Ventricular tachycardia arising from the papillary muscles and other endocavitary structures are preferably ablated under intracardiac echocardiographic (ICE) guidance whenever feasible. However, the availability, need of trained operators, and the expenses involved restrict the routine use of ICE in many cath labs. Point density exclusion (PDX) mapping is a simple technique that doesn't demand any additional expense or tool apart from the routine electroanatomical mapping and thus can be widely applied in mapping of arrhythmias arising from endocavitary structures. The following report describes such a case and explains the method of performing PDX mapping.
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http://dx.doi.org/10.1002/joa3.12606 | DOI Listing |
Prostate
May 2024
Department of Radiology, Case Western Reserve University, Cleveland, Ohio, USA.
Background: There is an increasing interest in using preclinical models for development and assessment of medical devices and imaging techniques for prostatic disease care. Still, a comprehensive assessment of the prostate's radiological anatomy in primary preclinical models such as dogs, rabbits, and mice utilizing human anatomy as a reference point remains necessary with no optimal model for each purpose being clearly defined in the literature. Therefore, this study compares the anatomical characteristics of different animal models to the human prostatic gland from the imaging perspective.
View Article and Find Full Text PDFJACC Clin Electrophysiol
September 2023
Cedars Sinai Heart Institute, Los Angeles, California, USA.
Background: The anatomical substrate for left posterior fascicular ventricular tachycardia (LPF-VT) is still unclear.
Objectives: The purpose of this study is to describe the endocavitary substrate of the re-entrant loop of LPF-VT.
Methods: A total of 26 consecutive patients with LPF-VT underwent an electrophysiology study and radiofrequency ablation.
J Clin Med
April 2023
National Key Laboratory for Innovation and Transformation of Luobing Theory, The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, Department of Cardiology, Qilu Hospital of Shandong University, Jinan 250012, China.
Objectives: The catheter ablation of ventricular arrhythmias (VAs) arising from the left ventricular (LV) papillary muscles (PMs) is challenging. This study sought to address whether the combination of intracardiac echocardiography (ICE) and contact force sensing (CFS) can improve the acute and long-term ablation outcomes of left ventricular papillary muscle arrhythmias.
Methods And Results: From May 2015 to August 2022, a total of thirty-three patients underwent catheter ablation for LV PM arrhythmias: VAs were located in anterolateral PMs in 11 and posteromedial PMs in 22.
Pacing Clin Electrophysiol
February 2023
Department of Cardio-Thoraco-Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Heart Rhythm O2
October 2022
Department of Cardiology, Westmead Hospital, Sydney, Australia; and Westmead Applied Research Centre, University of Sydney, New South Wales, Australia Department of Cardiology, Australia.
Intracardiac echocardiography (ICE) is increasingly used to facilitate catheter ablation of ventricular arrhythmias (VA). It allows intraprocedural recognition of myocardial substrate, optimization of catheter-tissue contact, identification of anatomical barriers to ablation, and early recognition of complications. In the era where the 3-dimensionality of substrate for VA is increasingly recognized, ICE is invaluable in identifying scar topography in the endocardial, midmyocardial, and epicardial layers.
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