First experience with left atrial arrhythmia ablation using a bidirectional steerable transseptal sheath (Vizigo) visible in the CARTO system as a method to reduce fluoroscopy

Simple item record

Full item record

dc.contributor.authorKoźluk, Edward
dc.contributor.authorŁojewska, Katarzyna
dc.contributor.authorHiczkiewicz, Jarosław
dc.contributor.organizationI Chair and Department of Cardiology, Medical University of Warsaw, Polanden
dc.contributor.organizationClinical Department of Cardiology, Nowa Sól Multidisciplinary Hospital, Nowa Sól, Polanden
dc.contributor.organizationCollegium Medicum, University of Zielona Góra, Polanden
dc.date.accessioned2022-07-08T06:57:53Z
dc.date.available2022-07-08T06:57:53Z
dc.date.issued2020-12-03
dc.description.abstractIn this report we present ablations of complex left atrial arrhythmias in 3 male patients using the bi-directional steerable transseptal sheath (Visigo) which is visualizable by the 3D electro-anatomical system. Ablations of complex left atrial (LA) arrhythmias were performed in 3 patients. In the first 2 patients typical transseptal punctures were performed, followed by mapping with the LassoNav catheter and PVI (one patient also had isolation of the posterior segment). The last patient had a residual atrial septal leak, therefore ablation without fluoroscopy was attempted. An anatomical map of the right atrium was made. The ablation catheter and the Vizigo sheath were introduced into the LA through the leak in the septum. LA, pulmonary veins and 3 tachycardia loops were mapped. Lines were made in the roof of LA, in the mitral isthmus and within the atrial septum, restoring the sinus rhythm. Times of procedures/fluoroscopy were: 185, 185, 205min / 5.5; 3.8 and 0min. In the group of the last 10 previous ablations, these times were respectively: 209±48min/5,6±1,8 min. We conclude that the Vizigo sheath reduces the risk of electrode and sheath dislocation into the right atrium and the need for fluoroscopic verification during maneuvers performed with the sheath. It is also a step towards simpler left atrial ablation without the use of fluoroscopy.en
dc.identifier.citationKoźluk E, Łojewska K, Hiczkiewicz J. First experience with left atrial arrhythmias ablation using visualizable by CARTO system bi-directional steerable transseptal sheath (Vizigo) as a method to reduce fluoroscopy. Eur J Transl Clin Med. 2020;3(2)18-21. DOI: 10.31373/ejtcm/131049en
dc.identifier.doi10.31373/ejtcm/131049
dc.identifier.issn2657-3156
dc.identifier.urihttps://open.icm.edu.pl/handle/123456789/21410
dc.language.isoen
dc.publisherGdański Uniwersytet Medycznyen
dc.rightsUznanie autorstwa-Na tych samych warunkach 4.0 Międzynarodowe*
dc.rights.urihttp://creativecommons.org/licenses/by-sa/4.0/*
dc.subjectatrial fibrillation ablationen
dc.subjectpulmonary vein isolationen
dc.subjectzero fluoroscopyen
dc.subjectsteerable sheathen
dc.subjectelectroanatomic mapping systemen
dc.titleFirst experience with left atrial arrhythmia ablation using a bidirectional steerable transseptal sheath (Vizigo) visible in the CARTO system as a method to reduce fluoroscopyen
dc.typearticle
Files for this record
Original bundle
Now showing 1 - 1 of 1
Name: EJTCM_2020_3_2_Kozluk.pdf
Size: 947.46 KB
Format: Adobe Portable Document Format
Description:
Download
License files
Name: license.txt
Size: 792 B
Format: Item-specific license agreed upon to submission
Description:
Download
Name: license_rdf
Size: 1.01 KB
Format: RDF serialized in XML
Description:
Download
Belongs to collection
Artykuły / Articles