Research ExplorerPublicationsSpatial correction improves accuracy of catheter positioning...

Spatial correction improves accuracy of catheter positioning during ablation of premature ventricular contractions: differences between ventricular outflow tracts and other localizations

Standard

Spatial correction improves accuracy of catheter positioning during ablation of premature ventricular contractions: differences between ventricular outflow tracts and other localizations. / Nies, M; Schleberger, R; Dinshaw, L; Klatt, N; Muenkler, P; Jungen, C; Rottner, L; Lemoine, M D; Reißmann, B; Rillig, A; Metzner, A; Kirchhof, P; Meyer, C.

In: BMC CARDIOVASC DISOR, Vol. 22, No. 1, 312, 13.07.2022.

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

Harvard

Nies, M, Schleberger, R, Dinshaw, L, Klatt, N, Muenkler, P, Jungen, C, Rottner, L, Lemoine, MD, Reißmann, B, Rillig, A, Metzner, A, Kirchhof, P & Meyer, C 2022, 'Spatial correction improves accuracy of catheter positioning during ablation of premature ventricular contractions: differences between ventricular outflow tracts and other localizations', BMC CARDIOVASC DISOR, vol. 22, no. 1, 312. https://doi.org/10.1186/s12872-022-02741-3

APA

Nies, M., Schleberger, R., Dinshaw, L., Klatt, N., Muenkler, P., Jungen, C., Rottner, L., Lemoine, M. D., Reißmann, B., Rillig, A., Metzner, A., Kirchhof, P., & Meyer, C. (2022). Spatial correction improves accuracy of catheter positioning during ablation of premature ventricular contractions: differences between ventricular outflow tracts and other localizations. BMC CARDIOVASC DISOR, 22(1), [312]. https://doi.org/10.1186/s12872-022-02741-3

Vancouver

Nies M, Schleberger R, Dinshaw L, Klatt N, Muenkler P, Jungen C et al. Spatial correction improves accuracy of catheter positioning during ablation of premature ventricular contractions: differences between ventricular outflow tracts and other localizations. BMC CARDIOVASC DISOR. 2022 Jul 13;22(1). 312. https://doi.org/10.1186/s12872-022-02741-3

Bibtex

@article{59edce2f321549d2ae8295b9a78c3fe3,
title = "Spatial correction improves accuracy of catheter positioning during ablation of premature ventricular contractions: differences between ventricular outflow tracts and other localizations",
abstract = "BACKGROUND: Hybrid activation mapping is a novel tool to correct for spatial displacement of the mapping catheter due to asymmetrical contraction of myocardium during premature ventricular contractions (PVC). The aim of this study is to describe and improve our understanding of spatial displacement during PVC mapping as well as options for correction using hybrid activation mapping.METHODS AND RESULTS: We analyzed 5798 hybrid mapping points in 40 acquired hybrid maps of 22 consecutive patients (age 63 ± 16 years, 45% female) treated for premature ventricular contractions (PVCs). Median PVC-coupling interval was 552 ms (IQR 83 ms). Spatial displacement was determined by measuring the dislocation of the catheter tip during PVC compared to the preceding sinus beat. Mean spatial displacement was 3.8 ± 1.5 mm for all maps. The displacement was 1.3 ± 0.4 mm larger for PVCs with non-outflow-tract origin compared to PVCs originating from the ventricular outflow tracts (RVOT/LVOT; p = 0.045). Demographic parameters, PVC-coupling-interval and chamber of origin had no significant influence on the extent of spatial displacement.CONCLUSION: Ectopic activation of the ventricular myocardium during PVCs results in spatial displacement of mapping points that is significantly larger for PVCs with non-outflow-tract origin. The correction for spatial displacement may improve accuracy of radiofrequency current (RFC)-application in catheter ablation of PVCs.",
keywords = "Aged, Female, Humans, Male, Middle Aged, Catheter Ablation/adverse effects, Catheters, Heart Ventricles, Treatment Outcome, Ventricular Premature Complexes/diagnosis",
author = "M Nies and R Schleberger and L Dinshaw and N Klatt and P Muenkler and C Jungen and L Rottner and Lemoine, {M D} and B Rei{\ss}mann and A Rillig and A Metzner and P Kirchhof and C Meyer",
note = "{\textcopyright} 2022. The Author(s).",
year = "2022",
month = jul,
day = "13",
doi = "10.1186/s12872-022-02741-3",
language = "English",
volume = "22",
journal = "BMC CARDIOVASC DISOR",
issn = "1471-2261",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Spatial correction improves accuracy of catheter positioning during ablation of premature ventricular contractions: differences between ventricular outflow tracts and other localizations

AU - Nies, M

AU - Schleberger, R

AU - Dinshaw, L

AU - Klatt, N

AU - Muenkler, P

AU - Jungen, C

AU - Rottner, L

AU - Lemoine, M D

AU - Reißmann, B

AU - Rillig, A

AU - Metzner, A

AU - Kirchhof, P

AU - Meyer, C

N1 - © 2022. The Author(s).

PY - 2022/7/13

Y1 - 2022/7/13

N2 - BACKGROUND: Hybrid activation mapping is a novel tool to correct for spatial displacement of the mapping catheter due to asymmetrical contraction of myocardium during premature ventricular contractions (PVC). The aim of this study is to describe and improve our understanding of spatial displacement during PVC mapping as well as options for correction using hybrid activation mapping.METHODS AND RESULTS: We analyzed 5798 hybrid mapping points in 40 acquired hybrid maps of 22 consecutive patients (age 63 ± 16 years, 45% female) treated for premature ventricular contractions (PVCs). Median PVC-coupling interval was 552 ms (IQR 83 ms). Spatial displacement was determined by measuring the dislocation of the catheter tip during PVC compared to the preceding sinus beat. Mean spatial displacement was 3.8 ± 1.5 mm for all maps. The displacement was 1.3 ± 0.4 mm larger for PVCs with non-outflow-tract origin compared to PVCs originating from the ventricular outflow tracts (RVOT/LVOT; p = 0.045). Demographic parameters, PVC-coupling-interval and chamber of origin had no significant influence on the extent of spatial displacement.CONCLUSION: Ectopic activation of the ventricular myocardium during PVCs results in spatial displacement of mapping points that is significantly larger for PVCs with non-outflow-tract origin. The correction for spatial displacement may improve accuracy of radiofrequency current (RFC)-application in catheter ablation of PVCs.

AB - BACKGROUND: Hybrid activation mapping is a novel tool to correct for spatial displacement of the mapping catheter due to asymmetrical contraction of myocardium during premature ventricular contractions (PVC). The aim of this study is to describe and improve our understanding of spatial displacement during PVC mapping as well as options for correction using hybrid activation mapping.METHODS AND RESULTS: We analyzed 5798 hybrid mapping points in 40 acquired hybrid maps of 22 consecutive patients (age 63 ± 16 years, 45% female) treated for premature ventricular contractions (PVCs). Median PVC-coupling interval was 552 ms (IQR 83 ms). Spatial displacement was determined by measuring the dislocation of the catheter tip during PVC compared to the preceding sinus beat. Mean spatial displacement was 3.8 ± 1.5 mm for all maps. The displacement was 1.3 ± 0.4 mm larger for PVCs with non-outflow-tract origin compared to PVCs originating from the ventricular outflow tracts (RVOT/LVOT; p = 0.045). Demographic parameters, PVC-coupling-interval and chamber of origin had no significant influence on the extent of spatial displacement.CONCLUSION: Ectopic activation of the ventricular myocardium during PVCs results in spatial displacement of mapping points that is significantly larger for PVCs with non-outflow-tract origin. The correction for spatial displacement may improve accuracy of radiofrequency current (RFC)-application in catheter ablation of PVCs.

KW - Aged

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Catheter Ablation/adverse effects

KW - Catheters

KW - Heart Ventricles

KW - Treatment Outcome

KW - Ventricular Premature Complexes/diagnosis

U2 - 10.1186/s12872-022-02741-3

DO - 10.1186/s12872-022-02741-3

M3 - SCORING: Journal article

C2 - 35831801

VL - 22

JO - BMC CARDIOVASC DISOR

JF - BMC CARDIOVASC DISOR

SN - 1471-2261

IS - 1

M1 - 312

ER -