Electroanatomical Mapping : An Atlas for Clinicians

by Editor: Amin Al-Ahmad (tanford University Medical Center); Editor: David J. Callans (University of Pennsylvania); Editor: Henry H. Hsia (Stanford University); Editor: Andrea Natale (Cleveland Clinic Foundation)

• ISBN13: 9781405157025
• ISBN10: 140515702X
• Edition: 1st
• Format: Hardcover
• Copyright: 2008-05-01
• Publisher: Wiley-Blackwell

Summary

Catheter ablation has become a mainstay in the therapy of cardiac arrhythmias. The development of electroanatomical mapping technologies (such as CARTO) has facilitated more complex ablation procedures.This brand new book encompasses cardiac arrhythmias and practical tips for users of electroanatomical mapping, providing a color atlas of different arrhythmias, presented as cases, that have been carefully mapped and correlated with clinical and electrogram data.Including maps from all the major mapping systems such as CARTO, NAVX, ESI, RPM as well as activation maps and voltage maps, this book is an ideal reference book and learning tool for electrophysiologists, electrophysiology fellows and electrophysiology laboratory staff.

Author Biography

Amin Al-Ahmad, MD
Cardiac electrophysiologist
Stanford University Medical Center
Stanford, CA, USA

David Callans, MD
Professor of Medicine
Director of the Electrophysiology Laboratory
University of Pennsylvania
Philadelphia, PA, USA

Henry H. Hsia, MD
Associate Professor of Medicine
Stanford University
Stanford, CA, USA

Andrea Natale, MD
Department of Cardiology
Stanford University Medical Center
Stanford, CA, USA

Table of Contents

Contributors	p. ix
Foreword	p. xii
Electroanatomical mapping technologies	p. 1
Electroanatomical mapping for supraventricular tachycardias	p. 7
The utility of electroanatomical mapping in catheter ablation of ventricular tachycardias	p. 17
SVT cases
Electroanatomical mapping for AV nodal reentrant tachycardia using CARTO	p. 31
Electroanatomical mapping for AV nodal reentrant tachycardia using NavX	p. 35
Slow pathway ablation	p. 37
Electroanatomical mapping for right-sided accessory pathway	p. 39
Ablation of an accessory pathway: endocardial and epicardial mapping	p. 42
Focal atrial tachycardia	p. 44
Electroanatomical mapping for right para-hisian atrial tachycardia	p. 47
Right atrial tachycardia after ablation for inappropriate sinus tachycardia	p. 49
Inappropriate sinus tachycardia	p. 51
Focal left atrial tachycardia	p. 54
Electroanatomic mapping of right atrial tricuspid annulus atrial tachycardia	p. 57
Electroanatomical mapping of a left-sided atrial tachycardia	p. 59
Focal atrial tachycardia	p. 61
Ectopic atrial tachycardia	p. 65
Electroanatomical mapping for scar-based reentrant atrial tachycardia	p. 67
Atrial flutter in a patient post-Fontan	p. 70
Recurrent atrial flutter after isthmus ablation	p. 74
Scar-based reentrant atrial tachycardia in a patient with congenital heart disease	p. 77
A case of post-Maze atrial flutter	p. 79
A case of atypical atrial flutter	p. 82
Spontaneous scar-based atypical and typical AFL	p. 87
Left atrial flutter after pulmonary vein isolation	p. 91
Scar-based reentrant atrial tachycardia	p. 93
Atypical atrial flutter following circumferential left atrial ablation	p. 96
Scar-related intraatrial reentrant tachycardia	p. 99
Electroanatomic mapping for atrial flutter	p. 102
Electroanatomical mapping for incessant small macroreentrant left atrial tachycardia following catheter ablation of atrial fibrillation	p. 104
Macroreentry left atrial tachycardia	p. 109
Focal atrial tachycardia in a patient with a Fontan	p. 115
Macrareentrant atrial tachycardia in patient with a history of tetralogy of Fallot	p. 119
Double loop macroreentrant atrial tachycardia in a patient with tetralogy of Fallot	p. 123
Atrial flutter in a patient post-Fontan	p. 128
Atrial tachycardia in a patient post-Mustard procedure	p. 133
Repeat interruption of ongoing atrial fibrillation during RF pulse delivery	p. 137
VT cases
PVC and nonsustained ventricular tachycardia baltion in a child	p. 139
Electroanatomical mapping for ventricular premature complexes from the right ventricular outflow tract	p. 143
Ablation of idiopathic RV ventricular tachycardia in an unusual location using EnSite mapping	p. 146
Ablation of poorly inducible fascicular ventricular tachycardia	p. 149
Electroanatomic mapping for left anterior fascicular ventricular tachycardia	p. 153
Left ventricular tachycardia originating in basal diverticulum	p. 155
PVC originating near aortic cusps	p. 159
Right ventricular outflow tachycardia	p. 163
Right ventricular outflow tract polymorphic ventricular tachycardia	p. 165
Left aortic cusp ventricular tachycardia	p. 167
Ventricular tachycardia in patient with tetralogy of Fallot	p. 170
Ventricular tachycardia in a patient with cardiac sarcoid	p. 172
Ventricular tachycardia in an area of left ventricular noncompaction	p. 174
Ventricular tachycardia in a patient with arrhythmogenic right ventricular dysplasia	p. 177
Electroanatomical mapping for arrhythmogenic right ventricular dysplasia	p. 179
Epicardial mapping and ablation of nonischemic ventricular tachycardia	p. 182
Double-outlet right ventricle ventricular tachycardia	p. 185
Voltage mapping of the right ventricle in arrythmogenic right ventricular dysplasia	p. 189
Ventricular tachycardia related to arrhythmogenic right ventricular dysplasia	p. 191
Electroanatomic mapping for scar-mediated right ventricular tachycardia	p. 196
Post-myocardial infarction ventricular tachycardia	p. 203
Endocardial and epicardial ventricular tachycardia ablation	p. 206
Ablation of ventricular tachycardia in the setting of coronary artery disease using dynamic substrate mapping	p. 208
Endocardial and epicardial mapping for ischemic ventricular tachycardia	p. 210
Electroanatomical mapping for ischemic ventricular tachycardia	p. 214
Electroanatomical mapping for scar-based reentrant ventricular tachycardia	p. 218
Electroanatomical mapping for scar-based reentrant ventricular tachycardia	p. 221
Epicardial mapping and ablation of ischemic ventricular tachycardia	p. 225
Substrate modification in hemodynamically unstable infarct-related ventricular tachycardia	p. 229
Electroanatomic mapping for scar-mediated left ventricular tachycardia	p. 232
Ventricular tachycardia, endocardial and epicardial mapping	p. 238
Endocardial and epicardial mapping for ventricular tachycardia in the setting of myocarditis	p. 241
Multiple left ventricular basal ventricular tachycardias in a patient with dilated cardiomyopathy	p. 243
Epicardial ventricular tachycardia in a patient with nonischemic cardiomyopathy	p. 248
Tips and tricks
Three-dimensional mapping and navigation with the EnSite Array and NavX system	p. 251
CARTO XP: Tips and tricks	p. 262
Index	p. 265
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