University Clinic introduces surgeries with interactive 3D mapping

Three procedures have been performed recently.

During surgeries for complex cardiac arrhythmias, the physicians used Carto 3D system and an ultrasound machine for internal ultrasound. This helped the surgeons get rid of X-ray for this purpose, which reduced radiological load on the patient and the crew.

The University Clinic experts were joined by Oleg Sapelnikov (Head of the Laboratory of Surgical and X-Ray Methods of Treatment of Cardiac Arrhythmias, Section of Cardiovascular Surgery, Medical Research Institute of Cardiology of the Ministry of Health of Russia) and Dmitry Cherkashin (cardiac surgeon from the same institution). The three patients in this case suffered, respectively, from atrial fibrillation, frequent ventricular premature beats, and supraventricular tachycardia.

All the patients needed radio frequency ablation. The majority of Russian hospitals perform it with X-ray equipment. Despite the latest advancements in radiological diagnostics, the radiation still has some influence on the organism. Carto 3D, a non-fluoroscopic navigation system with ECG, helped the University Clinic to achieve the next level in cardiac surgery. A non-invasive mapping system can build a computer model of the heart.

“We can see how valves are working and how the heart is beating, how electrodes are positioned within heart chambers – it becomes possible thanks to a miniature intravenous catheter. A non-fluoroscopic computer model helps the crew see the volumetric position of the heart and register the contraction impulse,” explains Anton Omelyanenko, Head of Arrhythmology Group at the University Clinic.

 

Source text and photo: Olga Pelepets

Translation: Yury Nurmeev

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