Single-beat global atrial mapping facilitates the treatment of
short-lived atrial tachycardias and infrequent premature atrial
contractions
Abstract
Background: Short runs of atrial tachycardias (ATs) and
infrequent premature atrial contractions (PACs) are difficult to map and
ablate using sequential electrophysiology mapping techniques. The AcQMap
mapping system allows for highly accurate mapping of a single atrial
activation. Objectives: We aimed to test the value of a novel
dipole charge density based high-resolution mapping technique (AcQMap)
in the treatment of brief episodes of ATs and PACs. Methods:
Data of all patients undergoing catheter ablation (CA) using the AcQMap
mapping system were reviewed. Results: Thirty-one out of 219
patients (male n=8; female n=23) had short runs of ATs (n=23) and PACs
(n=8). The mean procedural time was 155.3±46.6 min, with a mean
radiation dose of 92.0 (IQR 37.0-121.0) mGy. Total radiofrequency
application duration 679.0 (IQR 276.5-1085.2) s. Left atrial
localization of ATs and PACs were identified in 45.1% of the cases,
right atrium localization in 45.1%, and septal origins in 9.8% of the
cases. Acute success was achieved in 30/31 (96.8%), and recurrence
during the follow-up developed in six patients (19.4%), including 4
patients with PACs and 2 patients with short-lived ATs. One patient
presented procedure-related groin hematoma as minor complication.
Conclusion: Brief episodes of highly symptomatic ATs and
infrequent PACs can be mapped using charge density mapping and
successfully ablated with high acute and long-term success rates.