51. Future in Intracardiac Three-dimensional Mapping-Fluroscopy Integrated Sensor-Based Catheter Navigation: The MediGuide Technology

  1. Mohammad Shenasa MD2,
  2. Gerhard Hindricks MD3,
  3. Martin Borggrefe MD4,
  4. Günter Breithardt MD5 and
  5. Mark E. Josephson MD6
  1. Thomas Gaspar and
  2. Christopher Piorkowski

Published Online: 18 DEC 2012

DOI: 10.1002/9781118481585.ch51

Cardiac Mapping, Fourth Edition

Cardiac Mapping, Fourth Edition

How to Cite

Gaspar, T. and Piorkowski, C. (2013) Future in Intracardiac Three-dimensional Mapping-Fluroscopy Integrated Sensor-Based Catheter Navigation: The MediGuide Technology, 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.ch51

Editor Information

  1. 2

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

  2. 3

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

  3. 4

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

  4. 5

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

  5. 6

    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. Heart Center, Department of Electrophysiology, University of Leipzig, Leipzig, Germany

Publication History

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

ISBN Information

Print ISBN: 9780470670460

Online ISBN: 9781118481585



  • three-dimensional mapping systems;
  • catheter navigation;
  • atrial fibrillation ablation;
  • ventricular arrhythmias;
  • MediGuide system;
  • electrocardiograph;
  • cardiac cycle;
  • coronary sinus cannulation


Three-dimensional (3D) mapping systems have been introduced to facilitate catheter navigation during interventional treatment of complex arrhythmias. However, current technologies do not sufficiently compensate for respiratory, cardiac cycle and patient movement. A novel sensor-based electromagnetic 3D navigation system (MediGuide Technology, St. Jude Medical, Inc., St. Paul, MN, USA) has recently been introduced to offset these limitations. A transmitter-generated 3D electromagnetic field is the main component of the MediGuide technology. In this field, a miniaturized single coil sensor assembled within an intracardiac device such as a conventional electrophysiology catheter can be visualized and tracked non-fluoroscopically in prerecorded ciné loops. Unlike other 3D mapping systems, this technology provides online compensation for movement. After a feasibility study to validate the MediGuide System with respect to non-fluoroscopic catheter placement, respiratory, patient movement and cardiac cycle compensation, and accuracy of catheter visualization, the system has been used to facilitate catheter navigation during different electrophysiology procedures such as cavo-tricuspid isthmus, atrial fibrillation ablation and the treatment of ventricular arrhythmias.