Introduction:

fluoroscopy has been the main navigation tool in electrophysiology for decades, but it has inherent risks to both patients and the medical team. Zero-fluoroscopy systems have been used for several years now and they show a safer profile, although their costs are of concern.

Material and methods:

in 2022, we collected information about patients selected for electrophysiological study and supraventricular arrhythmia ablation in our group in central Mexico City and presented them as a series of cases.

Results:

ten patients were treated without fluoroscopy or with minimal radiation exposure during the year. They were mostly young (43.6 ± 20.8 years old) female subjects (80%). The mean procedure duration time was 118 ± 17.1 minutes. There were no immediate complications, and all the procedures were successful regarding the elimination of the arrhythmia substrate.

Conclusions:

this is a small series of patients representing an initial approach in our community to introduce 0-F procedures with good results and within safe limits for patients and the medical team.