Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide
Catheter ablation is the treatment of choice for patients with symptomatic accessory pathways (APs) causing recurrent atrioventricular reciprocating tachycardia or in situations where APs conduct rapidly, posing a risk of sudden cardiac death. Conventional AP mapping relies on point-by-point assessm...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2023-12-01
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| Series: | Arrhythmia & Electrophysiology Review |
| Online Access: | https://www.aerjournal.com/articleindex/aer.2023.09 |
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| author | Rajdip Dulai Fatima Bangash Ajay Sharma Alex Cambridge Geoff Wong Wei Lim David Farwell Jason Garcia Neil T Srinivansan |
| author_facet | Rajdip Dulai Fatima Bangash Ajay Sharma Alex Cambridge Geoff Wong Wei Lim David Farwell Jason Garcia Neil T Srinivansan |
| author_sort | Rajdip Dulai |
| collection | DOAJ |
| description | Catheter ablation is the treatment of choice for patients with symptomatic accessory pathways (APs) causing recurrent atrioventricular reciprocating tachycardia or in situations where APs conduct rapidly, posing a risk of sudden cardiac death. Conventional AP mapping relies on point-by-point assessment of local electrograms looking closely for pathway electrograms or early atrial or ventricular electrograms, which may be challenging and time consuming. Recently, open window mapping (OWM) using 3D navigational systems has emerged as a novel technique to help localise and ablate APs. OWM has significant advantages over conventional point-by-point mapping techniques. The purpose of this review is to summarise the currently available literature on the OWM technique and to highlight the technical aspects and mapping considerations for OWM, including specific cases demonstrating its utility. |
| format | Article |
| id | doaj-art-a5567c49816d46f6b0e2f7c633d9addf |
| institution | Kabale University |
| issn | 2050-3369 2050-3377 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Arrhythmia & Electrophysiology Review |
| spelling | doaj-art-a5567c49816d46f6b0e2f7c633d9addf2024-12-14T16:04:49ZengRadcliffe Medical MediaArrhythmia & Electrophysiology Review2050-33692050-33772023-12-011210.15420/aer.2023.09Open Window Mapping of Accessory Pathways: A Literature Review and Practical GuideRajdip Dulai0Fatima Bangash1Ajay Sharma2Alex Cambridge3Geoff Wong4Wei Lim5David Farwell6Jason Garcia7Neil T Srinivansan8Cardiology Research Department, Eastbourne District General Hospital, East Sussex Hospitals NHS Trust, Eastbourne, UKDepartment of Cardiac Electrophysiology, The Essex Cardiothoracic Centre, Basildon, Essex, UK; Circulatory Health Research Group, Medical Technology Research Centre, School of Medicine, Anglia Ruskin University, Chelmsford, Essex, UKDepartment of Cardiac Electrophysiology, The Essex Cardiothoracic Centre, Basildon, Essex, UKAshford and St Peter’s NHS Foundation Trust, Chertsey, Surrey, UKCardiac Sciences Clinical Institute, Epworth Richmond Hospital, Melbourne, AustraliaNorfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UKDepartment of Cardiac Electrophysiology, The Essex Cardiothoracic Centre, Basildon, Essex, UKBiosense Webster, Melbourne, Australia & New ZealandDepartment of Cardiac Electrophysiology, The Essex Cardiothoracic Centre, Basildon, Essex, UK; Circulatory Health Research Group, Medical Technology Research Centre, School of Medicine, Anglia Ruskin University, Chelmsford, Essex, UKCatheter ablation is the treatment of choice for patients with symptomatic accessory pathways (APs) causing recurrent atrioventricular reciprocating tachycardia or in situations where APs conduct rapidly, posing a risk of sudden cardiac death. Conventional AP mapping relies on point-by-point assessment of local electrograms looking closely for pathway electrograms or early atrial or ventricular electrograms, which may be challenging and time consuming. Recently, open window mapping (OWM) using 3D navigational systems has emerged as a novel technique to help localise and ablate APs. OWM has significant advantages over conventional point-by-point mapping techniques. The purpose of this review is to summarise the currently available literature on the OWM technique and to highlight the technical aspects and mapping considerations for OWM, including specific cases demonstrating its utility.https://www.aerjournal.com/articleindex/aer.2023.09 |
| spellingShingle | Rajdip Dulai Fatima Bangash Ajay Sharma Alex Cambridge Geoff Wong Wei Lim David Farwell Jason Garcia Neil T Srinivansan Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide Arrhythmia & Electrophysiology Review |
| title | Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide |
| title_full | Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide |
| title_fullStr | Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide |
| title_full_unstemmed | Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide |
| title_short | Open Window Mapping of Accessory Pathways: A Literature Review and Practical Guide |
| title_sort | open window mapping of accessory pathways a literature review and practical guide |
| url | https://www.aerjournal.com/articleindex/aer.2023.09 |
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