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The concept of fluoroless atrial fibrillation (AF) ablation was first introduced approximately a decade ago. 1 Despite the availability of intracardiac echocardiography (ICE), and growing use of electroanatomic mapping (EAM) systems, both reliable visual modalities to perform transseptal and confirm catheter positioning and movement, respectively. Fluoroscopy continues to be considered an indispensable part of the procedure for most electrophysiologists. Worldwide adoption of catheter ablation (CA) as the standard therapy for symptomatic AF, better understanding of arrhythmia substrates, and technological advancements have led to an exponential increase in the number and complexity of AF ablation procedures in recent years. Along with this upsurge, the detrimental effects of radiation exposure to patients, physicians, and catheter laboratory staff 2–7 are now gaining increased consideration. Exposure to ionizing