Radiofrequency ablation guided by real-time cardiovascular magnetic resonance

Cardiovascular magnetic resonance (CMR) is gaining ground in guiding electrophysiology (EP)-based ablation procedures of typical atrial flutter and atrial fibrillation, allowing for the avoidance of radiation exposure for patients and operators and reducing the risk of occupational illnesses. CMR al...

Full description

Saved in:
Bibliographic Details
Published in:Radiologia medica 2024-12, Vol.129 (12), p.1823-1829
Main Authors: Fusco, Armando, De Santis, Domenico, De Ruvo, Ermenegildo, Calò, Leonardo, Borrelli, Alessio, Caruso, Damiano, Tremamunno, Giuseppe, Laghi, Andrea, Simonetti, Giovanni, Stefanini, Matteo
Format: Article
Language:English
Subjects:
Ablation
Anatomy
Atrial Fibrillation - diagnostic imaging
Atrial Fibrillation - surgery
Atrial Flutter - diagnostic imaging
Atrial Flutter - surgery
Cardiac Radiology
Catheter Ablation - methods
Contrast Media
Diagnostic Radiology
Edema
Electrophysiology
Gadolinium
Humans
Image acquisition
Imaging
Interventional Radiology
Magnetic resonance
Magnetic Resonance Imaging - methods
Magnetic Resonance Imaging, Interventional - methods
Medical imaging
Medicine
Medicine & Public Health
Neuroradiology
Radiation effects
Radio frequency
Radiofrequency Ablation - methods
Radiology
Real time
Ultrasound
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Cardiovascular magnetic resonance (CMR) is gaining ground in guiding electrophysiology (EP)-based ablation procedures of typical atrial flutter and atrial fibrillation, allowing for the avoidance of radiation exposure for patients and operators and reducing the risk of occupational illnesses. CMR allows comprehensive assessment of cardiac anatomy and provides tissue characterization by identifying pathological substrates, such as myocardial scars and edema, identified with the implementation of late gadolinium enhancement and T2-weighted short-tau inversion recovery sequences. Intraprocedural imaging is useful for real-time catheter tracking during the ablation procedure while simultaneously providing visualization of cardiac anatomy. Additionally, CMR facilitates the evaluation of the ablation procedure accuracy by acquiring edema-sensitive sequences, thereby aiding in preventing early complications. This report serves as a primer for radiologists and illustrates the value of CMR in planning and performing the ablation procedure, as well as its role in post-procedural imaging.
ISSN:1826-6983
0033-8362
1826-6983
DOI:10.1007/s11547-024-01911-x