Real-time cardiovascular magnetic resonance-guided radiofrequency ablation: A comprehensive review.

Autor:	Tampakis K; Department of Pacing & Electrophysiology, Henry Dunant Hospital Center, Athens 11526, Greece. kostastampakis@hotmail.com., Pastromas S; Department of Pacing & Electrophysiology, Henry Dunant Hospital Center, Athens 11526, Greece., Sykiotis A; Department of Pacing & Electrophysiology, Henry Dunant Hospital Center, Athens 11526, Greece., Kampanarou S; Department of Radiology, Henry Dunant Hospital Center, Athens 11526, Greece., Kourgiannidis G; Department of Pacing & Electrophysiology, Henry Dunant Hospital Center, Athens 11526, Greece., Pyrpiri C; Department of Radiology, Henry Dunant Hospital Center, Athens 11526, Greece., Bousoula M; Department of Anesthesiology, Henry Dunant Hospital Center, Athens 11526, Greece., Rozakis D; Department of Anesthesiology, Henry Dunant Hospital Center, Athens 11526, Greece., Andrikopoulos G; Department of Pacing & Electrophysiology, Henry Dunant Hospital Center, Athens 11526, Greece.
Jazyk:	angličtina
Zdroj:	World journal of cardiology [World J Cardiol] 2023 Sep 26; Vol. 15 (9), pp. 415-426.
DOI:	10.4330/wjc.v15.i9.415
Abstrakt:	Cardiac magnetic resonance (CMR) imaging could enable major advantages when guiding in real-time cardiac electrophysiology procedures offering high-resolution anatomy, arrhythmia substrate, and ablation lesion visualization in the absence of ionizing radiation. Over the last decade, technologies and platforms for performing electrophysiology procedures in a CMR environment have been developed. However, performing procedures outside the conventional fluoroscopic laboratory posed technical, practical and safety concerns. The development of magnetic resonance imaging compatible ablation systems, the recording of high-quality electrograms despite significant electromagnetic interference and reliable methods for catheter visualization and lesion assessment are the main limiting factors. The first human reports, in order to establish a procedural workflow, have rationally focused on the relatively simple typical atrial flutter ablation and have shown that CMR-guided cavotricuspid isthmus ablation represents a valid alternative to conventional ablation. Potential expansion to other more complex arrhythmias, especially ventricular tachycardia and atrial fibrillation, would be of essential impact, taking into consideration the widespread use of substrate-based strategies. Importantly, all limitations need to be solved before application of CMR-guided ablation in a broad clinical setting. Competing Interests: Conflict-of-interest statement: All the authors have no conflicts to disclose. (©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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