TY - JOUR
T1 - Multimodality imaging for patient evaluation and guidance of catheter ablation for atrial fibrillation - Current status and future perspective
AU - Bhagirath, P.
AU - van der Graaf, A. W. M.
AU - Karim, R.
AU - van Driel, V. J. H. M.
AU - Ramanna, H.
AU - Rhode, K. S.
AU - de Groot, N. M. S.
AU - Götte, M. J. W.
N1 - Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
PY - 2014/8/20
Y1 - 2014/8/20
N2 - Left atrial catheter ablation is an established non-pharmacological therapy for the treatment of atrial fibrillation. The importance of a noninvasive multimodality imaging approach is emphasized by the current guidelines for the various phases of the ablation work-up e.g. patient identification, therapy guidance and procedural evaluation. Advances in the capabilities of imaging modalities and the increasing cost of healthcare warrant a review of the multimodality approach. This review discusses the application of cardiac imaging for pulmonary vein and left atrial ablation divided into stages: pre-procedural stage (assessment of left atrial dimensions, left atrial appendage thrombus and pulmonary vein anatomy), peri-procedural stage (integration of anatomical and electrical information) and post-procedural stage (evaluation of efficacy by assessment of tissue properties). Each section is dedicated to one of the subtopics of a stage, allowing a thorough comparison to be made between the strengths and weaknesses of the different imaging modalities and the identification of one that exhibits the potential for a single technique approach. © 2014 Elsevier Ireland Ltd. All rights reserved.
AB - Left atrial catheter ablation is an established non-pharmacological therapy for the treatment of atrial fibrillation. The importance of a noninvasive multimodality imaging approach is emphasized by the current guidelines for the various phases of the ablation work-up e.g. patient identification, therapy guidance and procedural evaluation. Advances in the capabilities of imaging modalities and the increasing cost of healthcare warrant a review of the multimodality approach. This review discusses the application of cardiac imaging for pulmonary vein and left atrial ablation divided into stages: pre-procedural stage (assessment of left atrial dimensions, left atrial appendage thrombus and pulmonary vein anatomy), peri-procedural stage (integration of anatomical and electrical information) and post-procedural stage (evaluation of efficacy by assessment of tissue properties). Each section is dedicated to one of the subtopics of a stage, allowing a thorough comparison to be made between the strengths and weaknesses of the different imaging modalities and the identification of one that exhibits the potential for a single technique approach. © 2014 Elsevier Ireland Ltd. All rights reserved.
KW - Atrial Fibrillation/diagnosis
KW - Catheter Ablation/standards
KW - Echocardiography, Transesophageal/standards
KW - Forecasting
KW - Humans
KW - Magnetic Resonance Imaging, Cine/standards
KW - Multimodal Imaging/standards
KW - Practice Guidelines as Topic/standards
KW - Tomography, X-Ray Computed/standards
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84905084673&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/25012494
U2 - https://doi.org/10.1016/j.ijcard.2014.06.047
DO - https://doi.org/10.1016/j.ijcard.2014.06.047
M3 - Review article
C2 - 25012494
SN - 0167-5273
VL - 175
SP - 400
EP - 408
JO - International journal of cardiology
JF - International journal of cardiology
IS - 3
ER -