Successful integration of a three-dimensional transthoracic echocardiography-derived model with an electroanatomic mapping system to guide catheter ablation of WPW

J Cardiovasc Electrophysiol. 2020 Oct;31(10):2770-2773. doi: 10.1111/jce.14712. Epub 2020 Aug 26.

Abstract

Three-dimensional transthoracic echocardiography (3DE)-derived heart models have not previously been utilized to guide catheter ablation. In this case report, we describe the creation of a 3DE model from transthoracic echocardiography, import of the model into CARTO3, and successful use of the model as a guide during mapping and ablation of a right lateral accessory pathway. We believe this technique represents a valuable alternative to the integration of computed tomography or magnetic resonance imaging-derived anatomic data, and that it has the potential to improve the definition of the atrioventricular valve annuli during catheter ablation of accessory pathways.

Keywords: Wolff-Parkinson-White; accessory pathway; catheter ablation; three-dimensional echocardiography; three-dimensional electroanatomic mapping.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accessory Atrioventricular Bundle* / diagnostic imaging
  • Accessory Atrioventricular Bundle* / surgery
  • Catheter Ablation*
  • Echocardiography
  • Echocardiography, Three-Dimensional*
  • Humans
  • Wolff-Parkinson-White Syndrome* / surgery