Applications of multimodality imaging for left atrial catheter ablation.
CT
MRI
ablation
atria
atrial fibrillation
Journal
European heart journal. Cardiovascular Imaging
ISSN: 2047-2412
Titre abrégé: Eur Heart J Cardiovasc Imaging
Pays: England
ID NLM: 101573788
Informations de publication
Date de publication:
18 12 2021
18 12 2021
Historique:
received:
02
09
2021
pubmed:
9
11
2021
medline:
17
3
2022
entrez:
8
11
2021
Statut:
ppublish
Résumé
Atrial arrhythmias, including atrial fibrillation and atrial flutter, may be treated through catheter ablation. The process of atrial arrhythmia catheter ablation, which includes patient selection, pre-procedural planning, intra-procedural guidance, and post-procedural assessment, is typically characterized by the use of several imaging modalities to sequentially inform key clinical decisions. Increasingly, advanced imaging modalities are processed via specialized image analysis techniques and combined with intra-procedural electrical measurements to inform treatment approaches. Here, we review the use of multimodality imaging for left atrial ablation procedures. The article first outlines how imaging modalities are routinely used in the peri-ablation period. We then describe how advanced imaging techniques may inform patient selection for ablation and ablation targets themselves. Ongoing research directions for improving catheter ablation outcomes by using imaging combined with advanced analyses for personalization of ablation targets are discussed, together with approaches for their integration in the standard clinical environment. Finally, we describe future research areas with the potential to improve catheter ablation outcomes.
Identifiants
pubmed: 34747450
pii: 6423129
doi: 10.1093/ehjci/jeab205
pmc: PMC8685603
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
31-41Subventions
Organisme : British Heart Foundation
ID : SP/18/6/33805
Pays : United Kingdom
Organisme : British Heart Foundation
ID : FS/20/26/34952
Pays : United Kingdom
Organisme : British Heart Foundation
ID : PG/13/37/30280
Pays : United Kingdom
Organisme : Wellcome Trust
ID : WT 203148/Z/16/Z
Pays : United Kingdom
Organisme : British Heart Foundation
ID : PG/15/91/31812
Pays : United Kingdom
Organisme : British Heart Foundation
ID : PG/19/44/34368
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/S015086/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/S015086/2
Pays : United Kingdom
Organisme : British Heart Foundation
ID : FS/CRTF/21/24166
Pays : United Kingdom
Organisme : NHLBI NIH HHS
ID : R01 HL152256
Pays : United States
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.
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