Utility of directional high-density mapping catheter (AdvisorTM HD Grid) in complex scar-related atrial tachycardia
Vern Hsen Tan1, Murphy Zhiyuan Lyu2, Peter Carlo Tan2
1Cardiology Department Changi General Hospital Singapore.
Insights
Mapping complex atrial tachycardias (AT) is difficult. The Advisor HD Grid catheter effectively identified critical signals in a challenging scar-related AT case, enabling successful ablation.
Area of Science:
- Electrophysiology
- Cardiac Mapping
- Catheter Ablation
Background:
- Scar-related atrial tachycardias (AT) pose significant mapping challenges.
- High-density (HD) mapping catheters are crucial for complex arrhythmia identification.
Observation:
- The Advisor HD Grid is a unique directional HD mapping catheter.
- It captures wavefront propagation direction, particularly in low-voltage zones.
Findings:
- In a complex scar-related AT case, the Advisor HD Grid revealed distinct fractionated signals at the isthmus.
- These signals were absent on the ablation catheter despite adequate contact force.
Implications:
- This directional HD mapping technology can improve AT mapping accuracy.
- It facilitates precise ablation targeting in challenging cardiac cases.
Abstract:
Mapping of scar-related atrial tachycardias (AT) can be challenging even with the use of high-density (HD) mapping catheter. AdvisorTM HD Grid is the only directional HD mapping catheter which not only identify local electrical signal but more importantly capture the direction of wave front propagation especially in low voltage zone. Accordingly, we present a case of complex scar-related AT with the use of AdvisorTM HD Grid which showed clear fractionated signal at isthmus area as compare to the absence of signal on ablation catheter at the same area despite adequate contact force. Ablation at this area terminated the tachycardia.
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