Non-contact mapping to guide left ventricular catheter ablation of idiopathic ventricular tachycardia.doc

 PAGE \* MERGEFORMAT 19 Non-contact mapping to guide left ventricular catheter ablation of idiopathic ventricular tachycardia Author: Wang Ye-song Hu Yuan Feng Chong TANG An DONG Yu-Gang Ma Hong 【Abstract】 【Objective】 non-contact mapping can reveal left ventricular idiopathic ventricular tachycardia (ILVT) of the diastolic potential (DP) and the purkinje potential (PP) the location, direction and effective catheter ablation. 【Methods】 Ensite 3000 a multi-polar non-contact mapping balloon catheter mapping ILVT excitement origin (EA), conduction pathway (CP) and exports (EX), with the ablation catheter line contacts, respectively, mapping these areas. 【Results】 six cases ILVT perimeter (286 ± 38) ms, non-contact mapping showed four cases of emotional origin (EA) is located in the interval, 2 cases in the lower interval, EA than the surface QRS Sandro prior to (48.6 ± 32.8 ) ms, conduction pathway length (2.6 ± 0.9) ms. 6 cases of patients in sinus rhythm following catheter ablation in 12-lead ECG pace mapping QRS morphology and ILVT matches (≥ 11/12) Office in EX, but not EA (≤ 10/12), see text. 6 cases of patients in ventricular tachycardia during the ablation catheter in the EA and CP at mapping to the PP, 2 were made in EA mapping to the DP, 1 were made in EX mapping to the PP. 6 patients in the sinus area of origin, under the ILVT line sheet and / or conduction pathway for linear ablation were successful, follow-up (12 ± 6) months, no recurrence. 【Conclusion】 non-contact mapping ILVT by showing the origin and transmission pathways may reveal the DP and the PP site, so as to effectively guide the ILVT catheter ablation. Keywords: ventricular tachycardia; mapping; catheter ablation Abstract: 【Objective】 To investigate whether noncontact mapping system could detect the Purkinje potential (PP) and late diastolic potential (DP) of idiopathic left ventricular tachycardia (ILVT), which may serve as the target for a successful catheter ab