AIMS: The purpose of this study was to compare, in a prospective and operator-blinded fashion, the mapping accuracy of the three-dimensional (3D) electro-anatomical image integration and phased array intracardiac echocardiography (ICE) as a real-time imaging modality. METHODS AND RESULTS: Prospectively, 18 patients undergoing pulmonary vein antrum isolation (PVAI) were included. Patients underwent a cardiac computerized tomography scan to define PV and left atrial (LA) anatomy. Image segmentation and integration was performed by CARTOMERGE, followed by 3D volume rendering and image integration. Error profiles between ICE-guided to CARTO and CARTO-guided to ICE were performed in an operator-blinded fashion over PV predetermined points. All patients underwent successful PVAI. The mean age was 55 +/- 10 years, with a mean LA size of 4.5 +/- 0.3 cm. CARTOMERGE-guided catheter positioning was subject to spatial errors on the order of 0.5-1.0 cm relative to ICE imaging, with greatest magnitude near the LA appendage (LAA) and least near the RIPV. The magnitude of spatial error between these two methods is demonstrable regardless of the choice of reference. CONCLUSION: During electro-anatomical mapping of the LA, CARTO-guided navigation is associated with considerable spatial error relative to anatomic features as identified by ICE. Adjunctive real-time imaging is needed to ensure accurate delivery of radiofrequency lesions.
AIMS: The purpose of this study was to compare, in a prospective and operator-blinded fashion, the mapping accuracy of the three-dimensional (3D) electro-anatomical image integration and phased array intracardiac echocardiography (ICE) as a real-time imaging modality. METHODS AND RESULTS: Prospectively, 18 patients undergoing pulmonary vein antrum isolation (PVAI) were included. Patients underwent a cardiac computerized tomography scan to define PV and left atrial (LA) anatomy. Image segmentation and integration was performed by CARTOMERGE, followed by 3D volume rendering and image integration. Error profiles between ICE-guided to CARTO and CARTO-guided to ICE were performed in an operator-blinded fashion over PV predetermined points. All patients underwent successful PVAI. The mean age was 55 +/- 10 years, with a mean LA size of 4.5 +/- 0.3 cm. CARTOMERGE-guided catheter positioning was subject to spatial errors on the order of 0.5-1.0 cm relative to ICE imaging, with greatest magnitude near the LA appendage (LAA) and least near the RIPV. The magnitude of spatial error between these two methods is demonstrable regardless of the choice of reference. CONCLUSION: During electro-anatomical mapping of the LA, CARTO-guided navigation is associated with considerable spatial error relative to anatomic features as identified by ICE. Adjunctive real-time imaging is needed to ensure accurate delivery of radiofrequency lesions.
Authors: Sean D Pokorney; Bradley G Hammill; Laura G Qualls; Benjamin A Steinberg; Lesley H Curtis; Jonathan P Piccini Journal: Am J Cardiol Date: 2014-05-02 Impact factor: 2.778
Authors: Roberto De Ponti; Raffaella Marazzi; Domenico Lumia; Giuseppe Picciolo; Roberto Biddau; Carlo Fugazzola; Jorge A Salerno-Uriarte Journal: World J Cardiol Date: 2010-08-26
Authors: Douglas N Stephens; Matthew O'Donnell; Kai Thomenius; Aaron Dentinger; Douglas Wildes; Peter Chen; K Kirk Shung; Jonathan Cannata; Pierre Khuri-Yakub; Omer Oralkan; Aman Mahajan; Kalyanam Shivkumar; David J Sahn Journal: J Ultrasound Med Date: 2009-02 Impact factor: 2.153
Authors: Ragnar Olafsson; Russell S Witte; Congxian Jia; Sheng-Wen Huang; Kang Kim; Matthew O'Donnell Journal: IEEE Trans Ultrason Ferroelectr Freq Control Date: 2009-03 Impact factor: 2.725