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Imaging Real-Time Coronary Anatomy Using a Three-Dimensional Electrophysiology Mapping System

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Abstract

The aim of this study is to evaluate the feasibility of creating fast three-dimensional maps of coronary arteries and to develop a bipolar coronary guidewire in vitro and determine whether it can be localised accurately within the model.

A total of five patients were recruited, and EnSite Precision was utilised to create 3D coronary anatomy. A water bath to accommodate a 3D-printed coronary model was developed to test the performance of the bipolar angioplasty wire.

Successful guidewire localisation and 3D reconstruction of coronary anatomy were achieved in all the cases. No complications. The bipolar wire was able to collect point clouds, and localisation of the distal tip was excellent when tested in the water bath.

Our study demonstrates the feasibility and safety of utilising EAMS to collect coronary anatomy. Real-time tracking with a bipolar catheter is accurate when tested in vitro.

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Acknowledgements

We would like to thank Abbott Medical (UK) for providing technical support.

Funding

This study was funded by Abbott Medical.

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Authors and Affiliations

  1. Leeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds, UK

    Rabeia Javid, Stephen B. Wheatcroft & Muzahir H. Tayebjee

  2. Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds, LS1 3EX, UK

    Rabeia Javid, Amr Abdelrahman, Stephen B. Wheatcroft, Abdul Mozid & Muzahir H. Tayebjee

  3. Mechanical Engineering/Radiotherapy Technology Services, Leeds Teaching Hospitals NHS Trust, Leeds, UK

    Robert Thompson

  4. Department of Cardio Vascular Radiology, Leeds Teaching Hospital NHS Trust, Leeds, UK

    Sapna Puppala

Authors
  1. Rabeia Javid
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  2. Amr Abdelrahman
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  3. Robert Thompson
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  4. Sapna Puppala
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  5. Stephen B. Wheatcroft
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  6. Abdul Mozid
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  7. Muzahir H. Tayebjee
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Corresponding author

Correspondence to Amr Abdelrahman.

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Conflict of Interest

Rabeia Javid is an Abbott electrophysiology fellow. Dr. Muzahir Tayebjee has received research/travel grants from Abbott Medical, Biosense Webster, Medtronic, and Boehringer Ingelheim. Professor Wheatcroft has received funding from the British Heart Foundation, Medical Research Council, and the European Research Council. Amr Abdelrahman has no conflicts of interest to declare. Abdul Mozid has no conflict of interest to declare. Sapna Puppla has no conflict of interest to declare. Robert Thompson has no conflict of interest to declare.

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Associate Editor Craig M. Stolen oversaw the review of this article

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Javid, R., Abdelrahman, A., Thompson, R. et al. Imaging Real-Time Coronary Anatomy Using a Three-Dimensional Electrophysiology Mapping System. J. of Cardiovasc. Trans. Res. 16, 715–721 (2023). https://doi.org/10.1007/s12265-022-10341-x

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  • DOI: https://doi.org/10.1007/s12265-022-10341-x

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