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Demonstration of a Novel Catheter Guiding Method for the Ablative Therapy of Ventricular Tachycardia

机译:一种新型导管引导方法的嗜血直卡烧伤的新导管指导方法

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Current technologies used to guide the radio frequency ablation of ventricular tachycardia are frequently unable to rapidly and accurately localize the site of origin of an arrhythmia, restricting treatment to patients with hemodynamically stable arrhythmias. We investigate the effectiveness of a new rapid inverse algorithm which is based on a single-equivalent dipole representation of cardiac electrical activity. We conducted experiments in a saline volume conductor that involved the guidance of a moving catheter towards the location of a stationary dipole, using only the dipole positions calculated by the inverse algorithm. The algorithm was able to guide the moving catheter tip to well within 2 mm of the stationary dipole in 29 out of 30 experiments. These results suggest that this method has great potential to direct radiofrequency ablation procedures, including in the currently untreatable patient population with hemodynamically unstable arrhythmias.
机译:目前用于引导室内性心动过速的射频消融的技术经常无法快速准确地定位心律失常的起源部位,限制对血流动力学稳定的心律失常患者的治疗。我们研究了一种新的快速逆算法的有效性,其基于心脏电活动的单等同偶极表示。我们在盐水体积导体中进行了实验,该实验涉及通过由逆算法计算的偶极位置的偶极位置朝向固定偶极子的位置的引导。该算法能够将移动导管尖端引导到30个实验中的29个中固定偶极子的2mm内。这些结果表明,该方法具有极大的潜力,可直接射频消融程序,包括在目前未经治疗的患者群体中具有血流动力学不稳定的心律失常。

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