An innovative application of anatomic electromagnetic voltage mapping in a patient with Ebstein's anomaly undergoing permanent pacemaker implantation.
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.
Kloosterman
E M
EM
Department of Medicine, University of Miami School of Medicine and Jackson Memorial Hospital, Florida 33101, USA.
Yamamura
K
K
Alba
J
J
Mitrani
R D
RD
Myerburg
R J
RJ
Interian
A
A
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