title: Radiofrequency ablation of focal atrial tachycardia: Benefit of electroanatomical mapping over conventional mapping.
abstract: BACKGROUND
  Catheter ablation is a proven therapy of focal atrial tachycardia. However limited information is available about the additional value of electroanatomical over conventional mapping methods for this specific arrhythmia.
  
  
  METHODS
  Consecutive catheter ablation procedures of FAT were analyzed in two cardiology centres. Only conventional mapping was used in 30 of the 60 procedures whereas additionally CARTO mapping was performed in another 30 procedures. Acute, six-month success rate, and procedural data were analyzed.
  
  
  RESULTS
  Localization of ectopic foci is congruent with previously published data. There was no statistically significant difference between procedure time and fluoroscopy time using additionally CARTO mapping, compared to conventional mapping only. Acute success rate was higher in procedures guided by CARTO mapping than in procedures based on conventional mapping (27/30 vs. 18/30, p = 0.0081). During the 6-month follow-up period there was a better outcome (p = 0.045) in case of CARTO guided procedures (success: 11 cases, partial success: 12 cases, failure: 4 cases) compared to conventional mapping (success: 4 cases, partial success: 18 cases, failure: 7 cases).
  
  
  CONCLUSIONS
  Catheter ablation of focal atrial tachycardias using the CARTO electroanatomical mapping system seems to provide higher acute and 6-month success rate compared to ablation using conventional mapping methods only.
authors.affiliation: Heart and Vascular Center, Semmelweis University , Budapest , Hungary.
authors.forename: N
authors.initials: N
authors.lastname: Szegedi
authors.affiliation: Heart and Vascular Center, Semmelweis University , Budapest , Hungary.
authors.forename: E
authors.initials: E
authors.lastname: Zima
authors.affiliation: Cardiology Institute, University of Debrecen , Debrecen , Hungary.
authors.forename: M
authors.initials: M
authors.lastname: Clemens
authors.affiliation: Department of Cardiology, State Health Center , Budapest , Hungary.
authors.forename: A
authors.initials: A
authors.lastname: Szekely
authors.affiliation: Department of Cardiology, State Health Center , Budapest , Hungary.
authors.forename: R G
authors.initials: RG
authors.lastname: Kiss
authors.affiliation: Heart and Vascular Center, Semmelweis University , Budapest , Hungary.
authors.forename: G
authors.initials: G
authors.lastname: Szeplaki
authors.affiliation: Heart and Vascular Center, Semmelweis University , Budapest , Hungary.
authors.forename: L
authors.initials: L
authors.lastname: Geller
authors.affiliation: Heart and Vascular Center, Semmelweis University , Budapest , Hungary.
authors.forename: B
authors.initials: B
authors.lastname: Merkely
authors.affiliation: Cardiology Institute, University of Debrecen , Debrecen , Hungary.
authors.forename: Z
authors.initials: Z
authors.lastname: Csanadi
authors.affiliation: Department of Cardiology, State Health Center , Budapest , Hungary.
authors.forename: G
authors.initials: G
authors.lastname: Duray
mesh_terms: D000200:Action Potentials; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017115:Catheter Ablation / Q000379:methods*; D022062:Electrophysiologic Techniques, Cardiac; D005260:Female; D006325:Heart Atria / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013612:Tachycardia, Ectopic Atrial / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: CARTO; catheter ablation; conventional mapping; electroanatomical mapping; focal atrial tachycardia