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Erschienen in: Journal of Interventional Cardiac Electrophysiology 3/2020

27.08.2019 | Ventricular Tachycardia

Accuracy of cardiac ablation catheter guidance by means of a single equivalent moving dipole inverse algorithm to identify sites of origin of cardiac electrical activation

verfasst von: Wener Lv, Kichang Lee, Tatsuya Arai, Conor D. Barrett, Maysun M. Hasan, Alison M. Hayward, Robert P. Marini, Maya E. Barley, Anna Galea, Gordon Hirschman, Antonis A. Armoundas, Richard J. Cohen

Erschienen in: Journal of Interventional Cardiac Electrophysiology | Ausgabe 3/2020

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Abstract

We have developed a system that could potentially be used to identify the site of origin of ventricular tachycardia (VT) and to guide a catheter to that site to deliver radio-frequency ablation therapy. This system employs the Inverse Solution Guidance Algorithm based upon Single Equivalent Moving Dipole (SEMD) localization method. The system was evaluated in in vivo swine experiments. Arrays consisting of 9 or 16 bipolar epicardial electrodes and an additional mid-myocardial pacing lead were sutured to each ventricle. Focal tachycardia was simulated by applying pacing pulses to each epicardial electrode at multiple pacing rates during breath hold at the end-expiration phase. Surface potentials were recorded from 64 surface electrodes and then analyzed using the SEMD method to localize the position of the pacing electrodes. We found a close correlation between the locations of the pacing electrodes as measured in computational and real spaces. The reproducibility error of the SEMD estimation of electrode location was 0.21 ± 0.07 cm. The vectors between every pair of bipolar electrodes were computed in computational and real spaces. At 120 bpm, the lengths of the vectors in the computational and real space had a 95% correlation. Computational space vectors were used in catheter guidance simulations which showed that this method could reduce the distance between the real space locations of the emulated catheter tip and the emulated arrhythmia origin site by approximately 72% with each movement. We have demonstrated the feasibility of using our system to guide a catheter to the site of the emulated VT origin.
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Metadaten
Titel
Accuracy of cardiac ablation catheter guidance by means of a single equivalent moving dipole inverse algorithm to identify sites of origin of cardiac electrical activation
verfasst von
Wener Lv
Kichang Lee
Tatsuya Arai
Conor D. Barrett
Maysun M. Hasan
Alison M. Hayward
Robert P. Marini
Maya E. Barley
Anna Galea
Gordon Hirschman
Antonis A. Armoundas
Richard J. Cohen
Publikationsdatum
27.08.2019
Verlag
Springer US
Erschienen in
Journal of Interventional Cardiac Electrophysiology / Ausgabe 3/2020
Print ISSN: 1383-875X
Elektronische ISSN: 1572-8595
DOI
https://doi.org/10.1007/s10840-019-00605-z

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