3-D-Mapping-Systeme und integrierte Bildgebung in der Elektrophysiologie

Zusammenfassung

Mit 3-D-Mapping-Systemen lässt sich die genaue Lage elektrophysiologischer Katheter im Herz bestimmen und bei kontinuierlicher Aufzeichnung ihrer Position zu einem anatomischen Bild zusammenfügen. Wird dann noch die intrakardiale „elektrische Information“ farbcodiert ergänzt, kann diese Darstellung sowohl mit Röntgen- als auch mit Schnittbildern fusioniert werden: ein komplexes Werkzeug für komplexe Arrhythmien.

Abstract

Successful mapping and ablation of cardiac arrhythmias is a challenging clinical task. For many years conventional pacing-maneuvers and activation mapping were the gold standard to identify and characterize arrhythmia mechanisms in electrophysiology procedures. Over the last decade, electrophysiology mapping and imaging technology has dramatically improved. In parallel to high density automated mapping, cardiac imaging and image integration tools are increasingly used to assess arrhythmia substrate and identify arrhythmia mechanisms. The aim of this review article is to provide an overview about current mapping technologies and to demonstrate their utilization in clinical practice.

Schlüsselwörter

3-D-Mapping-System - Bildintegration - Vorhofflimmern - ventrikuläre Tachykardie - Katheterablation - Rotormapping

Key words

cardiac arrhythmias - electrophysiology mapping - cardiac imaging - high density automated mapping

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