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Applications of cardiac computed tomography in electrophysiology intervention

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Version 2 2024-06-13, 12:59
Version 1 2019-04-30, 11:32
journal contribution
posted on 2024-06-13, 12:59 authored by S Liddy, U Buckley, HK Kok, B Loo, B Glover, GR Dhillon, O Buckley
Cardiac electrophysiology is an evolving specialty that has seen rapid advances in recent years. Concurrently, there has been much progress in the field of cardiac imaging. Electrophysiologists are increasingly requesting cross-sectional imaging in advance of many procedures. Pulmonary vein isolation and left atrial appendage (LAA) occlusion are now an established treatment options for atrial fibrillation. In patients undergoing pulmonary vein isolation, applications of computed tomography (CT) include evaluating the left atrial and pulmonary venous anatomy, excluding LAA thrombus and assessing for pulmonary vein stenosis. In those undergoing LAA occlusion, CT may be of value in assessing the size, position, and morphology of the LAA as well as for determining correct positioning of the device and evaluating for peri-device leak. Implantable cardiac devices are now commonly used in the management of cardiac failure and cardiac arrhythmias. Applications of CT prior to device implantation include detecting myocardial scar, evaluating for mechanical dyssynchrony as well as visualising the coronary venous anatomy.

History

Journal

European heart journal - cardiovascular imaging

Volume

19

Pagination

253-261

Location

Oxford, Eng.

Open access

  • Yes

eISSN

2047-2412

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2018, The Authors

Issue

3

Publisher

Oxford University Press

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