Table 2: Pros and Cons of Mini- or Micro-electrode and Multi-electrode Catheters.
| Mini- and Micro-electrodes | Multi-electrodes | |||
|---|---|---|---|---|
| Pros | Cons | Pros | Cons | |
| Near field Field of view |
‘Real’ near field Small field of view |
Noise and artefacts Initial oedema during radiofrequency |
Near field Larger field of view |
Far field lava mapped? |
| LAVA endpoint | More sensitive new LAVA endpoint | Confirmation tool needed? | More LAVA, more channels | |
| Mapping resolution | Improved temporal and spatial resolution | Low mapping density: only in area of interest | High-density mapping | Arrhythmogenicity |
| Contact | Local impedance/contact information | Catheter orientation dependent | Tissue proximity index* | Wavefront dependent No contact info |
| Other | Lesion formation evaluation Lower pacing threshold |
Better entrainment Lower pacing threshold VT activation mapping |
||
| Cost-efficiency | Embedded in ablation catheter | Extra catheter needed | ||
*Available on CARTO (Biosense Webster). LAVA = local abnormal voltage activity; VT = ventricular tachycardia.