and associated risks from reduction in the cardiac catheterization laboratory utilizing a novel protocol. JACC
radiofrequency catheter ablation procedures. Br J of Radiol 2002;75:253 –65. Cardiovasc Interv 2014;7:550 –7.
6. Hirshfeld JW Jr, Balter S, Brinker JA, Kern MJ, Klein LW, Lindsay BD et al. ACCF/ 10. Nof E, Lane C, Cazalas M, Cuchet-Soubelet E, Michaud GF, John RM et al. Reducing
AHA/HRS/SCAI clinical competence statement on physician knowledge to opti- radiation exposure in the electrophysiology laboratory: it is more than just fluor-
mize patient safety and image quality in fluoroscopically guided invasive cardiovas- oscopy times! Pacing Clin Electrophysiol 2015;38:136 –45.
cular procedures. A report of the American College of Cardiology Foundation/ 11. Udo EO, Zuithoff NP, van Hemel NM, de Cock CC, Hendriks T, Doevendans PA
American Heart Association/American College of Physicians Task Force on Clinical et al. Incidence and predictors of short- and long-term complications in pacemaker
Competence and Training. J Am Coll Cardiol 2004;44:2259 –82. therapy: the FOLLOWPACE study. Heart Rhythm 2012;9:728 –35.
7. Ector J, Dragusin O, Adriaenssens B, Huybrechts W, Willems R, Ector H et al. 12. Kirkfeldt RE, Johansen JB, Nohr EA, Jørgensen OD, Nielsen JC. Complications after
Obesity is a major determinant of radiation dose in patients undergoing pulmonary cardiac implantable electronic device implantations: an analysis of a complete,
vein isolation for atrial fibrillation. J Am Coll Cardiol 2007;50:234 – 42. nationwide cohort in Denmark. Eur Heart J 2014;35:1186 –94.
doi:10.1093/europace/eux048
IMAGES IN ELECTROPHYSIOLOGY Online publish-ahead-of-print 10 April 2017
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Right ventricular lead malposition
Justin Z. Lee*, David Wasserman, Siva K. Mulpuru
Pacing and Cardiac Electrophysiology, Department of Cardiology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, 85054 Arizona, USA
* Corresponding author. Tel: 1-480-301-4072. E-mail address: lee.justin1@mayo.edu