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High‐resolution mapping and ablation of recurrent left lateral accessory pathway conduction
Author(s) -
Solimene Francesco,
Schillaci Vincenzo,
Shopova Gergana,
Maddaluno Francesco,
Malacrida Maurizio,
Stabile Giuseppe
Publication year - 2017
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2016.12.003
Subject(s) - ablation , medicine , catheter ablation , high resolution , radiofrequency catheter ablation , signal (programming language) , electrode , resolution (logic) , thermal conduction , catheter , biomedical engineering , radiology , cardiology , materials science , artificial intelligence , computer science , remote sensing , chemistry , composite material , programming language , geology
Proper localization of the anatomical target during ablation of the accessory pathways (AP) and the ability to detect clear AP potentials on the ablation catheter are crucial for successful AP ablation. We report a case of recurring AP conduction that was finally eliminated using a novel ablation catheter equipped with high‐resolution mini‐electrodes. Smaller and closer electrodes result in high mapping resolution with less signal averaging and cancellation effects. Owing to improved sensitivity, the new catheter seems effective in detecting fragmented and high frequency signals, thus allowing more effective radiofrequency application and improving ablation success.

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