THE 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 FLUTTER
https://doi.org/10.29001/2073-8552-2019-34-2-33-38
Abstract
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.
About the Authors
M. V. Yashkov
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
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
E. A. Artukhina
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
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
A. Yu. Popov
Joint Stock Company “Meditek”
Russian Federation
Russian Federation
Cand. Sci. (Phys. & Math.), Deputy Director for Science
6, Burakova str., build. 2, Moscow, 105118, Russian Federation
V. A. Vasin
Joint Stock Company “Meditek”
Russian Federation
Russian Federation
Development Engineer
6, Burakova str., build. 2, Moscow, 105118, Russian Federation
A. Sh. Revishvili
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
M.D., Dr. Sci. (Med.), Full Member of the Russian Academy of Sciences, Director
27, Bolshaya Serpukhovskaya str., Moscow, 117997, Russian Federation
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Review
For citations:
Yashkov M.V., Artukhina E.A., Popov A.Yu., Vasin V.A., Revishvili A.Sh. THE 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 FLUTTER. Siberian Journal of Clinical and Experimental Medicine. 2019;34(2):33-38. (In Russ.) https://doi.org/10.29001/2073-8552-2019-34-2-33-38
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