Progress in Catheter Ablation

1. Front Matter

   Pages i-xvii

   PDF

2. Challenges in Catheter Ablation

   1. Front Matter

      Pages 1-1

      PDF

   2. The Arrhythmogenic Substrate in Ischemic and Non-ischemic Cardiomyopathies

      • Ruben Coronel, Antonius Baartscheer, Johannes M. E. Rademaker, Jessica T. Vermeulen, Jacques M. T. de Bakker

      Pages 3-11

   3. Anatomy and Electrophysiology of the AV Junction and Coronary Sinus

      • David L. Ross

      Pages 13-28

   4. Anatomy of the Tricuspid Cavo Isthmus

      • Anton. E. Becker

      Pages 29-38

   5. Arrhythmias Following Repair of Congenital Heart Disease

      • George F. Van Hare

      Pages 39-57

   6. Catheter Mapping and Ablation Technology

      • L. Bing Liem

      Pages 59-62

3. Newer Mapping Techniques

   1. Front Matter

      Pages 63-63

      PDF

   2. Utility of Orthogonal Electrodes in Radiofrequency Ablation

      • Bruce N. Goldreyer

      Pages 65-77

   3. Mapping Techniques in Patients with Paroxysmal Atrial Fibrillation Originating from the Pulmonary Vein

      • Shih-Ann Chen, Ching-Tai Tai, Chin-Feng Tsai, Ming-Hsiung Hsieh, Yu-An Ding, Mau-Song Chang

      Pages 79-92

   4. Pulmonary Venous Angiography

      • Angelo A. V. De Paola, Roberto L. Farias, Almino C. Rocha Neto

      Pages 93-104

   5. Ultrasonic Guidance for Radiofrequency Ablation

      • John D. Hummel

      Pages 105-123

   6. Mapping Using the Localisa System

      • Fred H. M. Wittkampf

      Pages 125-135

   7. Electroanatomical Mapping Using the CARTO® System

      • L. Bing Liem

      Pages 137-148

   8. Three Dimensional Reconstruction (CARTO®) in Patients with Congenital Heart Disease

      • Joachim Hebe

      Pages 149-186

   9. Endocardial Mapping Using Real Time Three Dimensional Ultrasound-Ranging Tracking System

      • L. Bing Liem, N. Parker Willis

      Pages 187-202

   10. Endocardial Contact Mapping Using Multipolar Basket Electrode Catheters

       • Eugene Downar, Stéphane Massé, Elias Sevaptsidis, Mei-Hao Shi, Menashe B. Waxman

       Pages 203-223

   11. Endocardial Global Noncontact Mapping (EnSiteTM)

       • Bradley P. Knight, Fred Morady

       Pages 225-240

   12. Endocardial Non-contact Mapping in Pediatric and Grown up Congenital Heart Arrhythmias

       • Tim R. Betts, John M. Morgan

       Pages 241-270

4. Newer Ablation Approaches and Modalities

   1. Front Matter

      Pages 271-271

      PDF

Catheter ablation is widely accepted as an effective and safe form of therapy for cardiac arrhythmia. In many instances this curative procedure is considered as the first line of therapy if not the ultimate treatment of choice. With the use of radiofrequency (RF) modality; which has revolutionized the technology from a barotraumatic, potentially injurious procedure using high­ voltage, direct-current (DC) shock to a safe and relatively painless one; catheter ablation procedure now carries a very low risk and is extremely effective for certain types of arrhythmia. Its efficacy rate in curing supraventricular tachycardia involving an accessory pathway or dual atrioventricular nodal pathways has been near perfect and its application for certain types of atrial and ventricular arrhythmia have also been very satisfactory. However, conventional RF ablation has several well known limitations, most notably is its ability to only produce relatively small, point lesions; rendering it effective only for an arrhythmia with a small and/or a superficial target. It was soon recognized that the technology would not likely to have significant utility in arrhythmia with a more widespread target such as atrial fibrillation or those which involve scarred and deep myocardial tissue such as ventricular tachycardia. Indeed, the application of conventional RF technology in these complex but common arrhythmia has yielded unsatisfactory results.

• Ablation
• anatomy
• angiography
• atrial fibrillation
• congenital heart disease
• electrophysiology
• heart
• pathophysiology
• physiology
• ultrasound

• Stanford University, Stanford, USA

  Liong Bing Liem

• Experimental Cardiac Electrophysiology, Stanford University Medical Center, Stanford, USA

  Liong Bing Liem

• University of Toronto, Toronto, Canada

  Eugene Downar

• Invasive Cardiac Electrophysiology, Toronto General Hospital, Toronto, Canada

  Eugene Downar

Policies and ethics