Sustainability is the key
Vanguard breathes new life into the catheters for the CARTO 3 system, offering a sustainable and – with a price advantage of up to 50% – economical alternative to the original manufacturer’s products.
CARTO 3 catheters – remanufactured by Vanguard
Our CARTO 3 portfolio includes navigated Carto diagnostic catheters, navigated Carto ablation catheters and navigated Carto diagnostic and ablation catheter packages.
If you have any questions about CARTO 3 applications from Vanguard, our Clinical Support will help you quickly and easily.
What is the CARTO 3 system?
The CARTO 3 system makes it possible to create a three-dimensional map of the human heart. This so-called 3D map provides information about the spatial dimensions and conditions as well as the nature of the heart wall.
For whom and for which treatments is CARTO 3 suitable?
Treatment using the CARTO 3 system is designed for doctors and cardiology clinics, especially in the field of electrophysiology/rhythmology. The CARTO 3 technology helps clinics and doctors in particular to gain an overview of the patient’s heart and heart rhythm, function and possible functional disorders such as cardiac arrhythmia. This is a high-tech 3D mapping system that allows doctors to detect possible dysfunctions or cardiac arrhythmias using modern catheter technologies in order to treat them safely. The form of treatment or therapy is derived from the predefined colour coding of the maps.
The colour-coded map is generated via the Confidense module. This provides information about the excitation in the activation map (LAT) and the signal amplitude in the voltage map (Bipolar). In addition, ablation points can be visualised using the Carto Visitag module.
To be able to use the system, it requires…
a PIU – Patient Interface Unit (processor) with a special algorithm,
a location pad with alternating magnetic fields and
a generator for the special catheters.
PIU at the heart of the system
All ECG data recorded from the patient is processed in the PIU and displayed as a 3D map.
The catheter connected to the PIU transmits all data in real time, which is processed and projected onto a map.
An algorithm that supports the Carto 3 system is required to calculate the exact position with an accuracy of 1.00 mm. In addition, the patient’s respiratory cycle (respiratory gating module), temperature and electrical impulses are recorded simultaneously.
Location pad with alternating magnetic fields:
The location pads work like a classic GPS (global positioning system). The coils built into the pads generate a magnetic field that can determine the exact position of the catheter using the set frequency.
Catheter with sensors:
In order to obtain real-time information about the positioning of the catheter tip in the patient’s heart, a high-tech catheter with special sensors is required.
The following catheters from the extensive Vanguard product portfolio can be processed, for example:
- Smarttouch catheter
- Thermocool catheter
- Lasso Nav catheter
There are several electrodes on the catheter, which the doctors use to create the map in order to obtain an overview of the heart walls.
The sensors of the catheter from the CARTO 3 system come into play during treatment as soon as the position is determined and voltage changes are measured or transmitted. These voltage changes can be projected onto the created map in colour-coded form.
Production of a map
- It enables 3D reconstruction of cardiac cavities as well as real-time visualisation and navigation of catheter tips.
- Fluoroscopy times and examination times are minimised.
- Coloured markings help to find different areas and locations as quickly as possible and also offer the possibility of comparing them with others.
- Finally, in the case of complex arrhythmias, electroanatomical mapping helps to understand the core principles and mechanisms. This helps to create suitable ablation strategies to influence the arrhythmogenic substrates.
Do you have any further questions about our products? Please feel free to contact our customer service:
Ablation and image integration:
The goal is precision. To achieve this, it is necessary to obtain as accurate an overview as possible of the various anatomical details of the heart and the patient. This serves as the basis for a decisive ablation strategy and a meaningful mapping strategy in relation to various cardiac arrhythmias.
Another important technological step is the integration of
- X-ray image (Cartounivu)
- 3-dimensional computer tomography (CT)
- magnetic resonance imaging (MRI)
- images into the generated CARTO 3 maps
Mapping and ablation:
A navigated ablation catheter can be used to obliterate the myocardium and for mapping. This in turn requires a 3D image of the patient’s heart anatomy or heart cavities.
To obtain this three-dimensional image, the contour of the endocardium is scanned. This scanning process is carried out using special mapping catheters. These mapping catheters generate electronic anatomical information in real time, which is displayed in a 3D map.
The 3D image offers different views of the anatomy of the heart or the heart cavities. The respective image can be rotated, mirrored or completely rearranged. This allows cardiologists, especially electrophysiologists, to obtain an exact visual image of the patient’s heart, which in turn provides an advantage during examination and diagnosis.
The CARTO 3 system can be used to examine complex cardiac arrhythmias such as
- atrial fibrillation
- atypical atrial flutter
- ectopic atrial tachycardia
- extrasystoles
- ventricular tachycardia
- Wolff-Parkinson-White syndrome (WPW syndrome)
- and AV nodal reentry tachycardia (AVNRT).
Advantages over conventional mapping techniques
- With the CARTO 3 system, even complex anatomical relationships can be reconstructed three-dimensionally and fluorescence-free in the shortest possible time.
- The CARTO 3 system summarises all essential anatomical information and can be used as a position map in conjunction with a selected ablation strategy.
- Stress maps are used to identify substrates already altered in the sinus rhythm by the underlying heart disease, such as fibrosis or scarring, and to distinguish these from healthy tissue.
- The CARTO 3 system facilitates both the localisation and differentiation of arrhythmias and macroreentrant circuits through animated versions of activation maps and propagation maps.
We would be happy to calculate the potential savings for your clinic – contact our customer service team here:
Find our Carto 3 product catalogue here:
The terms and trademarks Carto®, CARTOUNIVU®, LASSO®, NAVISTAR®, THERMOCOOL®, SMARTTOUCH®, CARTO VISITAG™, CONFIDENSE™, CoolFlow™ and SmartAblate™ are protected trademarks or terms of the original manufacturer Biosense Webster, Inc. or Biosense Webster EMEA, a division of Johnson & Johnson Medical N.V./S.A. or a company affiliated with them.