Efficacy of Commonly Used 3D Mapping Systems in Acute Success Rates of Catheter Ablation Procedures.

IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Heart International Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI:10.17925/HI.2024.18.1.3
George Bazoukis, Khaled Elkholey, Stavros Stavrakis, E Kevin Heist, Antonis A Armoundas
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Abstract

Introduction: This systematic review aims to summarize the procedural arrhythmia termination rates in catheter ablation (CA) procedures of atrial or ventricular arrhythmias using the commonly used mapping systems (CARTO, Rhythmia and EnSite/NavX). Materials and Methods: A systematic search in MEDLINE and Cochrane databases through February 2021 was performed. Results: With regard to atrial fibrillation ablation procedures, acute success rates ranged from 15.4 to 96.0% and 9.1 to 100.0% using the CARTO and EnSite/NavX mapping systems, respectively; acute atrial tachycardia (AT) termination to sinus rhythm ranged from 75 to 100% using the CARTO system. The acute success rate for different types of AT ranged from 75 to 97% using Rhythmia, while the NavX mapping system was also found to have excellent efficacy in the setting of AT, with acute arrhythmia termination rates ranging from 73 to 99%. With regard to ventricular tachycardia, in the setting of ischaemic cardiomyopathy, acute success rates ranged from 70 to 100% using CARTO and 64% using EnSite/NavX systems. The acute success rate using the Rhythmia system ranged from 61.5 to 100.0% for different clinical settings. Conclusions: Mapping systems have played a crucial role in high-density mapping and the observed high procedural success rates of atrial and ventricular CA procedures. More data are needed for the comparative efficacy of mapping systems in acute arrhythmia termination, across different clinical settings.

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常用 3D 映像系统对导管消融手术急性成功率的影响。
导言:本系统性综述旨在总结使用常用绘图系统(CARTO、Rhythmia 和 EnSite/NavX)进行房性或室性心律失常导管消融术(CA)的程序性心律失常终止率。材料与方法:对截至 2021 年 2 月的 MEDLINE 和 Cochrane 数据库进行了系统检索。结果关于心房颤动消融术,使用 CARTO 和 EnSite/NavX 映像系统的急性成功率分别为 15.4% 至 96.0% 和 9.1% 至 100.0%;使用 CARTO 系统的急性房性心动过速 (AT) 终止至窦性心律的成功率为 75% 至 100%。使用 Rhythmia 系统治疗不同类型房性心动过速的急性成功率在 75% 到 97% 之间,而 NavX 绘图系统在治疗房性心动过速方面也有很好的疗效,急性心律失常终止率在 73% 到 99% 之间。至于室性心动过速,在缺血性心肌病的情况下,使用 CARTO 系统的急性成功率为 70% 至 100%,使用 EnSite/NavX 系统的急性成功率为 64%。在不同的临床环境下,使用 Rhythmia 系统的急性成功率从 61.5% 到 100.0% 不等。结论:制图系统在高密度制图以及观察到的心房和心室 CA 手术的高成功率中发挥了至关重要的作用。在不同的临床环境下,需要更多数据来比较映射系统在急性心律失常终止中的疗效。
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来源期刊
Heart International
Heart International Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.90
自引率
0.00%
发文量
9
审稿时长
7 weeks
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