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

TY - JOUR

T1 - Multimodality imaging for patient evaluation and guidance of catheter ablation for atrial fibrillation

T2 - 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 - Gotte, M. J. W.

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 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.

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 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.

KW - Atrial fibrillation

KW - Catheter ablation

KW - Cardiac computed tomography

KW - Cardiac magnetic resonance imaging

KW - Echocardiography

KW - PULMONARY VEIN ISOLATION

KW - MULTIDETECTOR COMPUTED-TOMOGRAPHY

KW - CARDIOVASCULAR MAGNETIC-RESONANCE

KW - LATE GADOLINIUM ENHANCEMENT

KW - FOCAL IMPULSE

KW - TRANSESOPHAGEAL ECHOCARDIOGRAPHY

KW - INITIAL-EXPERIENCE

KW - ROTOR MODULATION

KW - TRANSTHORACIC ECHOCARDIOGRAPHY

KW - MULTICENTER EXPERIENCE

U2 - 10.1016/j.ijcard.2014.06.047

DO - 10.1016/j.ijcard.2014.06.047

M3 - Literature review

SN - 0167-5273

VL - 175

SP - 400

EP - 408

JO - International Journal of Cardiology

JF - International Journal of Cardiology

IS - 3

ER -