Evaluation of 3D guided electroanatomic mapping for ablation of atrial fibrillation in reference to CT-Scan image integration

Chillou, Christian de; Andronache, Marius; Abdelaal, Ahmed; Ernst, Y; Magnin‐Poull, Isabelle; Magdi, Mohamed; Ning, Zengping; Tissier, S.; Mandry, Damien; Barbary, C.; Régent, D; Aliot, Étienne

doi:10.1007/s10840-008-9300-8

Cited by 12 publications

(9 citation statements)

References 11 publications

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“…Procedural technique has evolved since the first description of AF ablation by Haissaguerre et al 1 Nowadays, a nonfluoroscopic 3D electroanatomical system is often used to assist catheter guidance and save fluoroscopy time 14 . A cardiac CT scan is routinely performed in some centers prior to the procedure to better define the atrial anatomy and to identify the size, number, and orientation of the PV 4,15–17 . Images obtained may be exported into a 3D system.…”

Section: Discussionmentioning

confidence: 99%

Incidental Extracardiac Findings in Cardiac Computed Tomography Performed before Radiofrequency Ablation of Atrial Fibrillation

Martins

Mureşan

Sellal³

et al. 2011

Pacing Clinical Electrophis

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Section: Discussionmentioning

confidence: 99%

Incidental Extracardiac Findings in Cardiac Computed Tomography Performed before Radiofrequency Ablation of Atrial Fibrillation

Martins

Mureşan

Sellal³

et al. 2011

Pacing Clinical Electrophis

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“…This was achieved by performing the 3-dimensional reconstruction of the MDCT images (segmentation) and then aligning the 3-dimensional MDCT images with the NavX system (registration). [4][5][6][7][8] Fiducial point pairs were created on the NavX system, by an operator identifying and selecting anatomic locations by ICE imaging. The fiducial points were then matched on the MDCT model to the same anatomic area.…”

Section: Imagingmentioning

confidence: 99%

Results of Cryoenergy and Radiofrequency-Based Catheter Ablation for Treating Ventricular Arrhythmias Arising From the Papillary Muscles of the Left Ventricle, Guided by Intracardiac Echocardiography and Image Integration

Rivera

Ricapito

Linkevičius

et al. 2016

Circ: Arrhythmia and Electrophysiology

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T he papillary muscles (PMs) from the left ventricle (LV) have been shown to be a potential site of origin of ventricular arrhythmias (VAs) in patients with and without structural heart disease.1 Catheter ablation has been described as an effective treatment for these arrhythmias, although radiofrequency delivery at these regions has been associated with poor manipulation and catheter stability compared with other VAs. 2 See Editorial by Latchamsetty and BogunPrevious data on catheter cryoablation of PMs VAs showed high-success and low complication rates. 3 There is yet no data available comparing results of both cryoenergy and radiofrequency for catheter cryoablation of PM-related arrhythmias.This study compares procedural outcomes and recurrence rate after catheter cryoablation or radiofrequency ablation for the treatment of ventricular tachycardia (VT) and premature ventricular complexes (PVCs) localized at the PMs of the LV, with the aid of intracardiac echocardiography (ICE) and image integration. MethodsA total of 21 patients with recurrent VAs originating at the PMs of the LV were identified from retrospective review of 189 consecutive patients (men 52%, age 44 years, range 28-54 years) with symptomatic sustained VT (n=58), nonsustained VT (n=40), or PVC (n=91) referred for catheter ablation to the Buenos Aires Cardiovascular Institute (Buenos Aires, Argentina) between January 2014 and January 2016. Scar-related VT was observed in 45 patients (24%). The sites of origin of idiopathic VAs included the right ventricular (RV) outflow tract in 82 (43%), aortomitral continuity in 24 (13%), posteromedial PM (PMPM) in 19 (10%), anterolateral PM (ALPM) in 3 (1.5%), aortic root in 3 (1.5%), fascicles of the left bundle branch in 2 (1%), mitral annulus in 1 (0.5%), and other sites in 11 (6%). This study retrospectively included 21 patients with symptomatic, drug refractory, and single morphology VAs originated at the PMs of the LV. The institutional review committee approved the study and © 2016 American Heart Association, Inc. Circ Arrhythm Electrophysiol Original ArticleBackground-Catheter radiofrequency ablation of ventricular arrhythmias (VAs) arising from the left ventricle's papillary muscles has been associated with inconsistent results. The use of cryoenergy versus radiofrequency has not been compared yet. This study compares outcomes and complications of catheter ablation of VA from the papillary muscles of the left ventricle with either cryoenergy or radiofrequency. Methods and Results-Twenty-one patients (40±12 years old; 47% males; median ejection fraction 59±7.3%) with drug refractory premature ventricular contractions or ventricular tachycardia underwent catheter cryoablation or radiofrequency ablation. VAs were localized using 3-dimensional mapping, multidetector computed tomography, and intracardiac echocardiography, with arrhythmia foci being mapped at either the anterolateral papillary muscle or posteromedial papillary muscles of the left ventricle. Focal ablation was performed using an 8-mm cryoa...

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“…Although multidetector computed tomography (MDCT) is frequently used to assess PV and LA anatomy, electrocardiography (ECG)‐gated and ‐nongated 64‐MDCT expose patients to higher radiation doses and volumes of contrast media.…”

Section: Introductionmentioning

confidence: 99%

The Clinical Value of Nongated Dual‐Source Computed Tomography in Atrial Fibrillation Catheter Ablation

Iwayama

Arimoto

Ishigaki

et al. 2015

Cardiovasc electrophysiol

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Evaluation of 3D guided electroanatomic mapping for ablation of atrial fibrillation in reference to CT-Scan image integration

Cited by 12 publications

References 11 publications

Incidental Extracardiac Findings in Cardiac Computed Tomography Performed before Radiofrequency Ablation of Atrial Fibrillation

Incidental Extracardiac Findings in Cardiac Computed Tomography Performed before Radiofrequency Ablation of Atrial Fibrillation

Results of Cryoenergy and Radiofrequency-Based Catheter Ablation for Treating Ventricular Arrhythmias Arising From the Papillary Muscles of the Left Ventricle, Guided by Intracardiac Echocardiography and Image Integration

The Clinical Value of Nongated Dual‐Source Computed Tomography in Atrial Fibrillation Catheter Ablation

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