13th International Congress
THE "NEW FRONTIERS"
OF ARRHYTHMIAS 1998

January 24-31, 1998
Marilleva, Trento, Italy

RT-109

Use of intracardiac echocardiography during mapping and ablation of atrial arrhythmias

Jonathan M. Kalman, Jeffrey E. Olgin*, Martin R. Karch**; Michael D. Lesh**.
Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia, Section of Cardiac Electrophysiology,
*Krannert Research Institute, Indianapolis, Indiana,
**Department of Medicine and Cardiovascular Research Institute, University of California, San Francisco, USA

Catheter design

At present, clinically available imaging systems are limited to mechanical systems with a single rotating transducer. The catheter which has had the widest clinical application until recently is a 10F, 10 MHz imaging catheter with an over-the-wire design for deployment. This allows a radial (360 degree) field of view of approximately 4 cm. More recently a 9F, 9MHz imaging catheter has been developed (Boston Scientific Corp.). These catheters provide improved depth penetration and improved resolution. A smaller 6F, 12.5 MHz catheter which may be deployed via a long vascular sheath has also been used for intracardiac imaging1,2. Nevertheless, further advances in image quality, depth penetration and catheter steerability are required.
Such advances may require the development of phased array imaging systems.

 

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