期刊
INTERNATIONAL JOURNAL OF CARDIOLOGY
卷 175, 期 3, 页码 400-408出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijcard.2014.06.047
关键词
Atrial fibrillation; Catheter ablation; Cardiac computed tomography; Cardiac magnetic resonance imaging; Echocardiography
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.
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