Full Text Journal Articles from
Abstract 30308251


Find full text journal articles

Safety and accuracy of the Rhythmia mapping system in pediatric patients.

PMID: 30308251 (view PubMed database entry)
DOI: 10.1016/j.hrthm.2018.10.002 (read at publisher's website )

Hitoshi Mori, Shota Muraji, Naokata Sumitomo, Ritsushi Kato, Tomohiko Imamura, Akiko Komori, Noriyuki Iwashita, Toshiki Kobayashi, Kazuo Matsumoto,

BACKGROUND:A new mapping system (Rhythmia) using a 64 mini-electrode small basket array (Orion) was developed that enables rapid high-density mapping in a short time. However, there are few reports about the usefulness of this system in pediatric cases. OBJECTIVE:The purpose of this study was to investigate the safety and accuracy of the Rhythmia system and Orion catheter in children. METHODS:Catheter ablation was performed using the Rhythmia system and Orion catheter in 23 patients younger than 20 years (body weight >20 kg) without a past medical history of cardiac disease. Mapping time, number of mapping beats, and number of mapping electrodes were compared for left atrium, right atrium and right ventricular outflow tract. RESULTS:Twenty-three maps of the right atrium were acquired in 12.6 minutes (range 8.9-15.1), consisting of 709 beats (range 492-1163) and 7132 electrograms (range 4618-10,533). Twelve maps of the left atrium were acquired in 12.1 minutes (range 9.8-14.6), consisting of 565 beats (range 446-881) and 6412 electrograms (range 4912-11,402). There were no significant difference in mapping time, accepted beats, and electrograms between the 2 chambers. Manual annotation was needed in 53 of 293,185 electrograms (0.01%) due to far-field ventricular electrogram sensing and artifact. No adverse events occurred in any of the cases. CONCLUSION:The Orion catheter and Rhythmia mapping system were safe and accurate for mapping various arrhythmias in pediatric patients. Detailed geometry and high-resolution activation mapping were acquired without the need for manual reannotation.

Heart Rhythm (Heart Rhythm)
[2019, 16(3):388-394]

Cited: 0 times

AltMetric Statistics

Additional resources:


0.3998 s