Impact of Micro-, Mini- and Multi-Electrode Mapping on Ventricular Substrate Characterisation

Accurate substrate characterisation may improve the evolving understanding and treatment of cardiac arrhythmias. During substrate-based ablation techniques, wide practice variations exist with mapping via dedicated multi-electrode catheter or conventional ablation catheters. Recently, newer ablation...

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Bibliographic Details
Published in:Arrhythmia & electrophysiology review 2020-11, Vol.9 (3), p.128-135
Main Authors: Berte, Benjamin, Zeppenfeld, Katja, Tung, Roderick
Format: Article
Language:English
Subjects:
Ablation
Cardiac arrhythmia
Cardiomyopathy
Catheters
Electrodes
Electrophysiology and Ablation
Histology
Influence
Ischemia
Propagation
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Description
Summary:Accurate substrate characterisation may improve the evolving understanding and treatment of cardiac arrhythmias. During substrate-based ablation techniques, wide practice variations exist with mapping via dedicated multi-electrode catheter or conventional ablation catheters. Recently, newer ablation catheter technology with embedded mapping electrodes have been introduced. This article focuses on the general misconceptions of voltage mapping and more specific differences in unipolar and bipolar signal morphology, field of view, signal-to-noise ratio, mapping capabilities (density and resolution), catheter-specific voltage thresholds and impact of micro-, mini- and multi-electrodes for substrate mapping. Efficiency and cost-effectiveness of different catheter types are discussed. Increasing sampling density with smaller electrodes allows for higher resolution with a greater likelihood to record near-field electrical information. These advances may help to further improve our mechanistic understanding of the correlation between substrate and ventricular tachycardia, as well as macro-reentry arrhythmia in humans.
ISSN:2050-3369
2050-3377
DOI:10.15420/aer.2020.24