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Electroanatomical Mapping

De
280 pages
Catheter ablation has become a mainstay in the therapy of cardiac arrhythmias. The development of electroanatomical mapping technologies (such as CARTO) has facilitated more complex ablation procedures.


This brand new book encompasses cardiac arrhythmias and practical tips for users of electroanatomical mapping, providing a color atlas of different arrhythmias, presented as cases, that have been carefully mapped and correlated with clinical and electrogram data.


Including maps from all the major mapping systems such as CARTO, NAVX, ESI, RPM as well as activation maps and voltage maps, this book is an ideal reference book and learning tool for electrophysiologists, electrophysiology fellows and electrophysiology laboratory staff.

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Contents
Contributors, ix Foreword, xii Dr Marchlinski 1 Electroanatomical mapping technologies, 1 Jeff Hsing, Paul J. Wang, Amin AlAhmad 2 Electroanatomical mapping for supraventricular tachycardias, 7 Pirooz Mofrad, Amin AlAhmad, Andrea Natale 3 The utility of electroanatomical mapping in catheter ablation of ventricular tachycardias, 17 Daejoon Anh, Henry H. Hsia, David J. Callans
Part I SVT cases 4 Electroanatomical mapping for AV nodal TM reentrant tachycardia using CARTO , 33 Henry A. Chen, Henry H. Hsia 5 Electroanatomical mapping for AV nodal TM reentrant tachycardia using NavX , 35 Henry A. Chen, Amin AlAhmad 6 Slow pathway ablation, 37 Robert Schweikert, Luigi Di Biase, Andrea Natale 7 Electroanatomical mapping for rightsided accessory pathway, 39 Henry A. Chen, Amin AlAhmad 8 Ablation of an accessory pathway: endocardial and epicardial mapping, 42 Robert Schweikert, Luigi Di Biase, Andrea Natale
 9 Focal atrial tachycardia, 44 Daejoon Anh, Henry H. Hsia 10 Electroanatomical mapping for right parahisian atrial tachycardia, 47 Rupa Bala 11 Right atrial tachycardia after ablation for inappropriate sinus tachycardia, 49 David Callans 12 Inappropriate sinus tachycardia, 51 Greg Feld 13 Focal left atrial tachycardia, 54 Sumeet K. Mainigi 14 Electroanatomic mapping of right atrial tricuspid annulus atrial tachycardia, 57 Pirooz Mofrad, Henry H. Hsia 15 Electroanatomical mapping of a leftsided atrial tachycardia, 59 Kevin J. Makati, N. A. Mark Estes III 16 Focal atrial tachycardia, 61 John Triedman 17 Ectopic atrial tachycardia, 65 George Van Hare 18 Electroanatomical mapping for scarbased reentrant atrial tachycardia, 67 Pirooz Mofrad, Amin AlAhmad 19 Atrial flutter in a patient postFontan, 70 Riccardo Cappato 20 Recurrent atrial flutter after isthmus ablation, 74 David Callans
v
PVC originating near aortic cusps, 159 Sumeet K. Mainigi
Right ventricular outflow tachycardia, 163 Kevin J. Makati, N. A. Mark Estes III
Electroanatomic mapping for left anterior fascicular ventricular tachycardia, 153 David Callans
Left ventricular tachycardia originating in basal diverticulum, 155 Sumeet K. Mainigi
Ablation of idiopathic RV ventricular tachycardia in an unusual location using EnSite mapping, 146 David Callans
Ablation of poorly inducible fascicular ventricular tachycardia, 149 Jason Jacobson
Electroanatomical mapping for ventricular premature complexes from the right ventricular outflow tract, 143 Henry A. Chen, Paul J. Wang
Right ventricular outflow tract polymorphic ventricular tachycardia, 165 Luis C. Sáenz, Miguel A. Vacca, Andrea Natale
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Part II VT cases 38 PVC and nonsustained ventricular tachycar dia baltion in a child, 141 George Van Hare
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viContents
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Macrareentrant atrial tachycardia in patient with a history of tetralogy of Fallot, 119 John Triedman
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Focal atrial tachycardia in a patient with a Fontan, 115 John Triedman
Macroreentry left atrial tachycardia, 109 Linda Huffer, William Stevenson
Electroanatomical mapping for incessant small macroreentrant left atrial tachycardia following catheter ablation of atrial fibrillation, 104 Hiroshi Nakagawa, Warren Jackman
Electroanatomic mapping for atrial flutter, 102 Pirooz Mofrad, Amin AlAhmad
Scarrelated intraatrial reentrant tachycardia, 99 Kevin J. Makati, N. A. Mark Estes III
Atypical atrial flutter following circumferential left atrial ablation, 96 James David Allred, Harish Doppalapudi, G. Neal Kay
Scarbased reentrant atrial tachycardia, 93 Henry Hsia
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Scarbased reentrant atrial tachycardia in a patient with congenital heart disease, 77 Ricarrdo Capato
A case of postMaze atrial flutter, 79 Tamer S. Fahmy, Andrea Natale
A case of atypical atrial flutter, 83 Tamer Fahmy, Dimpi Patel, Andrea Natale
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Spontaneous scarbased atypical and typical AFL, 87 Greg Feld
Double loop macroreentrant atrial tachycardia in a patient with tetralogy of Fallot, 123 John Triedman
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Left atrial flutter after pulmonary vein isolation, 91 Richard Hongo, Andrea Natale
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Atrial tachycardia in a patient postMustard procedure, 133 John Triedman
Atrial flutter in a patient postFontan, 128 John Triedman
Repeat interruption of ongoing atrial fibrillation during RF pulse delivery, 137 Riccardo Cappato
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Left aortic cusp ventricular tachycardia, 167 John Sussman
Ventricular tachycardia in patient with tetralogy of Fallot, 170 Dajoon Anh, Amin AlAhmad, Henry Hsia
Ventricular tachycardia in a patient with cardiac sarcoid, 172 Rupa Bala, David J. Callans
Ventricular tachycardia in an area of left ventricular noncompaction, 174 John Sussman
Ventricular tachycardia in a patient with arrhythmogenic right ventricular dysplasia, 177 Rupa Bala
Electroanatomical mapping for arrhythmogenic right ventricular dysplasia, 179 Henry Hsia
Epicardial mapping and ablation of nonischemic ventricular tachycardia, 182 James David Allred, Harish Doppalapudi, G. Neal Kay
Doubleoutlet right ventricle ventricular tachycardia, 185 James David Allred, Takumi Yamada, Harish Doppalapudi, Yung R. Lau, G. Neal Kay
Voltage mapping of the right ventricle in arrythmogenic right ventricular dysplasia, 189 Kevin J. Makati, N. A. Mark Estes III
Ventricular tachycardia related to arrhythmogenic right ventricular dysplasia, 191 Luis C. Sáenz, Miguel A. Vacca, Andrea Natale
Electroanatomic mapping for scarmediated right ventricular tachycardia, 196 Linda Huffer, William Stevenson
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Contentsvii
Postmyocardial infarction ventricular tachycardia, 203 John Sussman
Endocardial and epicardial ventricular tachycardia ablation, 206 Daejoon Anh, Paul C. Zei, Henry Hsia
Ablation of ventricular tachycardia in the setting of coronary artery disease using dynamic substrate mapping, 208 David Callans
Endocardial and epicardial mapping for ischemic ventricular tachycardia, 210 Tamer S. Fahmy, Oussama M. Wazni, Moataz Ali, Robert A. Schweikert, Andrea Natale
Electroanatomical mapping for ischemic ventricular tachycardia, 214 Henry Hsia
Electroanatomical mapping for scarbased reentrant ventricular tachycardia, 218 Henry A. Chen, Henry H. Hsia
Electroanatomical mapping for scarbased reentrant ventricular tachycardia, 221 Henry A. Chen, Henry H. Hsia
Epicardial mapping and ablation of ischemic ventricular tachycardia, 225 James David Allred, Harish Doppalapudi, G. Neal Kay
Substrate modification in hemodynamically unstable infarctrelated ventricular tachycardia, 229 Kevin J. Makati, N. A. Mark Estes III
Electroanatomic mapping for scarmediated left ventricular tachycardia, 232 Linda Huffer, William Stevenson
Ventricular tachycardia, endocardial and epicardial mapping, 238 Jonathan Sussman
viiiContents
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Endocardial and epicardial mapping for ventricular tachycardia in the setting of myocarditis, 241 David Callans
Multiple left ventricular basal ventricular tachycardias in a patient with dilated cardiomyopathy, 243 Jason Jacobsen
Epicardial ventricular tachycardia in a patient with nonischemic cardiomyopathy, 248 Rupa Bala
Part III Tips and tricks 72 Threedimensional mapping and navigation with the EnSite Array and NavX system, 253 Craig A. Swygman, Blair D. Halperin 73 CARTO XP: Tips and tricks, 262 William (Marty) Castell Index, 265