Electroanatomical Mapping: An Atlas for Clinicians PDF
Preview Electroanatomical Mapping: An Atlas for Clinicians
Electroanatomical Mapping Electroanatomical Mapping: An Atlas for Clinicians Edited by Amin Al-Ahmad, David Callans,Henry Hsiaand Andrea Natale. © 2008 Blackwell Publishing. ISBN: 978-1-4051-5702-5 AAnnrreeaa__PPrreelliimmss..iinndddd ii 1122//2200//22000077 55::2277::1111 PPMM To wife and children for their love, support and patience and to my mother and father for their constant guidance” Amin Al-Ahmad “To my wife Linda, for her limitless support and understanding” Dave Callans “To my wife and my daughters Veronica and Eleonora for their unwa- vering love and support” Andrea Natale To my family, for their continuous support and guidance; To my parents for their encouragement and illumination. Henry H. Hsia, MD AAnnrreeaa__PPrreelliimmss..iinndddd iiii 1122//2200//22000077 55::2277::1122 PPMM Electroanatomical Mapping: An Atlas for Clinicians EDITED BY Amin Al-Ahmad, MD Cardiac Arrhythmia Service Stanford University Medical Center Stanford, CA USA David Callans, MD Cardiology Division Hospital of University of Pennsylvania Philadelphia, PA USA Henry Hsia, MD Cardiac Arrhythmia Service Stanford University Medical Center Stanford, CA USA Andrea Natale, MD Cardiac Arrhythmia Service Stanford University Medical Center Stanford, CA USA AAnnrreeaa__PPrreelliimmss..iinndddd iiiiii 1122//2200//22000077 55::2277::1122 PPMM © 2008 by Blackwell Publishing Blackwell Futura is an imprint of Blackwell Publishing Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Science Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia All rights reserved. No part of this publication may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without permission in writing from the publisher, except by a reviewer who may quote brief passages in a review. First published 2008 1 2008 ISBN: 978-1-4051-5702-5 Library of Congress Cataloging-in-Publication Data Electroanatomical mapping : an atlas for clinicians / edited by Amin Al-Ahmad ... [et al.]. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4051-5702-5 (alk. paper) 1. Arrhythmia–Imaging–Atlases. 2. Catheter ablation–Atlases. 3. Electrocardiography– Atlases. I. Al-Ahmad, Amin. [DNLM: 1. Arrhythmia–diagnosis–Atlases. 2. Arrhythmia–surgery–Atlases. 3. Catheter Ablation–methods–Atlases. 4. Electrophysiologic Techniques, Cardiac–methods–Atlases. 5. Image Processing, Computer-Assisted–methods–Atlases. WG 17 E38 2008] RC685.A65E435 2008 616.1’28–dc22 2007031203 A catalogue record for this title is available from the British Library Commissioning Editor: Gina Almond Development Editor: Fiona Pattison Editorial Assistant: Victoria Pitman Production Controller: Debbie Wyer Set in 9.5pt/12pt Minion by Newgen Imaging Systems (P) Ltd, Chennai, India Printed and bound in Singapore by Markono Print Media Pte Ltd For further information on Blackwell Publishing, visit our website: www.blackwellcardiology.com The publisher’s policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards. Blackwell Publishing makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check that any product mentioned in this publication is used in accordance with the prescribing information prepared by the manufac- turers. The author and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this book. AAnnrreeaa__PPrreelliimmss..iinndddd iivv 1122//2200//22000077 55::2277::1133 PPMM Contents Contributors, ix 9 Focal atrial tachycardia, 44 Daejoon Anh, Henry H. Hsia Foreword, xii Dr Marchlinski 10 Electroanatomical mapping for right para-hisian atrial tachycardia, 47 1 Electroanatomical mapping technologies, 1 Rupa Bala Jeff Hsing, Paul J. Wang, Amin Al-Ahmad 11 Right atrial tachycardia after ablation for 2 Electroanatomical mapping for inappropriate sinus tachycardia, 49 supraventricular tachycardias, 7 David Callans Pirooz Mofrad, Amin Al-Ahmad, Andrea Natale 12 Inappropriate sinus tachycardia, 51 Greg Feld 3 The utility of electroanatomical mapping in catheter ablation of ventricular 13 Focal left atrial tachycardia, 54 tachycardias, 17 Sumeet K. Mainigi Daejoon Anh, Henry H. Hsia, David J. Callans 14 Electroanatomic mapping of right atrial tricuspid annulus atrial tachycardia, 57 Part I SVT cases Pirooz Mofrad, Henry H. Hsia 4 Electroanatomical mapping for AV nodal 15 Electroanatomical mapping of a left-sided reentrant tachycardia using CARTOTM, 33 atrial tachycardia, 59 Henry A. Chen, Henry H. Hsia Kevin J. Makati, N. A. Mark Estes III 5 Electroanatomical mapping for AV nodal 16 Focal atrial tachycardia, 61 reentrant tachycardia using NavXTM, 35 John Triedman Henry A. Chen, Amin Al-Ahmad 17 Ectopic atrial tachycardia, 65 6 Slow pathway ablation, 37 George Van Hare Robert Schweikert, Luigi Di Biase, Andrea Natale 18 Electroanatomical mapping for scar-based reentrant atrial tachycardia, 67 7 Electroanatomical mapping for right-sided Pirooz Mofrad, Amin Al-Ahmad accessory pathway, 39 Henry A. Chen, Amin Al-Ahmad 19 Atrial fl utter in a patient post-Fontan, 70 Riccardo Cappato 8 Ablation of an accessory pathway: endocardial and epicardial mapping, 42 20 Recurrent atrial fl utter after isthmus Robert Schweikert, Luigi Di Biase, Andrea ablation, 74 Natale David Callans v AAnnrreeaa__PPrreelliimmss..iinndddd vv 1122//1122//22000077 66::1100::4411 PPMM vi Contents 21 Scar-based reentrant atrial tachycardia 34 Double loop macroreentrant in a patient with congenital heart atrial tachycardia in a patient with tetralogy disease, 77 of Fallot, 123 Ricarrdo Capato John Triedman 22 A case of post-Maze atrial fl utter, 79 35 Atrial fl utter in a patient post-Fontan, 128 Tamer S. Fahmy, Andrea Natale John Triedman 23 A case of atypical atrial fl utter, 83 36 Atrial tachycardia in a patient post-Mustard Tamer Fahmy, Dimpi Patel, procedure, 133 Andrea Natale John Triedman 24 Spontaneous scar-based atypical and 37 Repeat interruption of ongoing atrial typical AFL, 87 fi brillation during RF pulse delivery, 137 Greg Feld Riccardo Cappato 25 Left atrial fl utter after pulmonary vein Part II VT cases isolation, 91 Richard Hongo, Andrea Natale 38 PVC and nonsustained ventricular tachycar- dia baltion in a child, 141 26 Scar-based reentrant atrial George Van Hare tachycardia, 93 Henry Hsia 39 Electroanatomical mapping for ventricular premature complexes from the right 27 Atypical atrial fl utter following ventricular outfl ow tract, 143 circumferential left atrial ablation, 96 Henry A. Chen, Paul J. Wang James David Allred, Harish Doppalapudi, G. Neal Kay 40 Ablation of idiopathic RV ventricular tachycardia in an unusual location using 28 Scar-related intraatrial reentrant EnSite mapping, 146 tachycardia, 99 David Callans Kevin J. Makati, N. A. Mark Estes III 41 Ablation of poorly inducible fascicular 29 Electroanatomic mapping for ventricular tachycardia, 149 atrial fl utter, 102 Jason Jacobson Pirooz Mofrad, Amin Al-Ahmad 42 Electroanatomic mapping for left anterior 30 Electroanatomical mapping for fascicular ventricular tachycardia, 153 incessant small macroreentrant left atrial David Callans tachycardia following catheter ablation of atrial fi brillation, 104 43 Left ventricular tachycardia originating in Hiroshi Nakagawa, Warren Jackman basal diverticulum, 155 Sumeet K. Mainigi 31 Macroreentry left atrial tachycardia, 109 Linda Huffer, William Stevenson 44 PVC originating near aortic cusps, 159 Sumeet K. Mainigi 32 Focal atrial tachycardia in a patient with a Fontan, 115 45 Right ventricular outfl ow tachycardia, 163 John Triedman Kevin J. Makati, N. A. Mark Estes III 33 Macrareentrant atrial 46 Right ventricular outfl ow tract polymorphic tachycardia in patient with a history of ventricular tachycardia, 165 tetralogy of Fallot, 119 Luis C. Sáenz, Miguel A. Vacca, John Triedman Andrea Natale AAnnrreeaa__PPrreelliimmss..iinndddd vvii 1122//1122//22000077 66::1100::4411 PPMM Contents vii 47 Left aortic cusp ventricular 58 Post-myocardial infarction ventricular tachycardia, 167 tachycardia, 203 John Sussman John Sussman 48 Ventricular tachycardia in patient with 59 Endocardial and epicardial ventricular tetralogy of Fallot, 170 tachycardia ablation, 206 Dajoon Anh, Amin Al-Ahmad, Daejoon Anh, Paul C. Zei, Henry Hsia Henry Hsia 60 Ablation of ventricular tachycardia 49 Ventricular tachycardia in a patient with in the setting of coronary artery cardiac sarcoid, 172 disease using dynamic substrate Rupa Bala, David J. Callans mapping, 208 David Callans 50 Ventricular tachycardia in an area of left ventricular noncompaction, 174 61 Endocardial and epicardial mapping for John Sussman ischemic ventricular tachycardia, 210 Tamer S. Fahmy, Oussama M. Wazni, 51 Ventricular tachycardia in a patient Moataz Ali, Robert A. Schweikert, with arrhythmogenic right ventricular Andrea Natale dysplasia, 177 Rupa Bala 62 Electroanatomical mapping for ischemic ventricular tachycardia, 214 52 Electroanatomical mapping for Henry Hsia arrhythmogenic right ventricular dysplasia, 179 63 Electroanatomical mapping for Henry Hsia scar-based reentrant ventricular tachycardia, 218 53 Epicardial mapping and ablation of Henry A. Chen, Henry H. Hsia nonischemic ventricular tachycardia, 182 James David Allred, Harish Doppalapudi, 64 Electroanatomical mapping for G. Neal Kay scar-based reentrant ventricular tachycardia, 221 54 Double-outlet right ventricle ventricular Henry A. Chen, Henry H. Hsia tachycardia, 185 James David Allred, Takumi Yamada, 65 Epicardial mapping and ablation of Harish Doppalapudi, Yung R. Lau, ischemic ventricular tachycardia, 225 G. Neal Kay James David Allred, Harish Doppalapudi, G. Neal Kay 55 Voltage mapping of the right ventricle in arrythmogenic right ventricular 66 Substrate modifi cation in dysplasia, 189 hemodynamically unstable infarct-related Kevin J. Makati, N. A. Mark Estes III ventricular tachycardia, 229 Kevin J. Makati, N. A. Mark Estes III 56 Ventricular tachycardia related to arrhythmogenic right ventricular 67 Electroanatomic mapping for dysplasia, 191 scar-mediated left ventricular Luis C. Sáenz, Miguel A. Vacca, tachycardia, 232 Andrea Natale Linda Huffer, William Stevenson 57 Electroanatomic mapping for scar-mediated 68 Ventricular tachycardia, endocardial and right ventricular tachycardia, 196 epicardial mapping, 238 Linda Huffer, William Stevenson Jonathan Sussman AAnnrreeaa__PPrreelliimmss..iinndddd vviiii 1122//1122//22000077 66::1100::4411 PPMM viii Contents 69 Endocardial and epicardial mapping for Part III Tips and tricks ventricular tachycardia in the setting of 72 Three-dimensional mapping and myocarditis, 241 navigation with the EnSite Array and David Callans NavX system, 253 70 Multiple left ventricular basal Craig A. Swygman, Blair D. Halperin ventricular tachycardias in a patient with 73 CARTO XP: Tips and tricks, 262 dilated cardiomyopathy, 243 William (Marty) Castell Jason Jacobsen Index, 265 71 Epicardial ventricular tachycardia in a patient with nonischemic cardiomyopathy, 248 Rupa Bala AAnnrreeaa__PPrreelliimmss..iinndddd vviiiiii 1122//1122//22000077 66::1100::4411 PPMM Contributors Amin Al-Ahmad, MD William M. Castell, BS, RCIS Cardiac Electrophysiology and Arrhythmia Service Testamur NASPExAM AP/EP Stanford University Medical Center San Francisco, CA, USA Stanford, CA, USA Henry A. Chen, MD Moataz Aly, MD Cardiac Electrophysiology and Arrhythmia Service Assistant Lecturer Stanford University Medical Center Critical Care Department Stanford, CA, USA Cairo University, Cairo, Egypt and Luigi Di Biase, MD Research Fellow Research Fellow Section of Cardiac Electrophysiology and Pacing Department of Cardiovascular Medicine Department of Cardiovascular Medicine Section of Cardiac Electrophysiology and Pacing Cleveland Clinic Cleveland Clinic Cleveland, Cleveland, OH, USA OH, USA and James David Allred, MD University of Foggia Cardiac Electrophysiology Foggia, Italy Division of Cardiovascular Disease University of Alabama at Birmingham Harish Doppalapudi, MD Birmingham, AL, USA Assistant Professor of Medicine Division of Cardiovascular Disease Daejoon Anh, MD University of Alabama at Birmingham Cardiac Electrophysiology Fellow Birmingham, AL, USA Stanford University Stanford, CA, USA N. A. Mark Estes III, MD Professor of Medicine Rupa Bala, MD Tufts University School of Medicine The Electrophysiology Service Director, New England Cardiac Arrhythmia Center Cardiovascular Division Tufts-New England Medical Center University of Pennsylvania Health System Boston, MA, USA Philadelphia, PA, USA Tamer Fahmy, MD, PHD David J. Callans, MD, FACC, FHRS Cardiac Electrophysiology and Critical Care Medicine The Electrophysiology Service, Cardiovascular Division Critical Care Medicine Department University of Pennsylvania Health System Cairo University Hospitals Philadelphia, PA, USA CAI, Egypt Riccardo Cappato, MD Gregory K. Feld, MD Director Professor of Medicine Center of Clinical Arrhythmia and Electrophysiology Director, Cardiac Electrophysiology Program IRCCS Policlinico San Donato University of California San Diego Medical Center San Donato Milanese San Diego, Milan, Italy CA, USA ix x Contributors Blair Halperin, MD Sumeet K. Mainigi, MD Heart Rhythm Center Associate Director of Electrophysiology Providence St. Vincent Hospital Albert Einstein Medical Center Portland, OR, USA Philadelphia, PA, USA Richard Hongo, MD Cardiac Electrophysiology Pirooz Mofrad, MD Marin General Hospital Cardiac Electrophysiology and Arrhythmia Service San Francisco, CA, USA Stanford University Medical Center Stanford, CA, USA Henry H. Hsia, MD Cardiac Electrophysiology and Arrhythmia Service Hiroshi Nakagawa, MD, PHD Stanford University Medical Center Professor of Medicine Stanford, CA, USA Cardiac Arrhythmia Research Institute University of Oklahoma Health Sciences Centre Jeff Hsing, MD, MS Oklahoma City, OK, USA Division of Cardiovascular Medicine Stanford University Medical Center Andrea Natale, MD, FACC, FHRS Stanford, CA, USA Department of Cardiology Stanford University Linda L. Huffer, MD Palo Alto, CA, USA Walter Reed Army Medical Center Washington, DC, USA Dimpi Patel, DO Electrophysiology Research Fellow Warren M. Jackman, MD Section of Cardiac Electrophysiology and Pacing George Lynn Cross Research Professor Department of Cardiovascular Medicine Co-Director, Cardiac Arrhythmia Research Institute Cleveland Clinic University of Oklahoma Health Sciences Center Cleveland, Oklahoma City, OK, USA OH, USA Jason T. Jacobson, MD Luis C. Saenz Morales, MD Assistant Professor Cardiologist-Electrophysiologist Division of Cardiology Head of the Electrophysiology Service Department of Medicine at Northwestern University Fundacion Cardio Infantil-Instituto de Cardiologia Feinberg School of Medicine Bogota, Colombia Chicago, IL, USA Robert A. Schweikert, MD G. Neal Kay, MD Director, EP Clinical Operations Professor of Medicine Section of Cardiac Electrophysiology and Pacing Director, Clinical Cardiac Electrophysiology Department of Cardiovascular Medicine University of Alabama at Birmingham Cleveland Clinic Birmingham, AL, USA Cleveland, OH, USA Yung R. Lau, MD William Stevenson, MD Division of Pediatric Cardiology Professor of Medicine University of Alabama at Birmingham Harvard Medical School Birmingham, AL, USA Director, Clinical Cardiac Electrophysiology Program Brigham and Women’s Hospital Kevin J. Makati, MD Boston, MA, USA Fellow, Cardiac Electrophysiology Department of Cardiovascular Medicine Jonathan S. Sussman, MD Tufts University-New England Medical Center Cardiac Electrophysiology Clinical Associate Gagnon Heart Hospital Department of Medicine Morristown Memorial Hospital Tufts University School of Medicine Morristown, Boston, MA, USA NJ, USA
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