1. 3D Mapping for PVI- Geometry, Image Integration and Incorporation of Contact Force Into Work Flow
- Author
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Gerhard Hindricks, Martin Borlich, Krister Kuhnhardt, Philipp Sommer, Leon Iden, and Ingo Paetsch
- Subjects
Interventional treatment ,business.industry ,medicine.medical_treatment ,Catheter ablation ,030204 cardiovascular system & hematology ,Contact force ,Visualization ,03 medical and health sciences ,0302 clinical medicine ,Workflow ,3d mapping ,Human–computer interaction ,Medicine ,Work flow ,030212 general & internal medicine ,Cardiology and Cardiovascular Medicine ,business ,Image integration ,Featured Review - Abstract
Catheter ablation of atrial fibrillation has evolved enormously thanks to rapid improvement of modern mapping technologies, progress in catheter development and current possibilities for reduction of radiation exposure. Pulmonary vein isolation is thereby the cornerstone in this interventional treatment. Increased precision of catheter localization by modern three-dimensional mapping systems, faster and better processing of local electrograms and their immediate color-based visualization make it possible to treat even challenging arrhythmias very effectively. The commonly used three-dimensional mapping systems CARTO 3 (Biosense Webster, Irvine, Ca.) and Ensite Precision (St. Jude Medical, St. Paul, Min) differ in construction and principles of the underlying mapping technology. In this review article, we aim to emphasize the most important aspects of possibilities that make both systems so valuable for interventional treatment of atrial fibrillation. We present a modern workflow, that unites three-dimensional LA mapping with collecting relevant local information, image integration for refining the map and beneficial use of contact force based ablation approach.
- Published
- 2018