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Dr. Hildegard Kaulen is a molecular biologist. After stints at the Rockefeller University in New York and the Harvard Medical School in Boston, she moved to the field of freelance science journalism in the mid-1990s and contributes to numerous reputable daily newspapers and scientific journals. Contact dietrich.till@siemens.com No Complications, No Additional Costs The intelligent integration of the 3D map with the corresponding fluoro image supports the catheter’s intuitive navigation in the heart. What are the clinical results of its 40 consecutive cases? “We haven’t yet completed the evaluation process,” commented Dr. Deisenhofer, “so I can only provide a rough estimate. We anticipate that the exposure will be reduced by at least 50 percent. According to the fluoroscopy time and experience of an operator, he or she will be able to reduce the personal fluoroscopy time to probably half of the values. I expect this effect to be present for operators of all levels of experience.” Dr. Deisenhofer is not counting on it to save her time during interventions. The steep learning curve resulting from the software’s introduction pays off, as the integration of two technologies that were previously used in parallel blends seamlessly into clinical workflows. Another benefit: apart from the software’s acquisition, no other outlay is incurred. Dr. Deisenhofer deems the static nature of both map and fluoro image a possible limitation, as the heart’s pumping motion is not visible. The spatial stability could also prove problematic, although Dr. Deisenhofer has not observed any major deviations. Will the Profession Become More Appealing to Women? Will more women be attracted to the field of interventional electrophysiology if radiation load decreases? “That may well be the case,” said the electrophysiologist. “Many women are afraid of the exposure. I take a more relaxed approach, and also had positive role models. I know women who continued to ablate during their pregnancies after taking appropriate precautions. I did the same during mine.” Although EP is still a male dominated discipline, with new methods to help reduce radiation exposure, it should become more attractive for women. The EPIC Alliance, of which Dr. Deisenhofer and one hundred other female electrophysiologists are members, aims to attract more women to the specialty, supporting and promoting them via the network. In the long term, medicine just cannot afford to dispense with female talents in the field of electrophysiology. Cardiology CartoUnivu™ Module 50  AXIOM Innovations | December 2013 | www.siemens.com/angiography


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