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Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study

Standard

Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study. / Ventura, Rodolfo; Rostock, Thomas; Klemm, Hanno U; Lutomsky, Boris; Demir, Cagri; Weiss, Christian; Meinertz, Thomas; Willems, Stephan.

In: J CARDIOVASC ELECTR, Vol. 15, No. 10, 10.2004, p. 1157-1161.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Ventura, R, Rostock, T, Klemm, HU, Lutomsky, B, Demir, C, Weiss, C, Meinertz, T & Willems, S 2004, 'Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study', J CARDIOVASC ELECTR, vol. 15, no. 10, pp. 1157-1161. https://doi.org/10.1046/j.1540-8167.2004.04064.x

APA

Ventura, R., Rostock, T., Klemm, H. U., Lutomsky, B., Demir, C., Weiss, C., Meinertz, T., & Willems, S. (2004). Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study. J CARDIOVASC ELECTR, 15(10), 1157-1161. https://doi.org/10.1046/j.1540-8167.2004.04064.x

Vancouver

Ventura R, Rostock T, Klemm HU, Lutomsky B, Demir C, Weiss C et al. Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study. J CARDIOVASC ELECTR. 2004 Oct;15(10):1157-1161. https://doi.org/10.1046/j.1540-8167.2004.04064.x

Bibtex

@article{36113fbf4d0a47348fb8bbe45f5af3c7,
title = "Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study",
abstract = "INTRODUCTION: EnSite NavX (NavX) is a novel mapping and navigation system that allows visualization of conventional catheters for diagnostic and ablative purposes and uses them to create a three-dimensional (3D) geometry of the heart. NavX is particularly suitable for ablation procedures utilizing an anatomic approach, as in the setting of common-type atrial flutter (AFL). The aim of this study was to compare NavX-guided and conventional ablation procedures for AFL.METHODS AND RESULTS: Forty consecutive patients (32 male, 59 +/- 12 years) with documented AFL were randomized to undergo fluoroscopy-guided (group I, 20 patients) or NavX-guided (group II, 20 patients) ablation, including 3D isthmus reconstruction. The same catheter setup was used in both groups. The endpoint of bidirectional isthmus block was obtained in all patients. Compared to conventional approaches, NavX-guided procedures significantly reduced fluoroscopy time (5.1 +/- 1.4 min vs 20 +/- 11 min, P < 0.01) and total x-ray exposure (5.1 +/- 3.1 Gycm2 vs 24.9 +/- 1.6 Gycm2, P < 0.01). Isthmus geometry reconstruction could be performed in all patients of group II. In 4 patients (20%) of group II, anatomic isthmus variations were detected by NavX. No significant differences in radiofrequency current applications and procedural times were found between the two groups.CONCLUSION: NavX technology allows geometry reconstruction of the cavotricuspid isthmus. NavX-guided ablation of AFL reduces total x-ray exposure compared to the fluoroscopy-guided approach but does not prolong procedure time.",
keywords = "Atrial Flutter/surgery, Catheter Ablation/instrumentation, Female, Fluoroscopy, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies",
author = "Rodolfo Ventura and Thomas Rostock and Klemm, {Hanno U} and Boris Lutomsky and Cagri Demir and Christian Weiss and Thomas Meinertz and Stephan Willems",
year = "2004",
month = oct,
doi = "10.1046/j.1540-8167.2004.04064.x",
language = "English",
volume = "15",
pages = "1157--1161",
journal = "J CARDIOVASC ELECTR",
issn = "1045-3873",
publisher = "Wiley-Blackwell",
number = "10",

}

RIS

TY - JOUR

T1 - Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study

AU - Ventura, Rodolfo

AU - Rostock, Thomas

AU - Klemm, Hanno U

AU - Lutomsky, Boris

AU - Demir, Cagri

AU - Weiss, Christian

AU - Meinertz, Thomas

AU - Willems, Stephan

PY - 2004/10

Y1 - 2004/10

N2 - INTRODUCTION: EnSite NavX (NavX) is a novel mapping and navigation system that allows visualization of conventional catheters for diagnostic and ablative purposes and uses them to create a three-dimensional (3D) geometry of the heart. NavX is particularly suitable for ablation procedures utilizing an anatomic approach, as in the setting of common-type atrial flutter (AFL). The aim of this study was to compare NavX-guided and conventional ablation procedures for AFL.METHODS AND RESULTS: Forty consecutive patients (32 male, 59 +/- 12 years) with documented AFL were randomized to undergo fluoroscopy-guided (group I, 20 patients) or NavX-guided (group II, 20 patients) ablation, including 3D isthmus reconstruction. The same catheter setup was used in both groups. The endpoint of bidirectional isthmus block was obtained in all patients. Compared to conventional approaches, NavX-guided procedures significantly reduced fluoroscopy time (5.1 +/- 1.4 min vs 20 +/- 11 min, P < 0.01) and total x-ray exposure (5.1 +/- 3.1 Gycm2 vs 24.9 +/- 1.6 Gycm2, P < 0.01). Isthmus geometry reconstruction could be performed in all patients of group II. In 4 patients (20%) of group II, anatomic isthmus variations were detected by NavX. No significant differences in radiofrequency current applications and procedural times were found between the two groups.CONCLUSION: NavX technology allows geometry reconstruction of the cavotricuspid isthmus. NavX-guided ablation of AFL reduces total x-ray exposure compared to the fluoroscopy-guided approach but does not prolong procedure time.

AB - INTRODUCTION: EnSite NavX (NavX) is a novel mapping and navigation system that allows visualization of conventional catheters for diagnostic and ablative purposes and uses them to create a three-dimensional (3D) geometry of the heart. NavX is particularly suitable for ablation procedures utilizing an anatomic approach, as in the setting of common-type atrial flutter (AFL). The aim of this study was to compare NavX-guided and conventional ablation procedures for AFL.METHODS AND RESULTS: Forty consecutive patients (32 male, 59 +/- 12 years) with documented AFL were randomized to undergo fluoroscopy-guided (group I, 20 patients) or NavX-guided (group II, 20 patients) ablation, including 3D isthmus reconstruction. The same catheter setup was used in both groups. The endpoint of bidirectional isthmus block was obtained in all patients. Compared to conventional approaches, NavX-guided procedures significantly reduced fluoroscopy time (5.1 +/- 1.4 min vs 20 +/- 11 min, P < 0.01) and total x-ray exposure (5.1 +/- 3.1 Gycm2 vs 24.9 +/- 1.6 Gycm2, P < 0.01). Isthmus geometry reconstruction could be performed in all patients of group II. In 4 patients (20%) of group II, anatomic isthmus variations were detected by NavX. No significant differences in radiofrequency current applications and procedural times were found between the two groups.CONCLUSION: NavX technology allows geometry reconstruction of the cavotricuspid isthmus. NavX-guided ablation of AFL reduces total x-ray exposure compared to the fluoroscopy-guided approach but does not prolong procedure time.

KW - Atrial Flutter/surgery

KW - Catheter Ablation/instrumentation

KW - Female

KW - Fluoroscopy

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Prospective Studies

U2 - 10.1046/j.1540-8167.2004.04064.x

DO - 10.1046/j.1540-8167.2004.04064.x

M3 - SCORING: Journal article

C2 - 15485440

VL - 15

SP - 1157

EP - 1161

JO - J CARDIOVASC ELECTR

JF - J CARDIOVASC ELECTR

SN - 1045-3873

IS - 10

ER -