Validation of three-dimensional cardiac image integration: Use of integrated CT image into electroanatomic mapping system to perform catheter ablation of atrial fibrillation

Abstract

Introduction: Accurate visualization of the complex left atrial (LA) anatomy and the location of an ablation catheter within the chamber is important in the success and safety of ablation for atrial fibrillation (AF). We describe the integration of CT into an electroanatomic mapping (EAM) system and its validation in patients undergoing catheter ablation for AF. Methods and Results: Thirty patients (59.2 ± 8 years, 25 M) with paroxysmal (12) and persistent (18) AF underwent ablation using CT image integration into an electroanatomic mapping system. CT registration using the pulmonary veins as markers (landmark) was achieved with an error of 6.4 ± 2.8 mm with repeat registration required in t..