The Kit: Access, Catheter Placement, Transeptal Puncture, Ablation Technology, 3D Mapping

  • Jason V. GarciaEmail author
  • Daniel K. Y. Wan


This Chapter will review the essential components and equipment utilized to run and perform electrophysiology studies. Particular attention will be given to the preparation of the patient, access techniques, catheter placement and the different mapping equipment available to diagnose and treat arrhythmias.


Kit 3D mapping Ablation Catheters Access 


  1. 1.
    Haines D, Beheiry S, Akar J, Baker J, Beinborn D, Beshai J, et al. Heart rhythm society consensus statement on electrophysiology laboratory standards: process, protocols, equipment, personnel, and safety. HRS [Internet]. 2014 Aug [cited 2019 Apr 14];11(8):9–51. Scholar
  2. 2.
    Mantziari L, Butcherm C, Kontogeorgis A, Panikker S, Roy, K, Markides V, et al. Utility of novel rapid high-resolution mapping system in the catheter ablation of arrhythmias. J Am Coll Cardiol EP. 2015;1(5):411–420. Scholar
  3. 3.
    Haines DE. The biophysics and pathyophysiology of lesion formation during radiofrequency catheter ablation. In: Zipes DP, Jalife J, editors. Cardiac electrophysiology: from cell to bedside. Philadelphia: WB Saunders; 2004. p. 1018–27.CrossRefGoogle Scholar
  4. 4.
    Eick OJ, Gerritse B, Schumacher B. Popping phenomena in temperature-controlled radiofrequency ablation: when and why do they occur? Pacing Clin Electrophysiol. 2000;23(2):253–258. Scholar
  5. 5.
    Andrade JG, Khairy P, Dubuc M. Catheter Cryoablation: Biological and clinical uses. Circ Arrhythm Electrophysiol. 2013;6(1):218–227. Scholar
  6. 6.
    Josephson ME. Electrophysiologic investigation: technical aspects. In Josephson ME, editor. Clinical cardiac electrophysiology, 4th ed. Philadelphia: Lippincott, Williams & Wilkins; 2008. p. 1–19.Google Scholar
  7. 7.
    Swale M, Mikell S, Gard J, Munger, T, Asirvatham S, Friedman P. Epicardial access: patient selection, anatomy, and a stepwise approach. J Innov Cardiac Rhythm Manage. 2011;2:239–249.Google Scholar
  8. 8.
    Earley MJ. How to perform a transseptal puncture. Heart. 2009;95:85–92.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of ElectrophysiologyBarts Heart CentreLondonUK

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