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Utility of Orthogonal Electrodes in Radiofrequency Ablation

Discriminate Near-Field Sensing

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Progress in Catheter Ablation

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 241))

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Abstract

The field of cardiac electrophysiology is barely thirty years old. From its inception, the understanding of cardiac arrhythmias was predicated upon the use of intracardiac electrograms recorded from the endocardial surface of the human heart with electrode catheters manipulated with the assistance of fluoroscopic equipment.1 Although catheter materials, designs and the recent addition of steerability have gradually evolved and improved, the basic design of the electrodes used for electrogram recording has remained constant. Essentially, metal bands or ′ ‘rings’ attached to the surface of cardiac catheters have been used to record bipolar electrograms either between two rings (bipolar signals) or between a ring and a remote electrode (unipolar signals).

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Reference

  1. Goldreyer B. Intracardiac electrocardiography in the analysis and understanding of cardiac arrhythmias. Ann Int Med. 1972; 77:117–136

    Article  PubMed  CAS  Google Scholar 

  2. DeCaprio V, Hurzeler P, Furman S. A comparison of unipolar and bipolar electgrograms for cardiac pacemaker sensing. Circ 1977; 56:750

    Article  CAS  Google Scholar 

  3. Goldreyer B, Olive AL, Leslie J, Cannom DS, Wyman, MG. A new orthogonal lead for P synchronous pacing. PACE 1981; 4:638–644

    Article  PubMed  CAS  Google Scholar 

  4. Goldreyer B, Knudson M, Cannom D, Wyman M. Orthogonal electrogram sensing. PACE 1983; 6:464–469

    Article  PubMed  CAS  Google Scholar 

  5. Aubert A, Goldreyer B, Wyman, M, Jacquemlyn E, Ector H, DeGeest H. Filter characteristics of the atrial sensing circuit of a rate responsive pacemaker. To see or not to see. PACE 1989; 12:525–536

    Article  PubMed  CAS  Google Scholar 

  6. Aubert A, Goldreyer B, Wyman M, Denys B, Ector H, DeGeest H. Simultaneous right atrial appendage sensing with a target tip, a solid tip and J orthogonal electrodes. Am J Cardiol 1987;59:610–614

    Article  PubMed  CAS  Google Scholar 

  7. Jackman W, Friday K, Yeung-Lai-Wah J, Fitzgerald D, Beck B, Bowman A, Stelzer P, Harrison L, Lazzara R. New catheter technique for recording left free-wall accessory atrioventricular pathway activation. Identification of pathway fiber orientation. Circ 1988:78,3: 598–610

    Article  CAS  Google Scholar 

  8. Haissaguerre M, Gaita F, Fisher B, Commenges D, Montserrat P, d’lvernois C, Lemetayer P, Warin J. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circ 1992: 85,6: 2162–2175

    Article  CAS  Google Scholar 

  9. Jentzer J, Goyal R, Williamson B, Man D, Niebauer M, Daoud E, Strickberger A, Hummel J, Morady F. Analysis of junctional ectopy during radiofrequency ablation of the slow pathway in patients with atrioventricular nodal reentrant tachycardia. Circ 1994; 90,6: 2820–2826

    Article  CAS  Google Scholar 

  10. Schwartzman D, Callans D, Gottlieb C, Dillon S, Movsowitz C, Marchlinski F. Conduction block in the interior vena caval-tricuspid valve isthmus: association with outcome of radiofrequency ablation of type I atrial flutter. JACC 1996; 28,6: 1519–1531

    Article  PubMed  CAS  Google Scholar 

  11. Movsowitz C, Schwartzman D, Callans D, Preminger M, Zado E, Gottlieb C, Marchlinski F. Idiopathic right ventricular outflow tract tachycardia: narrowing the anatomic location for successful ablation. Am Heart J 1996; 131,5: 930–936

    Article  PubMed  CAS  Google Scholar 

  12. Stevenson W, Friedman P, Kocovic D, Sager P, Saxon L, Pavri B. Radiofrequency catheter ablation of ventricular tachycardia after myocardial infarction. Circ 1998; 98: 308–314

    Article  CAS  Google Scholar 

  13. Bogun F, Bahu M, Knight B, Weiss R, Goyal R, Daoud E, Ching Man K, Strickberger A, Morady F. Response to pacing at sites of isolated diastolic potentials during ventricular tachycardia in patients with previous myocardial infarction. JACC 1997; 30:505–513

    Article  PubMed  CAS  Google Scholar 

  14. Stevenson W, Khan H, Sager P, Saxon L, Middlekauff H, Natterson P, Wiener I. Identification of reentry circuit sites during catheter mapping and radiofrequency ablation of ventricular tachycardia late after myocardial infarction. Circ 1993; 88:1647–1670

    Article  CAS  Google Scholar 

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© 2001 Springer Science+Business Media Dordrecht

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Goldreyer, B.N. (2001). Utility of Orthogonal Electrodes in Radiofrequency Ablation. In: Liem, L.B., Downar, E. (eds) Progress in Catheter Ablation. Developments in Cardiovascular Medicine, vol 241. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-9791-3_6

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  • DOI: https://doi.org/10.1007/978-94-015-9791-3_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-5882-9

  • Online ISBN: 978-94-015-9791-3

  • eBook Packages: Springer Book Archive

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