In this course, 3D mapping will be introduced. Students will be provided with many examples of how this latest technology has developed from its original form into what is used today in electrophysiology labs performing complex ablations. Starting with an overview of hardware, connectivity and lab set-up with an overview of each system's applied technological aspects, the course will move into cardiac CT anatomy and geometry creation. Students will learn how these 3D geometries are used to create activation, voltage and CFE maps. We will demonstrate how these various map forms are then utilized to target ablations of atrial fibrillation, atrial flutter, and VT. This comprehensive overview should give the student an inside look at what is happening inside the EP lab prior to the start of a clinical practicum. The hardware and clinical applications of the technology will prepare the student for a successful transition into the working lab environment.
This course is for students in the Cardiac Sciences Electrophysiology Technology Option program. Students are responsible for ensuring prerequisite courses are completed PRIOR to registration. See course description for a list of individual prerequisites. IMPORTANT NOTE: Registration is available on an individual course basis for those who wish to take continuing education credits. Registration does not imply admission to the program. This course may be subject to cancellation if registration numbers are low.
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Upon successful completion of this course, the student will be able to:
Identify the hardware components of the various 3D mapping systems, RF generators, and the EP recording systems.
Illustrate the connections and interface between the 3D mapping system, RF generator, and EP recording system.
Differentiate the application of the two major 3D mapping systems: the St.Jude Medical Velocity impedance and the Biosense Webster Carto 3 magnetic field based systems.
Describe CT merging techniques, especially on the St.Jude Medical Velocity impedance and the Biosense Webster Carto 3 magnetic field based systems.
Identify relevant structures on CT and geometry images, utilizing the knowledge of cardiac anatomy.
Differentiate how “Geometry” is acquired on the Nav-X system and how “FAM” is acquired on the Carto system.
Demonstrate how to collect a correct voltage map and minimize potential error from different sources.
Interpret the clinical significance of Local Activation Timing maps.
Articulate how to make an accurate activation map.
Interpret the clinical significance of Complex Fractionated Electrograms (CFE’s).
Use correct parameters to annotate a CFE.
Assess the clinical utility of “Pace Maps”.
Demonstrate how to do an “Ultrasound” guided map.
Effective as of Winter 2014
CARD 5510 is offered as a part of the following programs:
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