Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation
Reported mapping procedures of left atrial (LA) low-voltage areas (LVAs) vary widely. This study aimed to compare the PentaRay ® /CARTO ® 3 (PentaRay map) and Orion™/Rhythmia™ (Orion map) systems for LA voltage mapping. This study included 15 patients who underwent successful pulmonary vein isolatio...
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| Veröffentlicht in: | Heart and vessels 2021-07, Vol.36 (7), p.1027-1034 |
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| creator | Kaseno, Kenichi Hasegawa, Kanae Miyazaki, Shinsuke Mukai, Moe Aoyama, Daisetsu Nodera, Minoru Hirano, Koudai Otake, Mika Nomura, Ryouhei Miyahara, Kousuke Ishikawa, Rie Matsui, Akira Yamaguchi, Junya Shiomi, Yuichiro Tama, Naoto Ikeda, Hiroyuki Fukuoka, Yoshitomo Ishida, Kentaro Uzui, Hiroyasu Tada, Hiroshi |
| description | Reported mapping procedures of left atrial (LA) low-voltage areas (LVAs) vary widely. This study aimed to compare the PentaRay
®
/CARTO
®
3 (PentaRay map) and Orion™/Rhythmia™ (Orion map) systems for LA voltage mapping. This study included 15 patients who underwent successful pulmonary vein isolation (PVI) for atrial fibrillation. After PVI, PentaRay and Orion maps created for all patients were compared. LVAs were defined as sites with ≥ 3 adjacent low-voltage points 0.5 mV were properly recorded at the septum and posterolateral sites during appropriate beats in the PentaRay map. The PentaRay map had a shorter procedure time than the Orion map (12 ± 3 min vs. 23 ± 8 min, respectively;
p
0.5-mV electrograms were properly recorded in the PentaRay map. |
| doi_str_mv | 10.1007/s00380-021-01773-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2482667626</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2482667626</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-14f18bf5f0434886ea15978f771dd12134575cddb78c932afec2efac1974ba673</originalsourceid><addsrcrecordid>eNp9kU1r3DAQhkVpabZJ_0APRdBLL2r1YVnSMWw_IRAIyVnI9mhXwZa3kjZh--urrZMWcshJg-aZd97hRegdo58YpepzplRoSihnhDKlBFEv0Iq1TBIulXiJVtQwSrTg6gS9yfmWUiYNM6_RiRCSKiHVCv3-EnKfYOdif8AdlHuAiNfnV9eX2MUBX20PZTsFhye3y9jPCQ_gQwxxg8sW8Ai-YFdScCMe53tyN4_FbQC7BC7jEB97PnQpjKMrYa5_3VKcoVfejRnePryn6Obb1-v1D3Jx-f3n-vyC9MKYQljjme689LQRjdYtuHqF0l4pNgyMM9FIJfth6JTujeDOQ8_Bu54Z1XSuVeIUfVx0d2n-tYdc7FRvhmonwrzPljeat61qeVvRD0_Q23mfYnVnuRStZkaYI8UXqk9zzgm83aUwuXSwjNpjMnZJxtZk7N9k7NHF-wfpfTfB8G_kMYoKiAXItRU3kP7vfkb2D7Q3mYQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2536819396</pqid></control><display><type>article</type><title>Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation</title><source>SpringerLink Journals - AutoHoldings</source><creator>Kaseno, Kenichi ; Hasegawa, Kanae ; Miyazaki, Shinsuke ; Mukai, Moe ; Aoyama, Daisetsu ; Nodera, Minoru ; Hirano, Koudai ; Otake, Mika ; Nomura, Ryouhei ; Miyahara, Kousuke ; Ishikawa, Rie ; Matsui, Akira ; Yamaguchi, Junya ; Shiomi, Yuichiro ; Tama, Naoto ; Ikeda, Hiroyuki ; Fukuoka, Yoshitomo ; Ishida, Kentaro ; Uzui, Hiroyasu ; Tada, Hiroshi</creator><creatorcontrib>Kaseno, Kenichi ; Hasegawa, Kanae ; Miyazaki, Shinsuke ; Mukai, Moe ; Aoyama, Daisetsu ; Nodera, Minoru ; Hirano, Koudai ; Otake, Mika ; Nomura, Ryouhei ; Miyahara, Kousuke ; Ishikawa, Rie ; Matsui, Akira ; Yamaguchi, Junya ; Shiomi, Yuichiro ; Tama, Naoto ; Ikeda, Hiroyuki ; Fukuoka, Yoshitomo ; Ishida, Kentaro ; Uzui, Hiroyasu ; Tada, Hiroshi</creatorcontrib><description>Reported mapping procedures of left atrial (LA) low-voltage areas (LVAs) vary widely. This study aimed to compare the PentaRay
®
/CARTO
®
3 (PentaRay map) and Orion™/Rhythmia™ (Orion map) systems for LA voltage mapping. This study included 15 patients who underwent successful pulmonary vein isolation (PVI) for atrial fibrillation. After PVI, PentaRay and Orion maps created for all patients were compared. LVAs were defined as sites with ≥ 3 adjacent low-voltage points < 0.5 mV. LVAs were indicated in 8 (53%) among 15 patients, and the average values of the measured LVAs was comparable between the systems (PentaRay map = 5.4 ± 8.7 cm
2
; Orion map = 4.3 ± 6.4 cm
2
,
p
= 0.69). However, in 2 of 8 patients with LVAs, the Orion map indicated LVAs at the septum and posterolateral sites of the LA, respectively, whereas the PentaRay map indicated no LVAs. In those patients, sharp electrograms of > 0.5 mV were properly recorded at the septum and posterolateral sites during appropriate beats in the PentaRay map. The PentaRay map had a shorter procedure time than the Orion map (12 ± 3 min vs. 23 ± 8 min, respectively;
p
< 0.01). Our study results showed a discrepancy in the LVA evaluation between the PentaRay and Orion maps. In 2 of 15 patients, the Orion map indicated LVAs at the sites where > 0.5-mV electrograms were properly recorded in the PentaRay map.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-021-01773-7</identifier><identifier>PMID: 33507357</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Ablation ; Biomedical Engineering and Bioengineering ; Cardiac arrhythmia ; Cardiac Surgery ; Cardiology ; Electric potential ; Fibrillation ; Mapping ; Medicine ; Medicine & Public Health ; Original Article ; Septum ; Vascular Surgery ; Voltage</subject><ispartof>Heart and vessels, 2021-07, Vol.36 (7), p.1027-1034</ispartof><rights>Springer Japan KK, part of Springer Nature 2021</rights><rights>Springer Japan KK, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-14f18bf5f0434886ea15978f771dd12134575cddb78c932afec2efac1974ba673</citedby><cites>FETCH-LOGICAL-c399t-14f18bf5f0434886ea15978f771dd12134575cddb78c932afec2efac1974ba673</cites><orcidid>0000-0002-0452-0578</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-021-01773-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-021-01773-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33507357$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaseno, Kenichi</creatorcontrib><creatorcontrib>Hasegawa, Kanae</creatorcontrib><creatorcontrib>Miyazaki, Shinsuke</creatorcontrib><creatorcontrib>Mukai, Moe</creatorcontrib><creatorcontrib>Aoyama, Daisetsu</creatorcontrib><creatorcontrib>Nodera, Minoru</creatorcontrib><creatorcontrib>Hirano, Koudai</creatorcontrib><creatorcontrib>Otake, Mika</creatorcontrib><creatorcontrib>Nomura, Ryouhei</creatorcontrib><creatorcontrib>Miyahara, Kousuke</creatorcontrib><creatorcontrib>Ishikawa, Rie</creatorcontrib><creatorcontrib>Matsui, Akira</creatorcontrib><creatorcontrib>Yamaguchi, Junya</creatorcontrib><creatorcontrib>Shiomi, Yuichiro</creatorcontrib><creatorcontrib>Tama, Naoto</creatorcontrib><creatorcontrib>Ikeda, Hiroyuki</creatorcontrib><creatorcontrib>Fukuoka, Yoshitomo</creatorcontrib><creatorcontrib>Ishida, Kentaro</creatorcontrib><creatorcontrib>Uzui, Hiroyasu</creatorcontrib><creatorcontrib>Tada, Hiroshi</creatorcontrib><title>Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Reported mapping procedures of left atrial (LA) low-voltage areas (LVAs) vary widely. This study aimed to compare the PentaRay
®
/CARTO
®
3 (PentaRay map) and Orion™/Rhythmia™ (Orion map) systems for LA voltage mapping. This study included 15 patients who underwent successful pulmonary vein isolation (PVI) for atrial fibrillation. After PVI, PentaRay and Orion maps created for all patients were compared. LVAs were defined as sites with ≥ 3 adjacent low-voltage points < 0.5 mV. LVAs were indicated in 8 (53%) among 15 patients, and the average values of the measured LVAs was comparable between the systems (PentaRay map = 5.4 ± 8.7 cm
2
; Orion map = 4.3 ± 6.4 cm
2
,
p
= 0.69). However, in 2 of 8 patients with LVAs, the Orion map indicated LVAs at the septum and posterolateral sites of the LA, respectively, whereas the PentaRay map indicated no LVAs. In those patients, sharp electrograms of > 0.5 mV were properly recorded at the septum and posterolateral sites during appropriate beats in the PentaRay map. The PentaRay map had a shorter procedure time than the Orion map (12 ± 3 min vs. 23 ± 8 min, respectively;
p
< 0.01). Our study results showed a discrepancy in the LVA evaluation between the PentaRay and Orion maps. In 2 of 15 patients, the Orion map indicated LVAs at the sites where > 0.5-mV electrograms were properly recorded in the PentaRay map.</description><subject>Ablation</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Electric potential</subject><subject>Fibrillation</subject><subject>Mapping</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Septum</subject><subject>Vascular Surgery</subject><subject>Voltage</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kU1r3DAQhkVpabZJ_0APRdBLL2r1YVnSMWw_IRAIyVnI9mhXwZa3kjZh--urrZMWcshJg-aZd97hRegdo58YpepzplRoSihnhDKlBFEv0Iq1TBIulXiJVtQwSrTg6gS9yfmWUiYNM6_RiRCSKiHVCv3-EnKfYOdif8AdlHuAiNfnV9eX2MUBX20PZTsFhye3y9jPCQ_gQwxxg8sW8Ai-YFdScCMe53tyN4_FbQC7BC7jEB97PnQpjKMrYa5_3VKcoVfejRnePryn6Obb1-v1D3Jx-f3n-vyC9MKYQljjme689LQRjdYtuHqF0l4pNgyMM9FIJfth6JTujeDOQ8_Bu54Z1XSuVeIUfVx0d2n-tYdc7FRvhmonwrzPljeat61qeVvRD0_Q23mfYnVnuRStZkaYI8UXqk9zzgm83aUwuXSwjNpjMnZJxtZk7N9k7NHF-wfpfTfB8G_kMYoKiAXItRU3kP7vfkb2D7Q3mYQ</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Kaseno, Kenichi</creator><creator>Hasegawa, Kanae</creator><creator>Miyazaki, Shinsuke</creator><creator>Mukai, Moe</creator><creator>Aoyama, Daisetsu</creator><creator>Nodera, Minoru</creator><creator>Hirano, Koudai</creator><creator>Otake, Mika</creator><creator>Nomura, Ryouhei</creator><creator>Miyahara, Kousuke</creator><creator>Ishikawa, Rie</creator><creator>Matsui, Akira</creator><creator>Yamaguchi, Junya</creator><creator>Shiomi, Yuichiro</creator><creator>Tama, Naoto</creator><creator>Ikeda, Hiroyuki</creator><creator>Fukuoka, Yoshitomo</creator><creator>Ishida, Kentaro</creator><creator>Uzui, Hiroyasu</creator><creator>Tada, Hiroshi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0452-0578</orcidid></search><sort><creationdate>20210701</creationdate><title>Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation</title><author>Kaseno, Kenichi ; Hasegawa, Kanae ; Miyazaki, Shinsuke ; Mukai, Moe ; Aoyama, Daisetsu ; Nodera, Minoru ; Hirano, Koudai ; Otake, Mika ; Nomura, Ryouhei ; Miyahara, Kousuke ; Ishikawa, Rie ; Matsui, Akira ; Yamaguchi, Junya ; Shiomi, Yuichiro ; Tama, Naoto ; Ikeda, Hiroyuki ; Fukuoka, Yoshitomo ; Ishida, Kentaro ; Uzui, Hiroyasu ; Tada, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-14f18bf5f0434886ea15978f771dd12134575cddb78c932afec2efac1974ba673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ablation</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac arrhythmia</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Electric potential</topic><topic>Fibrillation</topic><topic>Mapping</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Septum</topic><topic>Vascular Surgery</topic><topic>Voltage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaseno, Kenichi</creatorcontrib><creatorcontrib>Hasegawa, Kanae</creatorcontrib><creatorcontrib>Miyazaki, Shinsuke</creatorcontrib><creatorcontrib>Mukai, Moe</creatorcontrib><creatorcontrib>Aoyama, Daisetsu</creatorcontrib><creatorcontrib>Nodera, Minoru</creatorcontrib><creatorcontrib>Hirano, Koudai</creatorcontrib><creatorcontrib>Otake, Mika</creatorcontrib><creatorcontrib>Nomura, Ryouhei</creatorcontrib><creatorcontrib>Miyahara, Kousuke</creatorcontrib><creatorcontrib>Ishikawa, Rie</creatorcontrib><creatorcontrib>Matsui, Akira</creatorcontrib><creatorcontrib>Yamaguchi, Junya</creatorcontrib><creatorcontrib>Shiomi, Yuichiro</creatorcontrib><creatorcontrib>Tama, Naoto</creatorcontrib><creatorcontrib>Ikeda, Hiroyuki</creatorcontrib><creatorcontrib>Fukuoka, Yoshitomo</creatorcontrib><creatorcontrib>Ishida, Kentaro</creatorcontrib><creatorcontrib>Uzui, Hiroyasu</creatorcontrib><creatorcontrib>Tada, Hiroshi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaseno, Kenichi</au><au>Hasegawa, Kanae</au><au>Miyazaki, Shinsuke</au><au>Mukai, Moe</au><au>Aoyama, Daisetsu</au><au>Nodera, Minoru</au><au>Hirano, Koudai</au><au>Otake, Mika</au><au>Nomura, Ryouhei</au><au>Miyahara, Kousuke</au><au>Ishikawa, Rie</au><au>Matsui, Akira</au><au>Yamaguchi, Junya</au><au>Shiomi, Yuichiro</au><au>Tama, Naoto</au><au>Ikeda, Hiroyuki</au><au>Fukuoka, Yoshitomo</au><au>Ishida, Kentaro</au><au>Uzui, Hiroyasu</au><au>Tada, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>36</volume><issue>7</issue><spage>1027</spage><epage>1034</epage><pages>1027-1034</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><abstract>Reported mapping procedures of left atrial (LA) low-voltage areas (LVAs) vary widely. This study aimed to compare the PentaRay
®
/CARTO
®
3 (PentaRay map) and Orion™/Rhythmia™ (Orion map) systems for LA voltage mapping. This study included 15 patients who underwent successful pulmonary vein isolation (PVI) for atrial fibrillation. After PVI, PentaRay and Orion maps created for all patients were compared. LVAs were defined as sites with ≥ 3 adjacent low-voltage points < 0.5 mV. LVAs were indicated in 8 (53%) among 15 patients, and the average values of the measured LVAs was comparable between the systems (PentaRay map = 5.4 ± 8.7 cm
2
; Orion map = 4.3 ± 6.4 cm
2
,
p
= 0.69). However, in 2 of 8 patients with LVAs, the Orion map indicated LVAs at the septum and posterolateral sites of the LA, respectively, whereas the PentaRay map indicated no LVAs. In those patients, sharp electrograms of > 0.5 mV were properly recorded at the septum and posterolateral sites during appropriate beats in the PentaRay map. The PentaRay map had a shorter procedure time than the Orion map (12 ± 3 min vs. 23 ± 8 min, respectively;
p
< 0.01). Our study results showed a discrepancy in the LVA evaluation between the PentaRay and Orion maps. In 2 of 15 patients, the Orion map indicated LVAs at the sites where > 0.5-mV electrograms were properly recorded in the PentaRay map.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>33507357</pmid><doi>10.1007/s00380-021-01773-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0452-0578</orcidid></addata></record> |
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| language | eng |
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| subjects | Ablation Biomedical Engineering and Bioengineering Cardiac arrhythmia Cardiac Surgery Cardiology Electric potential Fibrillation Mapping Medicine Medicine & Public Health Original Article Septum Vascular Surgery Voltage |
| title | Discrepancy between CARTO and Rhythmia maps for defining the left atrial low-voltage areas in atrial fibrillation ablation |
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