High-resolution mapping and ablation of recurrent left lateral accessory pathway conduction
Proper localization of the anatomical target during ablation of the accessory pathways (AP) and the ability to detect clear AP potentials on the ablation catheter are crucial for successful AP ablation. We report a case of recurring AP conduction that was finally eliminated using a novel ablation ca...
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1880427617300017 |
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doaj-a46beb2974a343e2ade30a2859e3b0d62020-11-24T22:13:24ZengWileyJournal of Arrhythmia1880-42762017-08-0133432832910.1016/j.joa.2016.12.003High-resolution mapping and ablation of recurrent left lateral accessory pathway conductionFrancesco Solimene, MD0Vincenzo Schillaci, MD1Gergana Shopova, MD2Francesco Maddaluno, MS3Maurizio Malacrida, MS4Giuseppe Stabile, MD5Clinica Montevergine, Mercogliano, AV, ItalyClinica Montevergine, Mercogliano, AV, ItalyClinica Montevergine, Mercogliano, AV, ItalyBoston Scientific Italia, Milan, ItalyBoston Scientific Italia, Milan, ItalyClinica Mediterranea, Naples, ItalyProper localization of the anatomical target during ablation of the accessory pathways (AP) and the ability to detect clear AP potentials on the ablation catheter are crucial for successful AP ablation. We report a case of recurring AP conduction that was finally eliminated using a novel ablation catheter equipped with high-resolution mini-electrodes. Smaller and closer electrodes result in high mapping resolution with less signal averaging and cancellation effects. Owing to improved sensitivity, the new catheter seems effective in detecting fragmented and high frequency signals, thus allowing more effective radiofrequency application and improving ablation success.http://www.sciencedirect.com/science/article/pii/S1880427617300017Catheter ablationLeft lateral accessory pathwayHigh-resolution mappingMini-electrodes |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Francesco Solimene, MD Vincenzo Schillaci, MD Gergana Shopova, MD Francesco Maddaluno, MS Maurizio Malacrida, MS Giuseppe Stabile, MD |
spellingShingle |
Francesco Solimene, MD Vincenzo Schillaci, MD Gergana Shopova, MD Francesco Maddaluno, MS Maurizio Malacrida, MS Giuseppe Stabile, MD High-resolution mapping and ablation of recurrent left lateral accessory pathway conduction Journal of Arrhythmia Catheter ablation Left lateral accessory pathway High-resolution mapping Mini-electrodes |
author_facet |
Francesco Solimene, MD Vincenzo Schillaci, MD Gergana Shopova, MD Francesco Maddaluno, MS Maurizio Malacrida, MS Giuseppe Stabile, MD |
author_sort |
Francesco Solimene, MD |
title |
High-resolution mapping and ablation of recurrent left lateral accessory pathway conduction |
title_short |
High-resolution mapping and ablation of recurrent left lateral accessory pathway conduction |
title_full |
High-resolution mapping and ablation of recurrent left lateral accessory pathway conduction |
title_fullStr |
High-resolution mapping and ablation of recurrent left lateral accessory pathway conduction |
title_full_unstemmed |
High-resolution mapping and ablation of recurrent left lateral accessory pathway conduction |
title_sort |
high-resolution mapping and ablation of recurrent left lateral accessory pathway conduction |
publisher |
Wiley |
series |
Journal of Arrhythmia |
issn |
1880-4276 |
publishDate |
2017-08-01 |
description |
Proper localization of the anatomical target during ablation of the accessory pathways (AP) and the ability to detect clear AP potentials on the ablation catheter are crucial for successful AP ablation. We report a case of recurring AP conduction that was finally eliminated using a novel ablation catheter equipped with high-resolution mini-electrodes. Smaller and closer electrodes result in high mapping resolution with less signal averaging and cancellation effects. Owing to improved sensitivity, the new catheter seems effective in detecting fragmented and high frequency signals, thus allowing more effective radiofrequency application and improving ablation success. |
topic |
Catheter ablation Left lateral accessory pathway High-resolution mapping Mini-electrodes |
url |
http://www.sciencedirect.com/science/article/pii/S1880427617300017 |
work_keys_str_mv |
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1725801201694408704 |