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Hochauflösendes 3‑D-Mapping

Chancen und Limitationen des Rhythmia™-Systems

High-resolution 3D mapping

Opportunities and limitations of the Rhythmia™ mapping system

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Herzschrittmachertherapie + Elektrophysiologie Aims and scope Submit manuscript

Zusammenfassung

Dreidimensionale Mappingsysteme erlauben eine zielgerichtete Diagnostik und Therapie komplexer Herzrhythmusstörungen, zu denen insbesondere atriale Reentry-Tachykardien, Vorhofflimmern und auch ventrikuläre Tachykardien gehören. Das Rhythmia™-Mappingsystem (Boston Scientific, Natick, MA, USA) gehört zu einer neuen Generation von Mappingsystemen, die schnell und automatisiert hochauflösende dreidimensionale elektroanatomische Maps mit einer sehr hohen Punktdichte erzeugen. Hierfür nutzt das System einen 64-poligen, bidirektional steuerbaren Mappingkatheter (IntellaMap Orion™, Boston Scientific), der magnetfeld- und impedanzbasiert lokalisiert wird. Bisherige Studien konnten zeigen, dass das Rhythmia™-System effektiv und sicher in der Behandlung komplexer atrialer und ventrikulärer Arrhythmien ist.

Abstract

Three-dimensional mapping systems are used for the characterization and treatment of complex arrhythmias, such as atrial reentrant tachycardias, atrial fibrillation, or ventricular tachycardia. The Rhythmia™ mapping system (Boston Scientific, Natick, MA, USA) belongs to a novel generation of mapping systems that are able to rapidly create high-density and high-resolution three-dimensional maps in an automated manner. Mapping is performed with a magnetic- and impedance-based tracked bidirectional deflectable 64-pole basket catheter (IntellaMap Orion™, Boston Scientific). Based on previous studies, the system is effective and safe for the treatment of complex atrial and ventricular arrhythmias.

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Authors and Affiliations

  1. Klinik für Kardiologie II – Rhythmologie, Universitätsklinikum Münster, Albert-Schweitzer Campus 1, 48149, Münster, Deutschland

    Christian Ellermann, Gerrit Frommeyer & Lars Eckardt

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  1. Christian Ellermann
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  2. Gerrit Frommeyer
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  3. Lars Eckardt
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Correspondence to Christian Ellermann.

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Interessenkonflikt

L. Eckardt und G. Frommeyer weisen auf folgende Beziehungen hin: Sie führen Vortragstätigkeiten für Boston Scientific aus. C. Ellermann, gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Ellermann, C., Frommeyer, G. & Eckardt, L. Hochauflösendes 3‑D-Mapping. Herzschr Elektrophys 29, 284–292 (2018). https://doi.org/10.1007/s00399-018-0580-0

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  • DOI: https://doi.org/10.1007/s00399-018-0580-0

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