cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2019-34-2-33-38cardiotomsk-758Research ArticleКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯCLINICAL STUDIESИСПОЛЬЗОВАНИЕ НОВОЙ НАВИГАЦИОННОЙ СИСТЕМЫ КАРТИРОВАНИЯ «АСТРОКАРД» (РОССИЯ) С ВОЗМОЖНОСТЬЮ ИНТЕГРАЦИИ КОМПЬЮТЕРНОЙ МОДЕЛИ ЛЕВОГО ПРЕДСЕРДИЯ ДЛЯ ЛЕЧЕНИЯ ФИБРИЛЛЯЦИИ И ТРЕПЕТАНИЯ ПРЕДСЕРДИЙTHE USE OF THE NEW NAVIGATION SYSTEM “ASTROCARD” (RUSSIA) WITH THE ABILITY TO INTEGRATE THE COMPUTER MODEL OF THE LEFT ATRIUM FOR THE TREATMENT OF ATRIAL FIBRILLATION AND FLUTTERhttps://orcid.org/0000-0003-3997-8252ЯшковМ. В.YashkovM. V.

сердечно-сосудистый хирург, аспирант отделения эндоваскулярных и рентгенологических методов диагностики и лечения аритмий

117997, Российская Федерация, Москва, ул. Большая Серпуховская, 27

Cardiovascular Surgeon, Postgraduate Student of the Department of Endovascular and X-Ray Methods for the Diagnosis and Treatment of Arrhythmias

27, Bolshaya Serpukhovskaya str., Moscow, 117997, Russian Federation

y.maksim541@gmail.comhttps://orcid.org/0000-0001-7065-0250АртюхинаЕ. А.ArtukhinaE. A.

д-р мед. наук, заведующая отделением эндоваскулярных и рентгенологических методов диагностики и лечения аритмий

117997, Российская Федерация, Москва, ул. Большая Серпуховская, 27

M.D., Dr. Sci. (Med.), Head of the Department of Endovascular and X-Ray Methods for the Diagnosis and Treatment of Arrhythmias

27, Bolshaya Serpukhovskaya str., Moscow, 117997, Russian Federation

artelena.71@mail.ruПоповА. Ю.PopovA. Yu.

канд. физ.-мат. наук, заместитель директора по науке

105118, Российская Федерация, Москва, ул. Буракова, 6, стр. 2

Cand. Sci. (Phys. & Math.), Deputy Director for Science

6, Burakova str., build. 2, Moscow, 105118, Russian Federation

a_popov@astrocard-meditek.ruВасинВ. А.VasinV. A.

инженер-разработчик

105118, Российская Федерация, Москва, ул. Буракова, 6, стр. 2

Development Engineer

6, Burakova str., build. 2, Moscow, 105118, Russian Federation

vasin@astrocard-meditek.ruhttps://orcid.org/0000-0003-1791-9163РевишвилиА. Ш.RevishviliA. Sh.

д-р мед. наук, профессор, академик РАН, директор

117997, Российская Федерация, Москва, ул. Большая Серпуховская, 27

M.D., Dr. Sci. (Med.), Full Member of the Russian Academy of Sciences, Director

27, Bolshaya Serpukhovskaya str., Moscow, 117997, Russian Federation

Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского Министерства здравоохранения Российской ФедерацииРоссияA.V. Vishnevsky Institute of SurgeryRussian FederationАкционерное общество «Медитек»РоссияJoint Stock Company “Meditek”Russian Federation2019090720193423338Copyright © Яшков М.В., Артюхина Е.А., Попов А.Ю., Васин В.А., Ревишвили А.Ш., 20192019Яшков М.В., Артюхина Е.А., Попов А.Ю., Васин В.А., Ревишвили А.Ш.Yashkov M.V., Artukhina E.A., Popov A.Y., Vasin V.A., Revishvili A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/758

Цель: представить первый опыт применения нового алгоритма интеграции компьютерной томографии (КТ) сердца системы навигации «Астрокард» (Россия) при выполнении радиочастотной аблации (РЧА) у пациентов с фибрилляцией (ФП) и трепетанием предсердий (ТП).Материал и методы. Тридцати одному пациенту с ФП и двум пациентам с атипичным левопредсердным ТП была проведена электроанатомическая реконструкция левого предсердия (ЛП) и легочных вен (ЛВ) с режимом интеграции КТ сердца. У пациентов с ФП схема аблации включала антральную изоляцию ЛВ; при атипичном левопредсердном ТП осуществлялись линейные воздействия в зоне замедления проведения возбуждения. Продолжительность операции составляла 58±14,5 мин, время флюороскопии 33±8 мин.Заключение. Функция слияния системы навигационного картирования «Астрокард» (Россия) дает точное сопоставление электроанатомической карты с КТ сердца, что позволяет минимизировать время флюороскопии и операции.

Aim. The first experience of the application of the integration algorithm for computed tomography of the heart with the navigation system “Astrocard” (Russia) when performing radiofrequency ablation in patients with atrial fibrillation and flutter.Material and Methods. A total of 31 patients with atrial fibrillation and two patients with atypical left atrial flutter were subjected to electroanatomical reconstruction of the left atrium and pulmonary veins with computed tomography of the heart. In patients with atrial fibrillation, an ablation scheme involved for antral isolation of the pulmonary veins. In patients with atypical left atrial flutter, linear ablation was applied in the area of slow conduction. The duration of the operation was 58±14.5 min, and the time of fluoroscopy was 33±8 min.Conclusion. The merge function of the “Astrocard” navigation mapping system (Russia) provided an accurate comparison of the electroanatomical map with the computed tomography of the heart, which allowed us to minimize the time of fluoroscopy and the time of operation.

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The authors declare that there are no conflicts of interest present.