NYMC Faculty Publications
Elucidation of Complex Atrial Tachycardia Activation in a Patient With Tetralogy of Fallot Using Omnipolar Mapping Technology: A Case Report
Author Type(s)
Faculty
DOI
10.19102/icrm.2024.15025
Journal Title
The Journal of Innovations in Cardiac Rhythm Management
First Page
5777
Last Page
5781
Document Type
Article
Publication Date
2-1-2024
Department
Medicine
Abstract
In this case report, omnipolar mapping, a unique technology, was used to analyze complex atrial arrhythmias in an adult with congenital heart disease. Our patient had surgically corrected tetralogy of Fallot and presented with highly symptomatic atrial arrhythmias. A successful ablation was performed with standard bipolar mapping techniques. However, due to the complex nature of the substrate and arrhythmias in this patient, bipolar arrhythmia maps were difficult to interpret, and ablation lesions were delivered based on inference and "educated guesses." An offline re-analysis with omnipolar technology (OT) research software, days after the procedure was performed, revealed details not seen with traditional mapping and explained why the delivered lesions were effective. The findings of this retrospective analysis are provocative, suggesting that OT may increase the accuracy and efficiency of mapping and ablation of complex arrhythmias. Further investigation using commercially released OT in real time is needed.
Recommended Citation
Jacobson, J. T., Frenkel, D., Reade, D., & Deno, D. C. (2024). Elucidation of Complex Atrial Tachycardia Activation in a Patient With Tetralogy of Fallot Using Omnipolar Mapping Technology: A Case Report. The Journal of Innovations in Cardiac Rhythm Management, 15 (2), 5777-5781. https://doi.org/10.19102/icrm.2024.15025