Use of New Imaging CARTO® Segmentation Module Software to Facilitate Ablation of Ventricular Arrhythmias.
A New CARTO Software for Ablating Ventricular Arrhythmias Introduction A new imaging software (CARTO® Segmentation Module, Biosense Webster) allows preprocedural 3-D reconstruction of all heart chambers based on cardiac CT. We describe our initial experience with the new module during ablation of ve...
| Publicado en: | Journal of Cardiovascular Electrophysiology Vol. 28; no. 2; pp. 240 - 249 |
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| Autores principales: | , , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121236304&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121236304 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10453873 GSB jtl: Journal of Cardiovascular Electrophysiology issn: 10453873 maglogo: Y pubinfo: dt: Feb2017 vid: 28 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 121236304 121236304 121236304 10.1111/jce.13112 121236304 ppf: 240 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Use of New Imaging CARTO® Segmentation Module Software to Facilitate Ablation of Ventricular Arrhythmias. aug: au: TOVIA‐BRODIE, OHOLI BELHASSEN, BERNARD GLICK, AHARON SHMILOVICH, HAIM AVIRAM, GALIT ROSSO, RAPHAEL MICHOWITZ, YOAV affil: Department of Cardiology, Tel‐Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel‐Aviv University, Tel‐Aviv Israel sug: subj: Arrhythmia Heart Conduction System Software Body Surface Potential Mapping Catheter Ablation Coronary Vessels Electrocardiography Endocardium Heart Ventricle Human Pericardium Tachycardia, Ventricular Protocols Research Methodology ab: A New CARTO Software for Ablating Ventricular Arrhythmias Introduction A new imaging software (CARTO® Segmentation Module, Biosense Webster) allows preprocedural 3-D reconstruction of all heart chambers based on cardiac CT. We describe our initial experience with the new module during ablation of ventricular arrhythmias. Methods and Results Eighteen consecutive patients with idiopathic ventricular arrhythmias or ischemic ventricular tachycardia (VT) were studied. In the latter group, a combined endocardial and epicardial ablation was performed. Of the 14 patients with idiopathic arrhythmias, 12 were ablated in the outflow tract (OT), 1 in the midseptal left ventricle, and 1 at the left posterior fascicular area; acute successful ablation was achieved in 11 (78.6%) patients. The procedure was discontinued due to close proximity of the arrhythmia origin to the coronary arteries (CA) in 2 patients. Acute successful uncomplicated ablation was achieved in all 4 patients with ischemic VT. During ablation in the coronary cusps commissures, the CARTO® Segmentation Module accurately defined the cusps anatomy. The precise anatomic location provided by the module assisted in successfully ablating when information from activation mapping was not optimal, by ablating at the opposite side of the cusps. In addition, by demonstrating the precise location of the CA, it allowed safe ablation of arrhythmias that originated in close proximity to the CA both in the OT area and the epicardium, eliminating the need for repeat angiography. Conclusions The CARTO® Segmentation Module is useful for accurate definition of the exact anatomic location of ventricular arrhythmias and for safely ablating them especially in close proximity to the CA. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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