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Pulmonary Vein Isolation using a High Density Mesh Ablator Catheter: incorporation of three-dimensional navigation and mapping

We evaluated the use of a novel High Density Mesh Ablator (HDMA) catheter in combination with three-dimensional navigation for the treatment of paroxysmal atrial fibrillation.
The HDMA catheter was used to carry out pulmonary vein isolation in a consecutive series of patients. Three-dimensional geometry of the left atrial-pulmonary vein (LA-PV) junctions were first created with the HDMA catheter. Ostial, proximal and distal sites within the pulmonary veins were tagged with catheter shadows on the created geometry to allow for re-interrogation of these exact sites after ablation.
The HDMA catheter was successfully used to create three dimensional geometry of the LA-PV junction in a total of 20 pulmonary veins which involved 5 patients. In all cases, ostial ablation alone was sufficient to achieve electrical isolation. No significant pulmonary vein stenosis was seen acutely after ablation.
We describe the successful use of the novel HDMA catheter to create three-dimensional geometry of the LA-PV junction to assist with pulmonary vein isolation.

Credits: Dr Jiun Tuan, MBChB, MRCP; Dr Mohamed Jeilan, MBChB, MRCP; Dr Faizel Osman, MBChB, MD, MRCP; Dr Suman Kundu, MBChB, MRCP; Dr Rajkumar Mantravadi, MBBS, PhD MRCP; Dr Peter J Stafford, MBChB, MD, FRCP; Dr G André Ng, MBChB, PhD, FRCP(Glasg), FRCP(London)

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Introduction to AFib
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