Effect of electrode size and distance to tissue on unipolar and bipolar voltage electrograms and their implications for a near-field cutoff.
Details
Serval ID
serval:BIB_6682656C6EFA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effect of electrode size and distance to tissue on unipolar and bipolar voltage electrograms and their implications for a near-field cutoff.
Journal
Scientific reports
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
08/11/2024
Peer-reviewed
Oui
Volume
14
Number
1
Pages
27184
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Abstract
Characteristics of electrograms depend on the electrode design and distance to the electric source. Our aim was to assess the impact of electrode design and distance from the myocardial electric source on the unipolar and bipolar electrograms to deduce a far-field cut-off. We retrospectively analyzed left atrial electroanatomical maps of 25 patients acquired using an ablation catheter with a 4.5 mm tip-, mini- and 2 mm ring electrodes. The unipolar and bipolar electrograms were characterized based on peak-to-peak amplitude, signal duration, maximal slope, and relative power of the high frequency spectrum above 50 Hz (HF_rel). The unipolar electrograms of ring electrodes showed an increased amplitude (140%), slope (150%) and HF_rel (16% vs. 11%) compared to the tip- and mini-electrodes. The median amplitude, slope, and HF_rel for the ring electrodes followed a power-law decay with distance with a steep decline up to 4 mm. This near-field cut-off can be identified based on a HF_rel above 10% in unipolar electrograms. In conclusion, we observed a higher unipolar amplitude for small ring-electrodes compared to larger tip-electrodes. The rapid decay of the amplitude, slope, and HF_rel up to a distance of 4 mm is suggestive for near-field cut-off identified based on HF_rel above 50 Hz.Clinical Trial Registration: NCT04095559.
Keywords
Humans, Electrodes, Retrospective Studies, Female, Male, Middle Aged, Electrophysiologic Techniques, Cardiac/instrumentation, Electrophysiologic Techniques, Cardiac/methods, Catheter Ablation/methods, Atrial Fibrillation/physiopathology, Atrial Fibrillation/diagnosis, Heart Atria/physiopathology, Aged, Electrocardiography/methods, Electrocardiography/instrumentation, Bipolar, Distance, Electrode, Electrogram, Near-field, Unipolar
Pubmed
Open Access
Yes
Create date
18/11/2024 12:07
Last modification date
19/11/2024 7:23