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European Heart Journal Advance Access published online on October 25, 2008
European Heart Journal, doi:10.1093/eurheartj/ehn495
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Image integration in 3D catheter mapping systems: proof of the pudding

Fred H.M. Wittkampf*

Divison of Heart and Lungs, University Medical Center Utrecht, The Netherlands

* Corresponding author. Tel: +31 30 2506184, Fax: +31 30 2505471, Email: fredwittkampf@mac.com

This editorial refers to ‘The impact of image integration on catheter ablation of atrial fibrillation using electroanatomic mapping: a prospective randomized study’ by P.M. Kistler et al. doi:10.1093/eurheartj/ehn453

The first 10% of the full text of this article appears below.

Pulmonary vein (PV) isolation can be performed at different levels in the ostium. Initially, segmental isolation, targeting individual strands of atrial myocardial tissue in PV ostia, was performed using the combination of a circular mapping catheter and a standard ablation catheter.1 In most centres, clinical success rates were moderate. Soon, however, it was recognized that wider encircling improved success and reduced complications.2 Additional ablation lines and substrate modification may further increase success, but may also create a substrate for left atrial flutters.3–5

The creation of a long continuous ablation line around a PV antrum using a single ablation electrode is technically challenging. Kistler et al. described . . . [Full Text of this Article]


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Related articles in EHJ:

The impact of image integration on catheter ablation of atrial fibrillation using electroanatomic mapping: a prospective randomized study
Peter M. Kistler, Kim Rajappan, Stuart Harris, Mark J. Earley, Laura Richmond, Simon C. Sporton, and Richard J. Schilling
EHJ 2008 29: 3029-3036. [Abstract] [FREE Full Text]