Multimodality imaging for patient evaluation and guidance of catheter ablation for atrial fibrillation: Current status and future perspective

P. Bhagirath*, A. W. M. van der Graaf, R. Karim, V. J. H. M. van Driel, H. Ramanna, K. S. Rhode, N. M. S. de Groot, M. J. W. Gotte

*Corresponding author for this work

Research output: Contribution to journalLiterature reviewpeer-review

13 Citations (Scopus)

Abstract

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 ablationwork-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.

Original languageEnglish
Pages (from-to)400-408
Number of pages9
JournalInternational Journal of Cardiology
Volume175
Issue number3
DOIs
Publication statusPublished - 20 Aug 2014

Keywords

  • Atrial fibrillation
  • Catheter ablation
  • Cardiac computed tomography
  • Cardiac magnetic resonance imaging
  • Echocardiography
  • PULMONARY VEIN ISOLATION
  • MULTIDETECTOR COMPUTED-TOMOGRAPHY
  • CARDIOVASCULAR MAGNETIC-RESONANCE
  • LATE GADOLINIUM ENHANCEMENT
  • FOCAL IMPULSE
  • TRANSESOPHAGEAL ECHOCARDIOGRAPHY
  • INITIAL-EXPERIENCE
  • ROTOR MODULATION
  • TRANSTHORACIC ECHOCARDIOGRAPHY
  • MULTICENTER EXPERIENCE

Fingerprint

Dive into the research topics of 'Multimodality imaging for patient evaluation and guidance of catheter ablation for atrial fibrillation: Current status and future perspective'. Together they form a unique fingerprint.

Cite this