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.

Journal of Arrhythmia
|February 20, 2020
PubMed

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.

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