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

P (Pranav) Bhagirath, AWM (Maurits) van der Graaf, R Karim, VJHM van Driel, H Ramanna, KS Rhode, Natasja de Groot, MJW Gotte

Research output: Contribution to journalArticleAcademicpeer-review

14 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. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
Original languageUndefined/Unknown
Pages (from-to)400-408
Number of pages9
JournalInternational Journal of Cardiology
Volume175
Issue number3
DOIs
Publication statusPublished - 2014

Research programs

  • EMC COEUR-09

Cite this