Enthusiasm from the past notable successes with RF ablation and the
demand for better therapy for the complex but common arrhythmias
has carried forward the progress of catheter ablation technology.
In the past few years, there has been significant progress in the
development of better mapping and ablative techniques. Such
progress has resulted in a steady improvement in the success of
ablation of more complex atrial and ventricular tachyarrhythmias as
well as our knowledge of their anatomy and pathophysiology.
However, enthusiasm for finding the ideal tools for the cure of
complex arrhythmias has also resulted in a proliferation of changes
in catheter designs, mapping apparatus, and heat energy sources.
The clinician nowadays is faced with a wide and often confusing
choice of new instruments and methods of ablation. There are few,
if any, comparative studies involving the various new tools, nor is
there any compilation of data on any specific new discovery. It is
timely to provide ourselves with a review of available data on the
progress of new technology in order to enhance our knowledge and to
concentrate our efforts into the development of an ultimate
practical and yet effective methodology.
The purpose of this publication is to provide a forum in which
the authors can present their experience, even if only in its
preliminary stages, in the respective field or technology. Various
technological advancements in mapping and ablation as well as the
improved understanding of the pathophysiology of the various
arrhythmias are presented. The authors are selected for their
interest and expertise on the subject. Each topic is presented in a
concise form and with relevance to thedevelopment of new
technology. The authors are encouraged to provide their opinion on
the issues to stimulate further discussion and investigation. We
hope that this publication will also stimulate further growth in
this exciting field of cardiac electrophysiology.
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