title: Ablation of premature ventricular complexes exclusively guided by three-dimensional noninvasive mapping.
abstract: Preprocedural detailed characterization of premature ventricular complexes before ablation, currently limited to the 12-lead electrocardiogram, may aid in planning and improve procedural outcomes. This article summarizes current published data on feasibility, accuracy, and impact on clinical outcomes of a novel, three-dimensional, noninvasive, single-beat mapping system (ECVUE, CardioInsight). ECVUE technology offers premature ventricular complex characterization and localization with clinically relevant accuracy and performance superior to the surface electrocardiogram. With its noninvasive and single beat advantages, ECVUE has the potential to simplify mapping, and reduce ablation and procedural time.
authors.affiliation: Medical Clinic I, Department of Cardiology, Justus-Liebig University of Giessen, Klinikstrasse 33, Giessen 35392, Germany.
authors.forename: Damir
authors.initials: D
authors.lastname: Erkapic
authors.affiliation: Department of Cardiology, Kerckhoff Heart and Thorax Center, Benekestr 2-8, Bad Nauheim 61231, Germany. Electronic address: t.neumann@kerckhoff-klinik.de.
authors.forename: Thomas
authors.initials: T
authors.lastname: Neumann
mesh_terms: D017115:Catheter Ablation / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D022062:Electrophysiologic Techniques, Cardiac / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D018879:Ventricular Premature Complexes / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*
keywords: Ablation; ECVUE; Electrocardiographic mapping; Noninvasive three-dimensional mapping; Premature ventricular contraction; Ventricular arrhythmia