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| Content Provider | IEEE Xplore Digital Library |
|---|---|
| Author | Barley, M.E. Cohen, R.J. |
| Copyright Year | 2006 |
| Description | Author affiliation: Massachusetts Inst. of Technol., Harvard Univ., Cambridge, MA (Barley, M.E.; Cohen, R.J.) |
| Abstract | Hemodynamically unstable ventricular arrhythmias are frequently untreatable with radio-frequency ablation due to the difficulty of rapidly and accurately localizing the site of origin of an arrhythmia with current technologies. We demonstrate a new catheter guidance method that will direct the tip of an ablation catheter to the site of origin of an arrhythmia and reduce the time needed to locate the site such that a patient need only be maintained in the arrhythmia for a few beats. The algorithm, based on a single-equivalent moving dipole (SEMD) model, is used to identify the bioelectric dipole corresponding to a site of origin of an arrhythmia. If a current dipole is produced at the ablation catheter tip, the tip position may also be calculated using this algorithm, and the catheter can be guided towards the site of origin of the arrhythmia. We present a method to compensate for the effect of systematic non-idealities, such as boundary effects, on the accuracy of this algorithm. In simulations, this method is able to guide the catheter tip to within 1.5 mm of the arrhythmic site at any location within the model torso with almost 100% success and with a realistic number of movements of the ablation catheter. These results suggest that this method has great potential to direct radio-frequency ablation procedures, especially in the significant patient population that is currently untreatable |
| Sponsorship | IEEE EMB |
| Starting Page | 6297 |
| Ending Page | 6300 |
| File Size | 232923 |
| Page Count | 4 |
| File Format | |
| ISBN | 1424400325 |
| ISSN | 1557170X |
| DOI | 10.1109/IEMBS.2006.260650 |
| Language | English |
| Publisher | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Publisher Date | 2006-08-30 |
| Publisher Place | USA |
| Access Restriction | Subscribed |
| Rights Holder | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Subject Keyword | Catheters Bioelectric phenomena Radio frequency Circuits Torso Electric potential Inverse problems Electrocardiography Electrodes Conductors |
| Content Type | Text |
| Resource Type | Article |
| Subject | Signal Processing Biomedical Engineering Health Informatics Computer Vision and Pattern Recognition |
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