Catheter ablation of ventricular arrhythmias guided by the Advisor HD Grid catheter achieved acute success in 86% and short-term success in 73% of patients, with no procedural complications.
Observational (n=22)
Is catheter ablation guided by a high-density grid catheter and Precision EAM system safe and feasible for treating ventricular arrhythmias?
Abstract Introduction Minimal data exist on the Advisor HD Grid (HDG) catheter and the Precision electroanatomic mapping (EAM) system for ventricular arrhythmia (VA) procedures. Using the HDG catheter, the EAM uses the high‐density (HD) wave mapping and best duplicate software to compare the maximum peak‐to‐peak bipolar voltages within a small zone independent of wavefront direction and catheter orientation. This study aimed to summarize the procedural experience for VAs using the HDG catheter. Methods Clinical and procedural characteristics of VA ablation procedures were retrospectively reviewed that used the HDG catheter and the Precision EAM over a 12‐month period. Results A total of 22 patients, 18 with sustained ventricular tachycardia and 4 with premature ventricular contractions were included. Clinically indicated left and/or right ventricular (LV, RV, respectively), and aortic maps were created. LV substrate maps (n = 13) used a median 1700 points (interquartile range IQR 25%‐75% , 1427‐2412) out of a median 18 573 (IQR 25%‐75% , 15 713‐41 067) total points collected. RV substrate maps (n = 11) used a median 1435 points (IQR 25%‐75% , 1114‐1871) out of a median 16 005 (IQR 25%‐75% , 11 063‐21 405) total points collected. Total point utilization, used vs collected, was 9%. Mean mapping time was 43 ± 17 minutes (substrate, 34 ± 18 minutes; activation/pace mapping, 9 ± 13 minutes). Acute success was achieved in 56 (86%) and short‐term success achieved in 16 patients (73%) at a median follow‐up of 145 days (IQR 25%‐75% , 62‐273 days). There were no procedural complications. Conclusion HD wave mapping using the novel HDG catheter integrated with the Precision EAM is safe and feasible in VA procedures in the LV, RV, and aorta. Mapping times are consistent with other multielectrode mapping catheters.
Campbell et al. (Mon,) conducted a observational in Ventricular arrhythmia (n=22). Advisor HD Grid (HDG) catheter and Precision EAM system was evaluated on Acute success. Catheter ablation of ventricular arrhythmias guided by the Advisor HD Grid catheter achieved acute success in 86% and short-term success in 73% of patients, with no procedural complications.