Arrhythmias & electrophysiology
Coherent mapping of atrial tachycardias in patients with congenital heart disease
Authors' conclusion
Mapping of AT in patients with CHD using the PENTARAY™ mapping catheter and the CM algorithm led to excellent acute success. All ATs were possible to map and no complications related to the PENTARAY™ mapping catheter were observed.
Study context
- Population
- Patients with congenital heart disease undergoing ablation of atrial tachycardiaprocedures in 42 patients
- Participants
- 54 ablation procedures
- Exposure
- Coherent mapping vs mapping without coherent mapping (CM) for AT ablation
- Coherencen = 27
- non-Coherencen = 27reference
- Outcome
- Acute success
Methodological detailshistorical control group
- Historical control group
Main finding
As reported in the abstract
P = 0.01
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| AT recurrence · median 26 (12-45) monthsNo difference | P = 0.29 |
- AT recurrence — AT recurred (overall)
- 28/54
- AT recurrence — Re-ablation needed
- 15
Procedure duration and fluoroscopy time (all procedures)
- Median procedure duration, min (IQR)
- 180 (120-214)
- Median fluoroscopy time, min (IQR)
- 10 (5.2-14)
Safety
Minor complications (overall)
- Minor complications
- 3 (5.5%)
Original publication
Coherent mapping of atrial tachycardias in patients with congenital heart disease. Europace. Published 16 February 2023. doi:10. 1093/ europace/ euad024
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