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Fusco A, De Santis D, De Ruvo E, Calò L, Borrelli A, Caruso D, Tremamunno G, Laghi A, Simonetti G, Stefanini M. Radiofrequency ablation guided by real-time cardiovascular magnetic resonance. LA RADIOLOGIA MEDICA 2024; 129:1823-1829. [PMID: 39511064 DOI: 10.1007/s11547-024-01911-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 10/23/2024] [Indexed: 11/15/2024]
Abstract
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.
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Affiliation(s)
- Armando Fusco
- Division of Radiology, Department of Diagnostic Imaging and Interventional Radiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy.
| | - Domenico De Santis
- Department of Medical-Surgical Sciences and Translational Medicine, Sapienza, University of Rome - Radiology Unit, Sant'Andrea University Hospital, Rome, Italy
| | - Ermenegildo De Ruvo
- Division of Cardiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy
| | - Leonardo Calò
- Division of Cardiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy
| | - Alessio Borrelli
- Division of Cardiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy
| | - Damiano Caruso
- Department of Medical-Surgical Sciences and Translational Medicine, Sapienza, University of Rome - Radiology Unit, Sant'Andrea University Hospital, Rome, Italy
| | - Giuseppe Tremamunno
- Department of Medical-Surgical Sciences and Translational Medicine, Sapienza, University of Rome - Radiology Unit, Sant'Andrea University Hospital, Rome, Italy
| | - Andrea Laghi
- Department of Medical-Surgical Sciences and Translational Medicine, Sapienza, University of Rome - Radiology Unit, Sant'Andrea University Hospital, Rome, Italy
| | - Giovanni Simonetti
- Division of Radiology, Department of Diagnostic Imaging and Interventional Radiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy
| | - Matteo Stefanini
- Division of Radiology, Department of Diagnostic Imaging and Interventional Radiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy
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Brugada J, Katritsis DG, Arbelo E, Arribas F, Bax JJ, Blomström-Lundqvist C, Calkins H, Corrado D, Deftereos SG, Diller GP, Gomez-Doblas JJ, Gorenek B, Grace A, Ho SY, Kaski JC, Kuck KH, Lambiase PD, Sacher F, Sarquella-Brugada G, Suwalski P, Zaza A. 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC). Eur Heart J 2020; 41:655-720. [PMID: 31504425 DOI: 10.1093/eurheartj/ehz467] [Citation(s) in RCA: 618] [Impact Index Per Article: 123.6] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
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