Abstract:Objective:To summarize our initial experience on threedimensional electroanatomic mapping with CartoMerge, so as to provide evidence for guiding catheter ablation of atrial fibrillation (AF). Methods: Fifteen patients with paroxysmal/persistent AF (13 paroxysmal and 2 persistent), who were to receive catheter ablation, were analyzed by CARTOMERGE, which combines computed tomography (CT) angiography, picture merging, guiding ablation, etc. Results: There were 103±13 mapping points before ablation, with 66±15 in the left ablation circle and 58±20 in the right. The distance between points and surface was (1.8±0.2) mm in the merged images. Operation time was (305±45) min and the Xray exposure time was (52±18) min. Isolation of pulmonary veins potential was achieved in all patients and there was no complication during the operation. Conclusion: Threedimensional CT images is very close to the the real anatomy of left atrium and pulmonary veins. Cartomerge technique can overcome some shortcomings of Carto electroanatomic mapping pictures, which can improve the successful rate of operation and reduce complications.