Progress in Catheter Ablation Clinical Application of New Mapping an
Catheter ablation is widely accepted as an effective and safe form of therapy for cardiac arrhythmia. In many instances this curative procedure is considered as the first line of therapy if not the ultimate treatment of choice. With the use of radiofreque
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Developments in Cardiovascular Medicine VOLUME 241
The tit/es published in this series are Iisted at the end ot this volume.
Progress in Catheter Ablation Clinical Application of New Mapping and Ablation Technology Edited by
Liang Bing Liem Associate Professor of Medicine, Stanford University, Director, Experimental Cardiac Electrophysiology, Stanford University Medical Center, Stanford, California, U.S.A.
and
Eugene Dawnar Professor of Medicine, University of Toronto, Director, Invasive Cardiac Electrophysiology, Toronto General Hospital, Toronto, Ontario, Canada
Springer-Science+Business Media, B.V.
A C.I.P.Catalogue record for this book is available from the Library of Congress.
ISBN 978-90-481-5882-9 ISBN 978-94-015-9791-3 (eBook) DOI 10.1007/978-94-015-9791-3
Printed on acid-free paper
All Rights Reserved
© 2001 Springer Science+Business Media Dordrecht Orig inally published by Kluwer Academic Publ ishers in 2001. Softcover reprint 01 the hardcover 1st edition 2001
No part of the mater ial protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical , including photocopying , recording or by any information storage and retrieval system, without written permission lrom the copyright owner.
Dedicated to our families, James Saylor and Tina Carriere
Table of Contents Preface ...................................................................................... xi
Contributing Authors .................................................................... xiii
Part I. Challenges in Catheter Ablation Chapter 1
Chapter 2
Chapter 3 Chapter 4
Chapter 5
The Arrhythmogenic Substrate in Ischemic and Non-Ischemic Cardiomyopathies. Structural and Functional Basis of Ventricular Arrhythmias Ruben Coronel, Antonius Baartscheer, Johannes M.E. Rademaker, Jessica T. Vermeulen, Jacques M.T. de Bakker. ................................... 3 Anatomy and Electrophysiology of the A V Junction and Coronary Sinus David L. Ross ......................................................................... 13 Anatomy of the Tricuspid Cavo Isthmus Anton E. Becker. ..................................................................... 29 Arrhythmias Following Repair of Congenital Heart Disease. Background and Scope of the Problem George F. Van Hare ................................................................. 39 Catheter Mapping and Ablation Technology. Limitations of Conventional Methods and Challenges of Newer Technology L. Bing Liem ........................................................................... 59
Part II. Newer Mapping Techniques Chapter 6
Chapter 7
Chapter 8 Chapter 9 Chapter 10 Chapter 11
Utility of Orthogonal Electrodes in Radiofrequency Ablation. Discriminate Near-Field Sensing Bruce N. Goldreyer. ................................................................. 65 Mapping Techniques in Patients with Paroxysmal Atrial Fibrillation Originating from the Pulmonary Vein Shih-Ann Chen, Ching-Tai Tai, Chin-Feng Tsai, Ming-Hsiung Hsieh, Yu-An Din
