OPTIMA mapping technique

[Cookie24]

physicsworld.com/a/simulati...

Seems to me using a mapping system prior to ablation would reduce the time in the OR and under GA.

[BobD Volunteer]

Maping is usually done at same time as ablation anyway. Different machines in different hospitals. Some may be better than others.

[Goosebumps in reply to BobD]

Article clearly states that the manufacturer is 'claiming' detailed advanced mapping and modelling will reduce the number of ablations needed in persistent AF patients.

Let's be positive, talk up prospects.

I know it's only a claim, but if it's for real it might be a game changer for persistent AF sufferers.

[cuore in reply to Goosebumps]

Right on, Goosebumps365. There is a BIG difference between paroxysmal AF and persistent AF. Too often our members lump the two together without fully understanding the consequences of the two. At least this mapping system does address persistent AF rather than condemning persistent Affers to doom and gloom.

[pottypete1]

My heart was 3D real time mapped during my last ablation in 2018.

Technology continues to advance but by definition more likely in a centre of excellence.

Pete

[Goosebumps in reply to pottypete1]

So where are the centre of excellences in the U.K. Is it a subjective thing or clearly acknowledged by a medical hierarchy?

And how do we find out what mapping systems are in place in each one?

Grateful for any ideas

[pottypete1 in reply to Goosebumps]

Good question and you are right to pull me up on my what seems to be a very generalised comment that I made yesterday.

I think that you have to do some of your own investigations.

As a starting point I suggest you visit The Society of Cardiothoracic Surgery’s website at:

scts.org/hospitals

There is also information on The British Heart Foundation website.

Hope this helps.

Pete

[Goosebumps in reply to pottypete1]

Many thanks. A very helpful startpoint for investigation

[Hidden in reply to Goosebumps]

I know that Glenfield were using some pretty wizz bang 3D mapping when they did my ablation 3 years ago, and last year they were trialling a new system that was even better

[Hidden in reply to Hidden]

leicestershospitals.nhs.uk/...

[cuore in reply to Hidden]

Correct me if I'm wrong, but I see the KODEX EPD software is for cyroballon ablation which means it will not work for persistent. When a patient is allowed to sink into persistent atrial fibrillation, the consequences are more severe and the mapping is much more difficult. Some in persistent atrial fibrillation will never be able to return to normal sinus rhythm with the limitations of our current mapping system and ablation technique.

[Hidden in reply to cuore]

I don't see where it says it is for cryo only, it is a mapping system.

[cuore in reply to Hidden]

I googled KODEX EPD and came upon

"Philips EPD Solutions and Medtronic have engaged in a collaboration to further advance the image-guided treatment of atrial fibrillation. This collaboration is designed to offer new value to Electrophysiologists performing cryoablation procedures."

Granted, it wa a cursory research without my researching in depth whether it is designed or not for radiofrequency ablation.

I did research "Pulsed Electric Field" which turned out not to be for persistent AF patients unfortunately, although it is more of a procedure.

[Cookie24]

hub.jhu.edu/2019/08/19/nata...

Johns Hopkins University

[jedimasterlincoln]

I've had mapping done before my first ablation in 2014. They used the same mapping from the July to go in again in the December to "finish" then I had some short work done for flutter ablation in 2017 on 2 occasions.

In 2019 I had some serious mapping done with new equipment and software that the specialist stated "The old mapping was HD, by comparison the new mapping is Ultra 4K HD 3D"

Even with this brilliant new software such were my complexities I was nearly in there for 6 hours!