The hybrid thoracoscopic ablation approach, which combines video-assisted epicardial radiofrequency (RF) ablation with endocardial catheter ablation, has proven to be useful in the treatment of persistent atrial fibrillation (AF).1, 2… Click to show full abstract
The hybrid thoracoscopic ablation approach, which combines video-assisted epicardial radiofrequency (RF) ablation with endocardial catheter ablation, has proven to be useful in the treatment of persistent atrial fibrillation (AF).1, 2 Standard electroanatomic mapping is based on direct contact to measure the electric field (voltage). Although used in everyday practice in AF ablation procedures, voltage-based mapping demands substantial time and technical ability of the operator. Noncontact, dipole density (DD) mapping fairly obviates the technical skill needed for high-density electroanatomic mapping. AcQMap (Acutus Medical, San Diego, CA) is a noncontact, high-resolution imaging and mapping system that provides heart chamber reconstruction using three-dimensional ultrasound overlaid with high-resolution maps of electrical activation either as (DD) or as voltage.3, 4
               
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