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Single-beat global atrial mapping facilitates the treatment of short-lived atrial tachycardias and infrequent premature atrial contractions
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  • Rita B. Gagyi,
  • Anna Noten,
  • Krista Lesina,
  • Bakhtawar K. Mahmoodi,
  • Sing-Chien Yap,
  • Mark Hoogendijk,
  • Sip Wijchers,
  • Rohit Bhagwandien,
  • Tamas Szili-Torok
Rita B. Gagyi
Erasmus MC

Corresponding Author:r.gagyi@erasmusmc.nl

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Anna Noten
Erasmus MC
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Krista Lesina
Erasmus MC
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Bakhtawar K. Mahmoodi
Erasmus MC
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Sing-Chien Yap
Erasmus MC
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Mark Hoogendijk
Erasmus MC
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Sip Wijchers
Erasmus MC
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Rohit Bhagwandien
Erasmus MC
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Tamas Szili-Torok
Erasmus MC
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Abstract

Background: Short runs of atrial tachycardias (ATs) and infrequent premature atrial contractions (PACs) are difficult to map and ablate using sequential electrophysiology mapping techniques. The AcQMap mapping system allows for highly accurate mapping of a single atrial activation. Objectives: We aimed to test the value of a novel dipole charge density based high-resolution mapping technique (AcQMap) in the treatment of brief episodes of ATs and PACs. Methods: Data of all patients undergoing catheter ablation (CA) using the AcQMap mapping system were reviewed. Results: Thirty-one out of 219 patients (male n=8; female n=23) had short runs of ATs (n=23) and PACs (n=8). The mean procedural time was 155.3±46.6 min, with a mean radiation dose of 92.0 (IQR 37.0-121.0) mGy. Total radiofrequency application duration 679.0 (IQR 276.5-1085.2) s. Left atrial localization of ATs and PACs were identified in 45.1% of the cases, right atrium localization in 45.1%, and septal origins in 9.8% of the cases. Acute success was achieved in 30/31 (96.8%), and recurrence during the follow-up developed in six patients (19.4%), including 4 patients with PACs and 2 patients with short-lived ATs. One patient presented procedure-related groin hematoma as minor complication. Conclusion: Brief episodes of highly symptomatic ATs and infrequent PACs can be mapped using charge density mapping and successfully ablated with high acute and long-term success rates.
25 Oct 2022Published in Journal of Interventional Cardiac Electrophysiology. 10.1007/s10840-022-01405-8