Pulmonary Vein Isolation with a Multielectrode Basket Catheter
نویسنده
چکیده
Pulmonary vein (PV) isolation (PVI) techniques have evolved as a curative treatment of atrial fibrillation (AF) since PVI guided by circumferential mapping with a circular catheter was initially proposed. A multielectrode basket catheter (MBC) is also useful for PVI because of some advantages; (1) an MBC provides some information about the PV anatomy on the fluoroscopic image, (2) an MBC can utilize the non-fluoroscopic navigation system, (3) an MBC enables the direct three-dimensional mapping around the PV ostium and antrum, (4) the distal electrodes of the MBC can be used to monitor some activation changes within the PV in real time and thereby indicate the effects of ablation at the ostium and antrum as radiofrequency lesions are created. PVI with an MBC is an effective and safe procedure to cure AF by integrating the PV anatomy and electrophysiology in combination with a non-fluoroscopic three-dimensional navigation system for the ablation catheter.
منابع مشابه
Multielectrode Pulmonary Vein Isolation Versus Single Tip Wide Area Catheter Ablation for Paroxysmal Atrial Fibrillation
Catheter ablation (CA) is an accepted treatment option for symptomatic atrial fibrillation (AF). Historically, CA has been performed with a point-by-point technique, using standard focal radiofrequency catheters and 3-dimensional (3D) navigation systems, with a procedural end point of electric pulmonary vein isolation (PVI). However, this CA approach requires advanced training and operator skil...
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