How to Perform Open Window Mapping and Ablation in Patients with Wolff-Parkinson-White Syndrome: A Comprehensive Technical Guide Using CARTO™ and EnSite Electroanatomic Mapping Systems Wolff-Parkinson-White Sendromlu Hastalarda Open Window Haritalama ve Ablasyon Nasıl Yapılır: CARTO™ ve EnSite Elektroanatomik Haritalama Sistemleri Kullanılarak Kapsamlı Teknik Kılavuz
Turk Kardiyoloji Dernegi Arsivi, cilt.53, sa.7, ss.524-535, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 53 Sayı: 7
- Basım Tarihi: 2025
- Doi Numarası: 10.5543/tkda.2025.14636
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.524-535
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Wolff-Parkinson-White (WPW) syndrome arises from the persistence of one or more accessory pathways (APs) that bypass the atrioventricular (AV) node, leading to pre-excitation. These pathways may conduct in an antegrade, retrograde, or bidirectional manner and may exhibit either decremental or non-decremental properties. Clinically, patients may present with orthodromic atrioventricular eciprocating tachycardia(AVRT), antidromic AVRT, or pre-excited atrialfibrillation, each with distinct risk profiles. Ablation success hinges on precise anatomical and electrophysiological localization of the AP’s atrial and/or ventricular insertion.1 Conventional local activation time (LAT)based sequential point-by-point activation mapping or differential pacing strategies can be limited by conduction directionality, far-field overlap, signal distortion, and poor catheter-tissue contact. Open Window Mapping (OWM) overcomes these limitations by integrating anatomical and temporal data into a high-resolution, automated annotation schema that surpasses conventional mapping approaches. The subsequent sections elaborate on how OWM addresses these challenges.