title: An innovative application of anatomic electromagnetic voltage mapping in a patient with Ebstein's anomaly undergoing permanent pacemaker implantation.
abstract: A novel application of the Biosense CARTO System anatomic electromagnetic voltage mapping is presented, utilized as a guide for permanent pacemaker placement. The technique is illustrated in the successful implantation of an atrial lead in a patient with Ebstein's anomaly characterized by a severely dilated right atrium and extremely low-amplitude voltage signals, requiring a DDD pacemaker. Electromagnetic voltage mapping can be used in selected patients with structural heart disease to determine the optimal site for permanent pacemaker lead placement.
authors.affiliation: Department of Medicine, University of Miami School of Medicine and Jackson Memorial Hospital, Florida 33101, USA.
authors.forename: E M
authors.initials: EM
authors.lastname: Kloosterman
authors.forename: K
authors.initials: K
authors.lastname: Yamamura
authors.forename: J
authors.initials: J
authors.lastname: Alba
authors.forename: R D
authors.initials: RD
authors.lastname: Mitrani
authors.forename: R J
authors.initials: RJ
authors.lastname: Myerburg
authors.forename: A
authors.initials: A
authors.lastname: Interian
mesh_terms: D000328:Adult; D016280:Atrial Function, Right; D004437:Ebstein Anomaly / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery*; D055590:Electromagnetic Phenomena; D004594:Electrophysiology; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D010138:Pacemaker, Artificial