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Erschienen in: Heart and Vessels 7/2021

28.01.2021 | Original Article

Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation

verfasst von: Kenichi Kaseno, Kanae Hasegawa, Shinsuke Miyazaki, Moe Mukai, Daisetsu Aoyama, Minoru Nodera, Koudai Hirano, Mika Otake, Ryouhei Nomura, Kousuke Miyahara, Rie Ishikawa, Akira Matsui, Junya Yamaguchi, Yuichiro Shiomi, Naoto Tama, Hiroyuki Ikeda, Yoshitomo Fukuoka, Kentaro Ishida, Hiroyasu Uzui, Hiroshi Tada

Erschienen in: Heart and Vessels | Ausgabe 7/2021

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Abstract

Reported mapping procedures of left atrial (LA) low-voltage areas (LVAs) vary widely. This study aimed to compare the PentaRay®/CARTO®3 (PentaRay map) and Orion™/Rhythmia™ (Orion map) systems for LA voltage mapping. This study included 15 patients who underwent successful pulmonary vein isolation (PVI) for atrial fibrillation. After PVI, PentaRay and Orion maps created for all patients were compared. LVAs were defined as sites with ≥ 3 adjacent low-voltage points < 0.5 mV. LVAs were indicated in 8 (53%) among 15 patients, and the average values of the measured LVAs was comparable between the systems (PentaRay map = 5.4 ± 8.7 cm2; Orion map = 4.3 ± 6.4 cm2, p = 0.69). However, in 2 of 8 patients with LVAs, the Orion map indicated LVAs at the septum and posterolateral sites of the LA, respectively, whereas the PentaRay map indicated no LVAs. In those patients, sharp electrograms of > 0.5 mV were properly recorded at the septum and posterolateral sites during appropriate beats in the PentaRay map. The PentaRay map had a shorter procedure time than the Orion map (12 ± 3 min vs. 23 ± 8 min, respectively; p < 0.01). Our study results showed a discrepancy in the LVA evaluation between the PentaRay and Orion maps. In 2 of 15 patients, the Orion map indicated LVAs at the sites where > 0.5-mV electrograms were properly recorded in the PentaRay map.
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Metadaten
Titel
Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation
verfasst von
Kenichi Kaseno
Kanae Hasegawa
Shinsuke Miyazaki
Moe Mukai
Daisetsu Aoyama
Minoru Nodera
Koudai Hirano
Mika Otake
Ryouhei Nomura
Kousuke Miyahara
Rie Ishikawa
Akira Matsui
Junya Yamaguchi
Yuichiro Shiomi
Naoto Tama
Hiroyuki Ikeda
Yoshitomo Fukuoka
Kentaro Ishida
Hiroyasu Uzui
Hiroshi Tada
Publikationsdatum
28.01.2021
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 7/2021
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-021-01773-7

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