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

Felix Bourier; Alexander Brost; Andreas Kleinoeder; Tanja Kurzendorfer; Martin Koch; Attila Kiraly; Hans-Juergen Schneider; Joachim Hornegger; Norbert Strobel; Klaus Kurzidim

doi:10.1117/12.911446

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17 February 2012 Navigation for fluoroscopy-guided cryo-balloon ablation procedures of atrial fibrillation

Felix Bourier, Alexander Brost, Andreas Kleinoeder, Tanja Kurzendorfer, Martin Koch, Attila Kiraly, Hans-Juergen Schneider, Joachim Hornegger, Norbert Strobel, Klaus Kurzidim

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Proceedings Volume 8316, Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling; 831627 (2012) https://doi.org/10.1117/12.911446
Event: SPIE Medical Imaging, 2012, San Diego, California, United States

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.

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Felix Bourier, Alexander Brost, Andreas Kleinoeder, Tanja Kurzendorfer, Martin Koch, Attila Kiraly, Hans-Juergen Schneider, Joachim Hornegger, Norbert Strobel, and Klaus Kurzidim "Navigation for fluoroscopy-guided cryo-balloon ablation procedures of atrial fibrillation", Proc. SPIE 8316, Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling, 831627 (17 February 2012); https://doi.org/10.1117/12.911446

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