Three-dimensional mapping in the electrophysiological laboratory

Arch Cardiovasc Dis. 2018 Jun-Jul;111(6-7):456-464. doi: 10.1016/j.acvd.2018.03.013. Epub 2018 Jun 7.

Abstract

Investigation and catheter ablation of cardiac arrhythmias are currently still based on optimal knowledge of arrhythmia mechanisms in relation to the cardiac anatomy involved, in order to target their crucial components. Currently, most complex arrhythmias are investigated using three-dimensional electroanatomical navigation systems, because these are felt to optimally integrate both the anatomical and electrophysiological features of a given arrhythmia in a given patient. In this article, we review the technical background of available three-dimensional electroanatomical navigation systems, and their potential use in complex ablations.

Keywords: Ablation; Activation; Arythmies; Cartographie; Mapping; Navigation; Radio fréquence; Système 3D; Three-dimensional electroanatomical system.

Publication types

  • Review

MeSH terms

  • Action Potentials
  • Arrhythmias, Cardiac / diagnosis*
  • Arrhythmias, Cardiac / physiopathology
  • Arrhythmias, Cardiac / surgery*
  • Catheter Ablation / adverse effects
  • Catheter Ablation / instrumentation
  • Catheter Ablation / methods*
  • Electrophysiologic Techniques, Cardiac* / instrumentation
  • Equipment Design
  • Heart Conduction System / physiopathology
  • Heart Conduction System / surgery*
  • Heart Rate
  • Humans
  • Imaging, Three-Dimensional* / instrumentation
  • Predictive Value of Tests
  • Treatment Outcome