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Wide band dielectric concept: “Does it make the life easier in EP Lab?”

Wide band dielectric concept: “Does it make the life easier in EP Lab?” INTRODUCTIONIn this issue of the Journal, Murer et al.1 reported the first experience of using the novel three‐dimensional (3D) mapping system technology (Kodex, Phillips) for atrial fibrillation (AF) ablation. The system has been recently introduced in the clinical practice and is an open 3D mapping system, since the operator can use any mapping/ablation catheter to create the left atrium anatomy along with pulmonary veins’ structure. Furthermore, each cardiac chamber can be reliably reconstructed, if needed. Being an initial experience, the number of patients included is limited but the results reported look promising. The procedure time, RF time, and fluoroscopic exposure are comparable to procedures carried out with other current 3D mapping systems—In other terms, an additional mapping system enters into the field of AF ablation offering a comparable “service” even though its role needs to be properly defined in the long run.WHY INTRODUCING “DIELECTRIC” IN OUR PRACTICE?Dielectric concept is based on gradients in the electrical field promoted by the different cardiac structures, such as the endocardial surface, cardiac veins, and heart valves. The KODEX‐EPD imaging system2 properly creates high‐resolution images of cardiac anatomy by exploiting the distinct dielectric properties of biological tissue. The system receives and analyzes the electrical http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cardiovascular Electrophysiology Wiley

Wide band dielectric concept: “Does it make the life easier in EP Lab?”

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References (4)

Publisher
Wiley
Copyright
© 2022 Wiley Periodicals LLC.
ISSN
1045-3873
eISSN
1540-8167
DOI
10.1111/jce.15704
Publisher site
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Abstract

INTRODUCTIONIn this issue of the Journal, Murer et al.1 reported the first experience of using the novel three‐dimensional (3D) mapping system technology (Kodex, Phillips) for atrial fibrillation (AF) ablation. The system has been recently introduced in the clinical practice and is an open 3D mapping system, since the operator can use any mapping/ablation catheter to create the left atrium anatomy along with pulmonary veins’ structure. Furthermore, each cardiac chamber can be reliably reconstructed, if needed. Being an initial experience, the number of patients included is limited but the results reported look promising. The procedure time, RF time, and fluoroscopic exposure are comparable to procedures carried out with other current 3D mapping systems—In other terms, an additional mapping system enters into the field of AF ablation offering a comparable “service” even though its role needs to be properly defined in the long run.WHY INTRODUCING “DIELECTRIC” IN OUR PRACTICE?Dielectric concept is based on gradients in the electrical field promoted by the different cardiac structures, such as the endocardial surface, cardiac veins, and heart valves. The KODEX‐EPD imaging system2 properly creates high‐resolution images of cardiac anatomy by exploiting the distinct dielectric properties of biological tissue. The system receives and analyzes the electrical

Journal

Journal of Cardiovascular Electrophysiology – Wiley

Published: Dec 1, 2022

Keywords: arrhythmias; atrial fibrillation; catheter ablation; mapping

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