Principles of electroanatomic mapping

Bhakta, Deepak and Miller, John M. (2008) Principles of electroanatomic mapping. Indian Pacing and Electrophysiology Journal, 8 (1). pp. 32-50. ISSN 0972-6292

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Abstract

Electrophysiologic testing and radiofrequency ablation have evolved as curative measures for a variety of rhythm disturbances. As experience in this field has grown, ablation is progressively being used to address more complex rhythm disturbances. Paralleling this trend are technological advancements to facilitate these efforts, including electroanatomic mapping (EAM). At present, several different EAM systems utilizing various technologies are available to facilitate mapping and ablation. Use of these systems has been shown to reduce fluoroscopic exposure and radiation dose, with less significant effects on procedural duration and success rates. Among the data provided by EAM are chamber reconstruction, tagging of important anatomic landmarks and ablation lesions, display of diagnostic and mapping catheters without using fluoroscopy, activation mapping, and voltage (or scar) mapping. Several EAM systems have specialized features, such as enhanced ability to map non-sustained or hemodynamically unstable arrhythmias, ability to display diagnostic as well as mapping catheter positions, and wide compatibility with a variety of catheters. Each EAM system has its strengths and weaknesses, and the system chosen must depend upon what data is required for procedural success (activation mapping, substrate mapping, cardiac geometry), the anticipated arrhythmia, the compatibility of the system with adjunctive tools (i.e. diagnostic and ablation catheters), and the operator's familiarity with the selected system. While EAM can offer significant assistance during an EP procedure, their incorrect or inappropriate application can substantially hamper mapping efforts and procedural success, and should not replace careful interpretation of data and strict adherence to electrophysiologic principles.

EPrint Type:Article
Uncontrolled Keywords:Ablation, Arrhythmia, Electrophysiologic Testing, Mapping, Mapping System, Electroanatomic Mapping
Subjects:Diagnosis > Diagnostic Techniques and Procedures > Diagnostic Techniques, Cardiovascular > Heart Function Tests > Heart Catheterization > Catheter Ablation
Therapeutics > Cautery > Electrocoagulation > Catheter Ablation
Diagnosis > Diagnostic Techniques and Procedures > Diagnostic Imaging
Physiological Processes > Electrophysiology
Biological Sciences > Anatomy
-Journal Repositories > Indian Pacing and Electrophysiology Journal
Cardiovascular Diseases > Heart Diseases > Arrhythmia
Therapeutics > Catheterization > Heart Catheterization > Catheter Ablation
Pathological Conditions, Signs and Symptoms > Pathologic Processes > Arrhythmia
ID Code:2744
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:18 March 2008

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