Bazoukis George, Elkholey Khaled, Stavrakis Stavros, Heist E Kevin, Armoundas Antonis A
School of Medicine, European University Cyprus, Nicosia, Cyprus.
Department of Cardiology, Larnaca General Hospital, Larnaca, Cyprus.
Heart Int. 2024 Jun 27;18(1):9-25. doi: 10.17925/HI.2024.18.1.3. eCollection 2024.
This systematic review aims to summarize the procedural arrhythmia termination rates in catheter ablation (CA) procedures of atrial or ventricular arrhythmias using the commonly used mapping systems (CARTO, Rhythmia and EnSite/NavX). A systematic search in MEDLINE and Cochrane databases through February 2021 was performed. With regard to atrial fibrillation ablation procedures, acute success rates ranged from 15.4 to 96.0% and 9.1 to 100.0% using the CARTO and EnSite/NavX mapping systems, respectively; acute atrial tachycardia (AT) termination to sinus rhythm ranged from 75 to 100% using the CARTO system. The acute success rate for different types of AT ranged from 75 to 97% using Rhythmia, while the NavX mapping system was also found to have excellent efficacy in the setting of AT, with acute arrhythmia termination rates ranging from 73 to 99%. With regard to ventricular tachycardia, in the setting of ischaemic cardiomyopathy, acute success rates ranged from 70 to 100% using CARTO and 64% using EnSite/NavX systems. The acute success rate using the Rhythmia system ranged from 61.5 to 100.0% for different clinical settings. Mapping systems have played a crucial role in high-density mapping and the observed high procedural success rates of atrial and ventricular CA procedures. More data are needed for the comparative efficacy of mapping systems in acute arrhythmia termination, across different clinical settings.
本系统评价旨在总结使用常用标测系统（CARTO、Rhythmia和EnSite/NavX）进行心房或心室心律失常导管消融（CA）手术时的程序性心律失常终止率。通过检索MEDLINE和Cochrane数据库，截至2021年2月进行了系统搜索。关于房颤消融手术，使用CARTO和EnSite/NavX标测系统时，急性成功率分别为15.4%至96.0%和9.1%至100.0%；使用CARTO系统时，急性房性心动过速（AT）终止为窦性心律的比例为75%至100%。使用Rhythmia时，不同类型AT的急性成功率为75%至97%，同时发现NavX标测系统在AT情况下也具有出色的疗效，急性心律失常终止率为73%至99%。关于室性心动过速，在缺血性心肌病情况下，使用CARTO时急性成功率为70%至100%，使用EnSite/NavX系统时为64%。在不同临床情况下，使用Rhythmia系统的急性成功率为61.5%至100.0%。标测系统在高密度标测以及观察到的心房和心室CA手术的高手术成功率中发挥了关键作用。对于不同临床情况下标测系统在急性心律失常终止方面的比较疗效，还需要更多数据。
