37. The Use of Multi-electrode Catheters for Electroanatomical Mapping of Atrial Fibrillation

  1. Mohammad Shenasa MD3,
  2. Gerhard Hindricks MD4,
  3. Martin Borggrefe MD5,
  4. Günter Breithardt MD6 and
  5. Mark E. Josephson MD7
  1. Moussa Mansour1 and
  2. Jeremy N. Ruskin2

Published Online: 18 DEC 2012

DOI: 10.1002/9781118481585.ch37

Cardiac Mapping, Fourth Edition

Cardiac Mapping, Fourth Edition

How to Cite

Mansour, M. and Ruskin, J. N. (2013) The Use of Multi-electrode Catheters for Electroanatomical Mapping of Atrial Fibrillation, in Cardiac Mapping, Fourth Edition (eds M. Shenasa, G. Hindricks, M. Borggrefe, G. Breithardt and M. E. Josephson), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118481585.ch37

Editor Information

  1. 3

    Attending Physician, Department of Cardiovascular Services, O'Connor Hospital, Heart & Rhythm Medical Group, San Jose, California, USA

  2. 4

    Professor of Medicine (Cardiology), University Leipzig, Heart Center, Director, Department of Electrophysiology, Leipzig, Germany

  3. 5

    Professor of Medicine (Cardiology), Head, Department of Cardiology, Angiology and Pneumology, University Medical Center, Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany

  4. 6

    Professor Emeritus of Medicine and Cardiology, Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany

  5. 7

    Chief, Cardiovascular Medicine Division, Director, Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Deaconess Medical Center, Herman C. Dana Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. 1

    Cardiac Electrophysiology Laboratory, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA

  2. 2

    Cardiac Arrhythmia Service, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA

Publication History

  1. Published Online: 18 DEC 2012
  2. Published Print: 10 JAN 2013

ISBN Information

Print ISBN: 9780470670460

Online ISBN: 9781118481585

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Keywords:

  • electroanatomical maps;
  • computed tomography;
  • magnetic resonance images;
  • atrial fibrillation;
  • catheter ablation;
  • spiral mapping catheter;
  • complex fractionated electrogram;
  • premature atrial beats

Summary

Electroanatomical maps acquisition using focal single-electrode catheters is lengthy and also limited by the small number of points contained in these maps. Multi-electrode catheters such as the circular, the multi-spine and the spiral catheters allow the acquisition of anatomical and electrical information from multiple electrodes simultaneously. This permits the rapid creation of maps that contain a large number of points. Studies have demonstrated that anatomical left atrial maps acquired using these catheters contain accurate details comparable to the computed tomography and magnetic resonance images. Moreover, these catheters have been shown to facilitate the mapping of focal and reentrant arrhythmias, premature beats, gaps along ablation lines, complex fractionated electrograms and regional activation during atrial fibrillation.