Advanced Imaging Integration for Catheter Ablation of Ventricular Tachycardia

Purpose of Review Imaging plays a crucial role in the therapy of ventricular tachycardia (VT). We offer an overview of the different methods and provide information on their use in a clinical setting. Recent Findings The use of imaging in VT has progressed recently. Intracardiac echography facilitat...

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Bibliographic Details
Published in:Current cardiology reports 2023-06, Vol.25 (6), p.535-542
Main Authors: Kowalewski, Christopher, Ascione, Ciro, Nuñez-Garcia, Marta, Ly, Buntheng, Sermesant, Maxime, Bustin, Aurélien, Sridi, Soumaya, Bouteiller, Xavier, Yokoyama, Masaaki, Vlachos, Konstantinos, Monaco, Cinzia, Bouyer, Benjamin, Buliard, Samuel, Arnaud, Marine, Tixier, Romain, Chauvel, Remi, Derval, Nicolas, Pambrun, Thomas, Duchateau, Josselin, Bordachar, Pierre, Hocini, Mélèze, Hindricks, Gerhard, Haïssaguerre, Michel, Sacher, Frédéric, Jais, Pierre, Cochet, Hubert
Format: Article
Language:English
Subjects:
Arrhythmias, Cardiac
Cardiology
Catheter Ablation - methods
Heart
Heart Rate
Humans
Invasive Electrophysiology and Pacing (EK Heist
Life Sciences
Medicine
Medicine & Public Health
Santé publique et épidémiologie
Section Editor
Tachycardia, Ventricular - diagnostic imaging
Tachycardia, Ventricular - surgery
Topical Collection on Invasive Electrophysiology and Pacing
Treatment Outcome
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Summary:Purpose of Review Imaging plays a crucial role in the therapy of ventricular tachycardia (VT). We offer an overview of the different methods and provide information on their use in a clinical setting. Recent Findings The use of imaging in VT has progressed recently. Intracardiac echography facilitates catheter navigation and the targeting of moving intracardiac structures. Integration of pre-procedural CT or MRI allows for targeting the VT substrate, with major expected impact on VT ablation efficacy and efficiency. Advances in computational modeling may further enhance the performance of imaging, giving access to pre-operative simulation of VT. These advances in non-invasive diagnosis are increasingly being coupled with non-invasive approaches for therapy delivery. Summary This review highlights the latest research on the use of imaging in VT procedures. Image-based strategies are progressively shifting from using images as an adjunct tool to electrophysiological techniques, to an integration of imaging as a central element of the treatment strategy.
ISSN:1523-3782
1534-3170
1543-3170
DOI:10.1007/s11886-023-01872-z