Abstract
Background MRI produces images that serve as luminal, edema, & scar maps to assist in the Electrophysiological (EP) treatment of ventricular and atrial arrhythmias [1]. Until MR-compatible EP devices are widely available, there will be an eed to perform EP partially in the MRI for imaging, and partially outside the MRI for ablation, puncture & navigation. An MR-conditional voltage-based Electroanatomic Mapping (EAM) system would allow MR-guided EP in MRI & registration-free EP to be performed outside the MRI during X-ray, Intra-Cardiac-Echo (ICE) or EAM guidance. Previously a 1.5T MR-conditional St. Jude Medical EnSite Velocity (Velocity) voltage-based EAM system was presented [2]. The study objective was to conduct a multicatheter registration free EAM (localization & intracardiac Electrogram (EGM) measurement) both in & outside of the MRI. Methods
Highlights
MRI produces images that serve as luminal, edema, & scar maps to assist in the Electrophysiological (EP) treatment of ventricular and atrial arrhythmias [1]
To measure Velocity’s catheter tracking accuracy during MR imaging, catheters were navigated to specific anatomic regions, & the change in location was observed during imaging over 10-sec increments
Imaging was conducted simultaneously with tracking (Fig2a), & catheter position remained stable during the entire imaging session (Fig1a)
Summary
MRI produces images that serve as luminal, edema, & scar maps to assist in the Electrophysiological (EP) treatment of ventricular and atrial arrhythmias [1]. Until MR-compatible EP devices are widely available, there will be a need to perform EP partially in the MRI for imaging, and partially outside the MRI for ablation, puncture & navigation. An MR-conditional voltage-based Electroanatomic Mapping (EAM) system would allow MR-guided EP in MRI & registration-free EP to be performed outside the MRI during X-ray, Intra-Cardiac-Echo (ICE) or EAM guidance. A 1.5T MR-conditional St. Jude Medical EnSite Velocity (Velocity) voltage-based EAM system was presented [2]. The study objective was to conduct a multicatheter registration free EAM (localization & intracardiac Electrogram (EGM) measurement) both in & outside of the MRI
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