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[Electromagnetic interference in 3D-mapping procedures].

Fatih Güner¹, Patrick Leitz², Christian Ellermann²

¹Klinik für Kardiologie II-Rhythmologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland. fatih.guener@ukmuenster.de.

Herzschrittmachertherapie & Elektrophysiologie

|August 15, 2022

Summary

This summary is machine-generated.

Catheter ablation for cardiac arrhythmia is effective but challenging with implanted electronic devices. This review covers issues with 3D mapping systems and electromagnetic interference from pacemakers and defibrillators.

Keywords:

Cardiac pacemaker, artificial Electromagnetic interference Electromagnetic mapping Implantable cardioverter defibrillator Left ventricular support systems

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Area of Science:

Cardiology
Medical Imaging
Electrophysiology

Background:

Catheter ablation is a standard treatment for cardiac arrhythmia, demanding precise anatomical understanding.
Historically, fluoroscopy was the primary visualization tool, but 3D mapping systems emerged in the 1990s for non-fluoroscopic visualization.
Implantable electronic devices (pacemakers, defibrillators) are common in patients with ventricular arrhythmia.

Purpose of the Study:

To review the challenges and experiences associated with magnet-based 3D systems in catheter ablation.
To discuss the impact of implantable electromagnetic active cardiac devices on electrophysiological examinations and ablation procedures.
To highlight the complexities introduced by electromagnetic interference in arrhythmia treatment.

Main Methods:

Review of literature on catheter ablation, 3D mapping systems, and implantable electronic devices.
Analysis of adversities and clinical experiences related to electromagnetic interference.
Discussion of diagnostic and therapeutic complications in patients with co-existing conditions.

Main Results:

3D mapping systems significantly enhance catheter visualization and arrhythmia mechanism identification.
Implantable devices generate electromagnetic interference that can complicate electrophysiological assessments.
Magnet-based 3D systems may face specific challenges when interacting with active cardiac devices.

Conclusions:

Effective catheter ablation requires advanced 3D visualization, but implantable devices pose significant challenges.
Managing electromagnetic interference is crucial for successful and safe electrophysiological examinations and ablation procedures.
Further research and strategies are needed to optimize arrhythmia treatment in patients with cardiac implantable electronic devices.