Navigation for fluoroscopy-guided cryo-balloon ablation procedures of atrial fibrillation

Bourier F, Brost A, Kleinöder A, Kurzendorfer T, Koch M, Kiraly AP, Schneider HJ, Hornegger J, Strobel N, Kurzidim K (2012)

Publication Type: Conference contribution, Conference Contribution

Publication year: 2012

Journal

Original Authors: Bourier F., Brost A., Kleinoeder A., Kurzendorfer T., Koch M., Kiraly A., Schneider H., Hornegger J., Strobel N., Kurzidim K.

Book Volume: 8316

Pages Range: -

Event location: San Diego, CA

Journal Issue: null

DOI: 10.1117/12.911446

Abstract

Atrial fibrillation (AFib), the most common arrhythmia, has been identified as a major cause of stroke. The current standard in interventional treatment of AFib is the pulmonary vein isolation (PVI). PVI is guided by fluoroscopy or non-fluoroscopic electro-anatomic mapping systems (EAMS). Either classic point-to-point radio-frequency (RF)- catheter ablation or so-called single-shot-devices like cryo-balloons are used to achieve electrically isolation of the pulmonary veins and the left atrium (LA). Fluoroscopy-based systems render overlay images from pre-operative 3-D data sets which are then merged with fluoroscopic imaging, thereby adding detailed 3-D information to conventional fluoroscopy. EAMS provide tracking and visualization of RF catheters by means of electro-magnetic tracking. Unfortunately, current navigation systems, fluoroscopy-based or EAMS, do not provide tools to localize and visualize single shot devices like cryo-balloon catheters in 3-D. We present a prototype software for fluoroscopy-guided ablation procedures that is capable of superimposing 3-D datasets as well as reconstructing cyro-balloon catheters in 3-D. The 3-D cyro-balloon reconstruction was evaluated on 9 clinical data sets, yielded a reprojected 2-D error of 1.72 mm ± 1.02 mm. © 2012 Copyright Society of Photo-Optical Instrumentation Engineers (SPIE).

Authors with CRIS profile

Involved external institutions

Deutsches Herzzentrum München Germany (DE) Siemens Corporate Research United States (USA) (US) Krankenhaus Barmherzige Brüder Germany (DE) Siemens AG, Healthcare Sector Germany (DE) Krankenhaus Barmherzige Brüder Germany (DE)

How to cite

APA:

Bourier, F., Brost, A., Kleinöder, A., Kurzendorfer, T., Koch, M., Kiraly, A.P.,... Kurzidim, K. (2012). Navigation for fluoroscopy-guided cryo-balloon ablation procedures of atrial fibrillation. In Proceedings of the Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling (pp. -). San Diego, CA.

MLA:

Bourier, Felix, et al. "Navigation for fluoroscopy-guided cryo-balloon ablation procedures of atrial fibrillation." Proceedings of the Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling, San Diego, CA 2012. -.

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