Ablation of atrial fibrillation using CT image integration

被引：2

作者：

Degener S. ^{[3
]}

Shin D.-I. ^{[1
,3
]}

Pattberg S.V. ^{[3
]}

Stamm I. ^{[2
]}

Tonnellier B. ^{[1
]}

Horlitz M. ^{[1
,3
,4
]}

机构：

[1] Abteilung für Klinische Elektrophysiologie und Rhythmologie, Kooperatives Kölner Herzzentrum Beidseits des Rheins, Krankenhaus Porz am Rhein Ggmbh, Cologne

[2] Zentrum für Nicht-invasive Kardiovaskuläre Diagnostik, Kardio-MR Cologne/Bonn, Krankenhaus Porz am Rhein Ggmbh, Cologne

[3] University Witten/Herdecke, Faculty of Medicine, Witten

[4] Abteilung für Klinische Elektrophysiologie und Rhythmologie, Kooperatives Kölner Herzzentrum Beidseits des Rheins, Krankenhaus Porz am Rhein Ggmbh, 51149 Cologne

来源：

Wiener Medizinische Wochenschrift | 2008年 / 158卷 / 5-6期

关键词：

Anatomic variation; Atrial fibrillation; Catheter ablation; Image integration;

D O I：

10.1007/s10354-007-0476-9

中图分类号：

学科分类号：

摘要：

In our case report we describe a catheter ablation in a patient with symptomatic, drug-refractory atrial fibrillation using the new CT image integrating mapping technology. Using image integration an arrhythmogenic right inferior pulmonary vein was revealed which was not found during conventional 3-dimensional mapping. Thereby we want to demonstrate potential impacts on safety and effectiveness of ablation strategies using an image integration technology, especially in cases of difficult anatomic variations. © Springer-Verlag 2007.

引用

页码：148 / 151

页数：3

共 10 条

[1]

Dong J., Dickfeld T., Dalal D., Cheema A., Vasamreddy C.R., Henrikson C.A., Marine J.E., Halperin H.R., Berger R.D., Lima J.A., Bluemke D.A., Calkins H., Initial experience in the use of integrated electroanatomic mapping with three-dimensional MR/CT images to guide catheter ablation of atrial fibrillation, J Cardiovasc Electrophysiol, 17, pp. 459-466, (2006)

[2]

Haissaguerre M., Jais P., Shah D.C., Takahashi A., Hocini M., Quiniou G., Garrigue S., Le Mouroux A., Le Metayer P., Clementy J., Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins, N Engl J Med, 339, pp. 659-666, (1998)

[3]

Horlitz M., Schley P., Shin D.I., Ghouzi A., Muller M., Sause A., Reiner C., Ketteler T., Klein R.M., Gulker H., Circumferential pulmonary vein ablation for treatment of atrial fibrillation using an irrigates-tip catheter, Am J Cardiol, 94, pp. 945-947, (2004)

[4]

McGavigan A.D., Kalman J.M., Atrial anatomy and imaging in atrial fibrillation ablation, J Cardiovasc Electrophysiol, 17, SUPPL. 3, pp. 8-15, (2006)

[5]

Schley P., Gulker H., Horlitz M., Atrio-oesophageal fistula following circumferential pulmonary vein ablation: Verification of diagnosis with multislice computed tomography, Europace, 8, pp. 189-190, (2006)

[6]

Kistler P.M., Earley M.J., Harris S., Abrams D., Ellis S., Sporton S.C., Schilling R.J., Validation of three-dimensional cardiac image integration: Use of integrated CT image into electroanatomic mapping system to perform catheter ablation of atrial fibrillation, J Cardiovasc Electrophysiol, 17, pp. 341-348, (2006)

[7]

Kistler P.M., Rajappan K., Jahngir M., Earley M.J., Harris S., Abrams D., Gupta D., Liew R., Ellis S., Sporton S.C., Schilling R.J., The impact of CT image integration into an electroanatomic mapping system on clinical outcomes of catheter ablation of atrial fibrillation, J Cardiovasc Electrophysiol, 17, pp. 1093-1101, (2006)

[8]

Lemola K., Sneider M., Desjardins B., Case I., Han J., Good E., Tamirisa K., Tsemo A., Chugh A., Bogun F., Pelosi Jr F., Kazerooni E., Morady F., Oral H., Computed Tomographic Analysis of the Anatomy of the Left Atrium and the Esophagus: Implications for Left Atrial Catheter Ablation, Circulation, 110, pp. 3655-3660, (2004)

[9]

Robbins I.M., Colvin E.V., Doyle T.P., Kemp W.E., Loyd J.E., McMahon W.S., Kay G.N., Pulmonary vein stenosis after catheter ablation of atrial fibrillation, Circulation, 98, pp. 1769-1775, (1998)

[10]

Jongbloed M.R., Bax J.J., Lamb H.J., Dirksen M.S., Zeppenfeld K., van der Wall E.E., de Roos A., Schalij M.J., Multisclice computed tomography versus intracardiac echocardiography to evaluate the pulmonary veins before radiofrequency catheter ablation of atrial fibrillation. A head-to-head comparison, J Am Coll Cardiol, 45, pp. 343-350, (2005)

← 1 →