Abstract
Radiofrequency ablation is a common procedure to treat atrial fibrillation, where the objective is to electrically isolate some regions of the myocardium from others to avoid the transmission of abnormal electrical signals. This is done with a catheter by delivering an RF signal in the targeted regions. Ideally, the signal will create a permanent lesion that would prevent the reappearance of the abnormal electrical signals and therefore terminate AF. There are many parameters involved in the process and naturally in its success. In this paper we present a framework for comparing RF ablation related parameters such as power of the signal, contact force, temperature and impedance with permanent and effective lesion formation. In order to do that we propose to use a standardised unfold map that allows us to directly compare atria with different shapes at different time-points and with different types of information. We tested the method in 8 real cases showing that it facilitates the analysis and comparison of the ablation related parameters with the outcome of the procedure.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
Biosense Webster Inc, Diamond Bar, CA.
- 2.
ADAS, Galgo Medical SL. Barcelona, Spain.
References
Andreu, D., Gomez-Pulido, F., Calvo, M., Carlosena-Remírez, A., Bisbal, F., Borràs, R., Benito, E., Guasch, E., Prat-Gonzalez, S., Perea, R.J., et al.: Contact force threshold for permanent lesion formation in atrial fibrillation ablation: a cardiac magnetic resonance-based study to detect ablation gaps. Heart Rhythm 13(1), 37–45 (2016)
Attene, M., Falcidieno, B.: Remesh: an interactive environment to edit and repair triangle meshes. In: IEEE International Conference on Shape Modeling and Applications, p. 41 (2006)
Benito, E., Carlosena-Remírez, A., Guasch, E., Prat-Gonzalez, S., Perea, R.J., Figueras, R., Borràs, R., Andreu, D., Arbelo, E., Tolosana, J.M., Bisbal, F., Berruezo, A., Brugada, J., Mont, L.: Left atrial fibrosis quantification by late gadolinium enhancement magnetic resonance: a new method to standardize the thresholds for reproducibility. Europace. Epub ahead of print (2016)
Bisbal, F., Guiu, E., Cabanas-Grandío, P., Berruezo, A., Prat-Gonzalez, S., Vidal, B., Garrido, C., Andreu, D., Fernandez-Armenta, J., Tolosana, J.M., et al.: Cmr-guided approach to localize and ablate gaps in repeat af ablation procedure. JACC: Cardiovasc. Imaging 7(7), 653–663 (2014)
Calkins, H., Kuck, K.H., Cappato, R., Brugada, J., Camm, A.J., Chen, S.A., Crijns, H.J., Damiano, R.J., Davies, D.W., DiMarco, J., et al.: 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. Europace 14(4), 528–606 (2012)
Durrleman, S., Prastawa, M., Charon, N., Korenberg, J.R., Joshi, S., Gerig, G., Trouvé, A.: Morphometry of anatomical shape complexes with dense deformations and sparse parameters. NeuroImage 101, 35–49 (2014)
Ganesan, A.N., Shipp, N.J., Brooks, A.G., Kuklik, P., Lau, D.H., Lim, H.S., Sullivan, T., Roberts-Thomson, K.C., Sanders, P.: Long-term outcomes of catheter ablation of atrial fibrillation: a systematic review and meta-analysis. J. Am. Heart Assoc. 2(2), e004549 (2013)
Nuñez Garcia, M., Tobon-Gomez, C., Rhode, K., Bijnens, B., Camara, O., Butakoff, C.: Quantification of gaps in ablation lesions around the pulmonary veins in delayed enhancement MRI. In: van Assen, H., Bovendeerd, P., Delhaas, T. (eds.) FIMH 2015. LNCS, vol. 9126, pp. 215–222. Springer, Heidelberg (2015). doi:10.1007/978-3-319-20309-6_25
Haissaguerre, M., Jaïs, P., Shah, D.C., Takahashi, A., Hocini, M., Quiniou, G., Garrigue, S., Le Mouroux, A., Le Métayer, P., Clémenty, J.: Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. New Engl. J. Med. 339(10), 659–666 (1998)
Karim, R., Ma, Y., Jang, M., Housden, R.J., Williams, S.E., Chen, Z., Ataollahi, A., Althoefer, K., Rinaldi, C.A., Razavi, R., et al.: Surface flattening of the human left atrium and proof-of-concept clinical applications. Comput. Med. Imaging Graph. 38(4), 251–266 (2014)
Kuppahally, S.S., Akoum, N., Badger, T.J., Burgon, N.S., Haslam, T., Kholmovski, E., Macleod, R., McGann, C., Marrouche, N.F.: Echocardiographic left atrial reverse remodeling after catheter ablation of atrial fibrillation is predicted by preablation delayed enhancement of left atrium by magnetic resonance imaging. Am. Heart J. 160(5), 877–884 (2010)
McGann, C., Kholmovski, E., Blauer, J., Vijayakumar, S., Haslam, T., Cates, J., DiBella, E., Burgon, N., Wilson, B., Alexander, A., et al.: Dark regions of no-reflow on late gadolinium enhancement magnetic resonance imaging result in scar formation after atrial fibrillation ablation. J. Am. Coll. Cardiol. 58(2), 177–185 (2011)
Peters, D.C., Wylie, J.V., Hauser, T.H., Nezafat, R., Han, Y., Woo, J.J., Taclas, J., Kissinger, K.V., Goddu, B., Josephson, M.E., et al.: Recurrence of atrial fibrillation correlates with the extent of post-procedural late gadolinium enhancement: a pilot study. JACC: Cardiovasc. Imaging 2(3), 308–316 (2009)
Shurrab, M., Di Biase, L., Briceno, D.F., Kaoutskaia, A., Haj-Yahia, S., Newman, D., Lashevsky, I., Nakagawa, H., Crystal, E.: Impact of contact force technology on atrial fibrillation ablation: a meta-analysis. J. Am. Heart Assoc. 4(9), e002476 (2015)
Thomas, S.P., Aggarwal, G., Boyd, A.C., Jin, Y., Ross, D.L.: A comparison of open irrigated and non-irrigated tip catheter ablation for pulmonary vein isolation. Europace 6(4), 330–335 (2004)
Tobon-Gomez, C., Zuluaga, M.A., Chubb, H., Williams, S.E., Butakoff, C., Karim, R., Camara, O., Ourselin, S., Rhode, K.: Standardised unfold map of the left atrium: regional definition for multimodal image analysis. J. Cardiovasc. Magn. Reson. 17(1), 1 (2015)
Yamane, T., Jaïs, P., Shah, D.C., Hocini, M., Peng, J.T., Deisenhofer, I., Clémenty, J., Haïssaguerre, M.: Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation. Circulation 102(21), 2565–2568 (2000)
Acknowledgements
This work was partially supported by the EU FP7 for research, technological development and demonstration under grant agreement VP2HF (no 611823) and by the Spanish Ministry of Economy and Competitiveness (DPI2015-71640-R). The authors would like to thank Catalina Tobon-Gomez, Steven E. Williams and M. Henry Chubb for their valuable help.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this paper
Cite this paper
Nuñez-Garcia, M. et al. (2017). Standardised Framework to Study the Influence of Left Atrial RF Catheter Ablation Parameters on Permanent Lesion Formation. In: Mansi, T., McLeod, K., Pop, M., Rhode, K., Sermesant, M., Young, A. (eds) Statistical Atlases and Computational Models of the Heart. Imaging and Modelling Challenges. STACOM 2016. Lecture Notes in Computer Science(), vol 10124. Springer, Cham. https://doi.org/10.1007/978-3-319-52718-5_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-52718-5_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-52717-8
Online ISBN: 978-3-319-52718-5
eBook Packages: Computer ScienceComputer Science (R0)