Current cardiology reports · 2023
Advanced Imaging Integration for Catheter Ablation of Ventricular Tachycardia.
СтатьяОбзорПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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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
Аннотация
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. 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.
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. 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.