Mapping of atrial fibrillation

Patent metadata

Field	Value
Publication number	US-12484828-B2
Application number	US-202217943039-A
Country	US
Kind code	B2
Filing date	Sep 12, 2022
Priority date	Mar 31, 2016
Publication date	Dec 2, 2025
Grant date	Dec 2, 2025

Abstract

Electroanatomic mapping is carried out by inserting a multi-electrode probe into a heart of a living subject, recording electrograms from the electrodes concurrently at respective locations in the heart, delimiting respective activation time intervals in the electrograms, generating a map of electrical propagation waves from the activation time intervals, maximizing coherence of the waves by adjusting local activation times within the activation time intervals of the electrograms, and reporting the adjusted local activation times.

First claim

What is claimed is:

1 . A method, comprising:
inserting a probe into a heart of a living subject, the probe having a plurality of electrodes; recording electrograms from the electrodes concurrently at respective locations in the heart; delimiting respective activation time intervals in the electrograms, the activation time intervals associated with a peak and a valley of a slope; generating an activation map of electrical propagation waves from the activation time intervals; assigning local activation times for the electrodes from the activation map; modeling at least a portion of the heart as a mesh with vertices, wherein a portion of the vertices correspond to respective locations of the electrodes; determining conduction velocities of the electrical propagation waves based on assigned location activation times; computing coherence of the waves in accordance with the conduction velocities; maximizing the coherence of the waves by adjusting the local activation times within the activation time intervals of the electrograms; mapping the mesh to an anatomical model of the heart with anatomical landmarks; increasing resolution of the mesh, comprising:
interpolating the local activation times for the electrodes on the mesh;
mapping the interpolated mesh to anatomical landmarks of the heart; and
ablating tissue of the heart to modify the electrical propagation waves.

2 . The method of claim 1 , wherein the interpolating the local activation times includes bilinear interpolating.

3 . The method of claim 1 , wherein the interpolating the local activation times includes interpolating each square of 2×2 electrodes on the mesh.

4 . The method of claim 1 , wherein unmapped electrodes of the mesh are marked as invalid.

5 . The method of claim 1 , wherein unmapped anatomical landmarks of the mesh are marked as invalid.

6 . The method of claim 1 , wherein the mapping the interpolated mesh includes mapping only when a distance between an electrode position and an anatomical mesh point is less than 20 mm.

7 . The method of claim 1 , wherein the mesh is configured as a triangular mesh.

8 . The method of claim 1 , wherein the mesh is configured as decomposable into triangles.

9 . The method of claim 1 , wherein the interpolating includes using Laplacian interpolation.

10 . The method of claim 1 , wherein the interpolating includes interpolating with a weighted mean of the local activation times.

11 . The method of claim 1 , wherein the interpolating includes interpolating fuzzy local activation times.

12 . The method of claim 1 , wherein the interpolating includes adapting a range of the local activation times.

13 . The method of claim 1 , wherein the interpolating includes adapting earlier local activation times.

14 . The method of claim 1 , wherein the interpolating includes adapting later local activation times.

15 . The method of claim 1 , wherein the interpolating includes interpolating local activation times of the vertices of the mesh that do not correspond to respective locations of the electrodes.

16 . The method of claim 15 , wherein the vertices are represented as fuzzy vertex membership functions that vary between 0 and 1.

17 . The method of claim 16 , wherein the vertex membership functions include weighted combinations of the vertex membership functions of neighboring vertices thereof.

18 . The method of claim 1 , wherein the generating an activation map includes segmenting the electrograms into a series of frames at respective times, wherein the frames are respective assignments of readings of the electrodes to a matrix of values.

19 . The method of claim 1 , further comprising generating a frame segmentation map, comprising:
providing a matrix of a plurality of frames; filling the plurality of frames with the local activation times that most logically relate to each other; and providing the conduction velocities.

20 . The method of claim 19 , wherein the providing the conduction velocities is based on the local activation times of a center electrode and neighboring electrodes.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Houben Richard P M
• Bar-Tal Meir
• Ben Zriham Yaniv
• Urman Roy
• Auerbach Shmuel

Classifications

• A61B5/349

  Detecting specific parameters of the electrocardiograph cycle · CPC title

• A61B2018/00636

  Sensing and controlling the application of energy · CPC title

• A61B2018/00351

  Heart · CPC title

• A61B18/1492

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B18/1206

  Generators therefor · CPC title