Repository logo

Infoscience

  • English
  • French
Log In
Logo EPFL, École polytechnique fédérale de Lausanne

Infoscience

  • English
  • French
Log In
  1. Home
  2. Academic and Research Output
  3. Conferences, Workshops, Symposiums, and Seminars
  4. Tracking of Stepwise Ablation of Persistent Atrial Fibrillation using Synchronization of nearby Electrograms
 
conference paper

Tracking of Stepwise Ablation of Persistent Atrial Fibrillation using Synchronization of nearby Electrograms

Buttu, Andréa  
•
Volorio, Sarah  
•
Forclaz, Andrei
Show more
2011
Computing in Cardiology
Computing in Cardiology

Purpose: The timing of bipolar intracardiac electrograms (EGMs) during atrial fibrillation (AF) reflects the dynamics of AF wavelets. The extent of synchronization between EGMs is an indirect measure of AF spatial organization. Our study intends to determine whether the synchronization of nearby electrodes can track the gradual organization produced by stepwise catheter ablation (step-CA) “en route” to AF termination (AF-term, i.e. restoration of sinus rhythm (SR)/conversion to atrial tachycardia). Methods: 5 patients (mean age 60±4) with long-standing persistent AF (per-AF) (mean duration 16±10 months) successfully underwent AF step-CA consisting of pulmonary veins isolation, ablation of fragmented potentials and left atrial lines until AF-term. Bipolar EGMs from a quadripolar catheter placed into the right atrial appendage were continuously recorded and split into 10-sec epochs. Windows (whose size corresponded to the mean AF cycle length – AFCL) centered on each maximum positive activation potential of the source (distal electrode) were computed on the target (proximal electrode). These windows were summed to form a vector, the sparseness (SPAR) of which quantified the synchronization between proximal and distal dipoles. Differences in SPAR and AFCL values (in %) were compared during the last two steps preceding AF-term. Results: Before AF-term, SPAR and AFCL both increased. However, SPAR increased by 31% while AFCL by 3%. SPAR performed considerably better than AFCL. Conclusion: Our preliminary results suggest that our index based on the synchronization of nearby electrodes was able to track the evolution of organization before AF-term. SPAR is a promising parameter that might help to titrate the amount of ablation required to restore long term SR.

  • Files
  • Details
  • Metrics
Loading...
Thumbnail Image
Name

Buttu_Spikes_CinC2011.pdf

Access type

openaccess

Size

592.75 KB

Format

Adobe PDF

Checksum (MD5)

9eecd8aa85fd6526cd5ec15833ae66ac

Logo EPFL, École polytechnique fédérale de Lausanne
  • Contact
  • infoscience@epfl.ch

  • Follow us on Facebook
  • Follow us on Instagram
  • Follow us on LinkedIn
  • Follow us on X
  • Follow us on Youtube
AccessibilityLegal noticePrivacy policyCookie settingsEnd User AgreementGet helpFeedback

Infoscience is a service managed and provided by the Library and IT Services of EPFL. © EPFL, tous droits réservés