CARTO 3-Guided or CARTO XP-Guided Pulmonary Vein Isolation Compared with Fluoroscopy-Guided Pulmonary Vein Isolation
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> Pulmonary vein isolation (PVI) still requires long procedure time and high radiation exposure in patient with atrial fibrillation (AF). We evaluated the procedure and fluoroscopy times of ablation using a fluoroscopy without 3-D mapping (group-A), CARTO XP system (group-B), and CARTO 3 system (group-C) guided procedures between January 2009 and April 2011. <B>Methods:</B> Data were analyzed from 102 patients in group-A, 106 patients in group-B, and 65 patients in group-C. All patients received an extensive PVI procedure. After the procedures, all patients underwent a right cavotricuspid isthmus ablation. Procedure and fluoroscopy parameters were recorded in all patients. <B>Results:</B> Total fluoroscopy time was statistically different among three groups (group-A, 88±21 min; group-B, 84±19 min; group-C, 74±22 min; p<0.05). A significant differences were also found in procedure time (group-A, 192±45 min; group-B, 219±42 min; group-C, 218±48 min; p<0.05), and in ablation time (group-A, 53±12 min; group-B, 40±12 min; group-C, 38±11 min; p<0.05). There were no significant differences in the other parameters among three groups. <B>Conclusion:</B> Use of a 3-D mapping system was significantly lower fluoroscopy duration, and furthermore visualization of multiple catheters allowed a minimal use of fluoroscopy during catheter ablation for AF, though procedure time was longer than using a fluoroscopy alone.
著者
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Yamauchi Yasuteru
Department Of Cardiology Musashino Red Cross Hospital
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Okada Hiroyuki
Department Of Cardiology Musashino Red Cross Hospital
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Obayashi Tohru
Department Of Cardiology Musashino Red Cross Hospital
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Hara Nobuhiro
Department Of Cardiology Musashino Red Cross Hospital
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Tao Susumu
Department Of Cardiology Tokyo Medical And Dental University
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Konishi Yuji
Department Of Cardiology Saitama Red Cross Hospital
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Yamaguchi Tetsuo
Department Of Applied Physics Graduate School Of Engineering The University Of Tokyo:crest Jst
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Maeda Shingo
Department Of Biochemistry The Cancer Institute Of The Japanese Foundation For Cancer Research
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Kagiyama Nobuyuki
Department of Cardiology, Musashino Red Cross Hospital
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Naito Takaki
Department of Cardiology, Musashino Red Cross Hospital
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Umemoto Tomoyuki
Department of Cardiology, Musashino Red Cross Hospital
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