Table.
Summary of mapping studies showing similar properties of AF drivers. Current study*
| Mapping Technique |
AF type | No. | Atrial Location | Driver Dynamics | Impact of Ablation: Acute | Impact of Ablation: Chronic |
|---|---|---|---|---|---|---|
|
FIRM Narayan 2012, Miller 2017, Spitzer 2016, Sommer 2016, Wilber |
Paroxymsal, persistent and long standing persistent | 3–4 | LA 2/3 RA 1/3 PV 40% |
Stable with precession for >10 mins | Term in 20–30% (2/3 to sinus) | Improves over PVI |
|
Endocardial phase Alhusseini 2017 (used basket data, Kuklik 2017 method) |
Paroxymsal, persistent and long standing persistent | 3–4 | LA 2/3 RA 1/3 PV 40% |
More meander than FIRM | “Similar to FIRM” | “Similar to FIRM” |
|
ECGI Haissaguerre 2014, Knecht 2017 |
Persistent | 4–5 | LA 2/3 RA 1/3 PV 40% |
“Unstable” in same regions 24h (stable?) | Term in 40–70% (1/5 to sinus) | Improves over PVI |
|
CartoFinder Daoud 2015 Schilling 2017 |
Paroxysmal and persistent | 3–4 | LA 2/3 RA 1/3 PV 40% |
Stable with precession for >10 mins | Term in 20–30% (2/3 to sinus) | – |
|
EGM Dispersion Seitz, 2017 |
Paroxysmal and persistent | 4–6 | LA 4/5 RA 1/5 PV 80% |
No remaps | Term in >90% | Improves outcome |
|
Dominant Frequency Atienza 2014 |
Paroxysmal and persistent | 2–5 | LA 4/5 RA 1/5 PV>70% |
No Remaps | Term 30–40% | Equal to PVI |
|
Body Surface DF Rodrigo 2017 |
Computer modeling | 3 | PV>70% | Greater Precession | N/A | N/A |
|
CartoFinder Calvo 2017* |
Long standing persistent AF | 1.8 | LA 2/3 RA 1/3 PV 21% |
“Highly repetitive & recurrent rotational activity” | Term 15% (all to sinus) | 70% freedom from AF after 12 months |