Journal: HeartRhythm Case Reports

Article Title: Intracardiac echocardiography–guided simultaneous pulmonary vein isolation and percutaneous transvenous mitral commissurotomy

doi: 10.1016/j.hrcr.2019.10.006

Figure Lengend Snippet: Intracardiac echocardiography (ICE) images acquired during simultaneous pulmonary vein isolation (PVI) and percutaneous transvenous mitral commissurotomy. A, B: Anterior-posterior ( A ) and posterior-anterior ( B ) views of 3-dimensional left atrial anatomical images acquired with the CARTO system (Biosense Webster, Diamond Bar, CA) after circumferential PVI. Red dots indicate the sites of radiofrequency ablation. C, D: Fluoroscopic image from the right anterior oblique view ( C ) and ICE ( D ) for visualization of the optimal ballooning site of the mitral valve. LA = left atrium; LV = left ventricle.

Article Snippet: A, B: Anterior-posterior ( A ) and posterior-anterior ( B ) views of 3-dimensional left atrial anatomical images acquired with the CARTO system (Biosense Webster, Diamond Bar, CA) after circumferential PVI.

Techniques: Isolation

Journal: Journal of Clinical Medicine

Article Title: Transseptal Puncture Guided by Three-Dimensional Electroanatomical Mapping: Early Experience Using a Simplified Approach in Adults with Congenital Heart Disease

doi: 10.3390/jcm12134491

Figure Lengend Snippet: The TSP images under the visualization of a 3D mapping system. ( A ): After the 3D mapping of the right-sided anatomy, the CT anatomy was superimposed. The RF catheter was tracked during its moving from the superior part of the mapping anatomy. ( B ): The location of the TSP was identified and annotated on the 3D mapping anatomy. ( C ): The TSP needle was visualized and positioned on the annotated TSP point through the steerable sheath. ( D ): After visualization of needle puncture through the septum, it was replaced by the guidewire. The guidewire was tracked during its advancement to the PV on the 3D reconstructed anatomy. Note that 1 and 2 are modified projections for better visualization of the superimposed reconstructed anatomy (usually modified RAO and modified LL or PA projections). ( E ): After the TSP, the mapping catheter was introduced to the left chamber via the long sheath, and a FAM (fast anatomical mapping) of TSP was performed, shown as green color.

Article Snippet: CARTO 3D EAM system (Biosense Webster, Irvine, CA, USA) TSP was performed in combination with the Agilis long sheath with a dilator (Abbott, Chicago, IL, USA), the BRK™ transseptal needle (Abbott, IL, USA), and the SafeSept guidewire (Pressure Products, San Pedro, CA, USA).

Techniques: Modification