Cardioneuroablation guided by real-time spectral analysis: The Omnipolar Technology Near Field

• Many different approaches to perform cardio-neural ablation (CAN) have been proposed, but each method has its own limitation and no one has still proved to be superior to the others • Omnipolar technology near field (OTNF) is a novel mapping algorithm integrated into the Ensite-X™ (Abbott) mapping system that allow a real-time automatic spectral analysis • The algorithm generates a frequency map, which depicts the distribution of high-frequency activity. • In our case, OTNF algorithm was used to analyze the atrial substrate in a patient undergoing CNA, allowing the location of ganglionated plexi (GPs) • This tool may help electrophysiologists to selectively target GPs in the setting of a CNA procedure, avoiding imprecise or over-extensive ablation