Pulmonary Vein Isolation using a High Density Mesh Ablator Catheter: incorporation of three-dimensional navigation and mapping

Citation :Dr Jiun Tuan, Dr Mohamed Jeilan, Dr Faizel Osman, Dr Suman Kundu, Dr Rajkumar Mantravadi, Dr Peter J Stafford, Dr G Andre Ng.Pulmonary Vein Isolation using a High Density Mesh Ablator Catheter: incorporation of three-dimensional navigation and mapping .JAFIB.2009 October;Volume 1 Issue(9): 510-518.

Background We evaluated the use of a novel High Density Mesh Ablator (HDMA) catheter in combination with three-dimensional navigation for the treatment of paroxysmal atrial fibrillation.
Methods The HDMA catheter was used to carry out pulmonary vein isolation in a consecutive series of patients. Three-dimensional geometry of the left atrial-pulmonary vein (LA-PV) junctions were first created with the HDMA catheter. Ostial, proximal and distal sites within the pulmonary veins were tagged with catheter shadows on the created geometry to allow for re-interrogation of these exact sites after ablation.
Results The HDMA catheter was successfully used to create three dimensional geometry of the LA-PV junction in a total of 20 pulmonary veins which involved 5 patients. In all cases, ostial ablation alone was sufficient to achieve electrical isolation. No significant pulmonary vein stenosis was seen acutely after ablation.
Conclusion We describe the successful use of the novel HDMA catheter to create three-dimensional geometry of the LA-PV junction to assist with pulmonary vein isolation.