Key result
Integrating noninvasive 3D electrocardiographic imaging and invasive mapping successfully guides VT ablation with 0 recurrences.
Case Report (n=1)
No
Noninvasive 3D electrocardiographic imaging mapping using ECG, chest electrode imaging, and CMR can be integrated with 3D mapping systems to localize VT origin and guide ablation.
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Supports feasibility of integrated noninvasive ECG imaging for VT ablation in one case; leaves open prospective validation before clinical use.
A 33-year-old woman presented with sustained monomorphic ventricular tachycardia (VT). The 12-lead electrocardiogram, 3-dimensional (3D) picture of chest electrodes, and cardiac magnetic resonance were used to create a noninvasive 3D electrocardiographic imaging map to identify the most likely site of VT origin. This map was integrated with a 3D mapping system to aid in VT ablation. (Level of Difficulty: Advanced.)
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Nguyen et al. (2021) conducted a case report in Sustained monomorphic ventricular tachycardia (n=1). Noninvasive 3D electrocardiographic imaging map (VIVO system) integrated with CARTO was evaluated on Successful ablation and freedom from VT recurrence. Integration of a noninvasive 3D electrocardiographic imaging map with an invasive electroanatomic mapping system successfully guided ventricular tachycardia ablation with no recurrences at 6 months.
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