{"id":"f84b2126aa95","type":"article","url":"https://hartvaat.nl/2026/02/26/fluoroscopieminimalisatie-bij-svt-ablatie-door-vrouwelijke-elektrofysiologen/","title":"Fluoroscopieminimalisatie bij SVT-ablatie door vrouwelijke elektrofysiologen","title_en":"","category":"atriumfibrilleren","category_label":"Atriumfibrilleren","professions":["cardioloog"],"tags":["acuut-hartfalen","aritmogene-cardiomyopathie","bloeddrukbehandeling","bradycardie","cardiale-resynchronisatie","elektrocardiografie","gedilateerde-cardiomyopathie","hfpef","hfref","holter","hypertrofische-cardiomyopathie","laminopathie","pulsed-field-ablatie-atriumfibrilleren","slaapapneu","supraventriculaire-tachycardie","ventriculaire-tachycardie","ventrikelfibrilleren","vericiguat"],"journal":"Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology","doi":"10.1093/europace/euag030","source_url":"https://doi.org/10.1093/europace/euag030","authors":["Sara Poggi","Marzia Giaccardi","Laura Cipolletta","Ana Jordan","Cheryl Teres","Laura Vitali Serdoz","Veronica Buia","Chiara Ghiglieno","Ilaria Meynet","Laura Valverde Soria","Martina Nesti","Silvia Garibaldi","Michela Casella","Raquel Adelino","Assunta Iuliano","Federica Torri","Alessia Agresta","Rosa Caruso","Federica Troisi","Valentina De Regibus","Valentina Mangiafico","Teresa Strisciuglio"],"significance":5,"published":"2026-04-06","source_date":"2026-02-26","image":"","kennis":["https://hartvaat.nl/kennis/ritmestoornissen/ecg-ritmestoornissen-herkenning/","https://hartvaat.nl/kennis/ritmestoornissen/katheterablatie-vt/"],"congress":"","summary_en":"The STOOP registry assessed radiation exposure of female electrophysiologists of reproductive age during catheter ablation of supraventricular tachycardia. Using a fluoroscopy minimisation strategy across 12 European centres, estimated annual occupational exposure remained well within safe limits.","created":"2026-07-03T10:32:42Z","updated":"2026-07-03T18:39:30Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Het STOOP-register onderzocht de stralingsbelasting van vrouwelijke elektrofysiologen in de reproductieve leeftijd bij katheterablatie van supraventriculaire tachycardie. Met een fluoroscopieminimalisatiestrategie bleef de geschatte jaarlijkse beroepsmatige blootstelling ruim binnen veilige grenzen. Dit multicenteronderzoek uit 12 Europese centra ondersteunt de haalbaarheid van lage-stralingsprocedures.","abstract_original":"BACKGROUND AND AIMS: Occupational exposure to ionizing radiation in electrophysiology may significantly affect the careers of women of reproductive age. The aim of the STOOP registry was to quantify the estimated yearly occupational radiation exposure of female electrophysiologists of reproductive age performing consecutive radiofrequency catheter ablation (RFCA) for supraventricular tachycardia (SVT) adopting a fluoroscopy-minimization strategy. METHODS: Twelve European centers participated. All procedures were performed with a fluoroscopy-minimization strategy, guided by 3D mapping systems and following the ALARA (As Low As Reasonably Achievable) principles. RESULTS: 710 RFCA procedures were performed by 32 operators (mean age38±7 years). Mean procedure time was 80±35 min, with a mean fluoroscopy time of 51±153 s. The mean operator annual dose-area product (DAP) was 46.7±79.5 Gycm², corresponding to an estimated mean annual effective dose of 9.34±15.9 µSV. In no case did the yearly effective dose reach the 1 mSv occupational limit for pregnancy. The mean DAP did not differ among operators, and was unaffected by operator experience or annual procedure volume. CONCLUSIONS: Performing SVT ablation with a fluoroscopy-minimization strategy results in operator radiation exposure far below the 1 mSv fetal dose constraint applicable once pregnancy is declared, irrespective of operator experience or case volume. These findings support the safety of continuing electrophysiology activity for women of reproductive age under modern fluoroscopy-free workflows."}