Impact of image integration on clinical and procedural outcomes of radiofrequency catheter ablation of atrial fibrillation: A meta‐analysis of randomized controlled trials

Mammadli, Anar; Demirtola, Ayşe İrem; Diker, Erdem

doi:10.1002/joa3.12508

Cited by 4 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent meta-analysis of comparative trials did not identify an effect of image integration on AF ablation outcome. 62 …”

Section: Computed Tomography and Magnetic Resonance Imaging For Atria...mentioning

confidence: 99%

Pre- and post-procedural cardiac imaging (computed tomography and magnetic resonance imaging) in electrophysiology: a clinical consensus statement of the European Heart Rhythm Association and European Association of Cardiovascular Imaging of the European Society of Cardiology

Deneke,

Kutyifa,

Hindricks

et al. 2024

Europace

View full text Add to dashboard Cite

Imaging using cardiac computed tomography (CT) or magnetic resonance imaging (MR) has become an important option for anatomic and substrate delineation in complex atrial and ventricular tachycardia (VT) ablation procedures. CT more common than MR has been used to detect procedure-associated complications like esophageal, cerebral and vascular injury. This clinical consensus statement summarizes the current knowledge of CT and MR to facilitate electrophysiological procedures, the current value of real-time integration of imaging-derived anatomy and substrate information during the procedure and the current role of CT and MR in diagnosing relevant procedure-related complications. Practical advice on potential advantages of one imaging modality over the other is discussed for patients with implanted cardiac rhythm devices as well as for planning, intraprocedural integration and post-interventional management in atrial fibrillation (AF) and VT ablation patients. Establishing a team of electrophysiologists and cardiac-imaging specialists working on specific details of imaging for complex ablation procedures is key. CMR can safely be performed in most patients with implanted active cardiac devices. Standard procedures for pre- and post-scanning management of the device and potential CMR-associated device-malfunctions need to be in place. In VT patients imaging - specifically MR - may help to determine scar location and mural distribution in ischemic and non-ischemic cardiomyopathy patients beyond evaluating the underlying structural heart disease. Future directions in imaging may include the ability to register multiple imaging modalities, novel high-resolution modalities but also refinements of imaging-guided ablation strategies are expected.

show abstract

“…A recent meta-analysis of comparative trials did not identify an effect of image integration on AF ablation outcome. 62 …”

Section: Computed Tomography and Magnetic Resonance Imaging For Atria...mentioning

confidence: 99%

Pre- and post-procedural cardiac imaging (computed tomography and magnetic resonance imaging) in electrophysiology: a clinical consensus statement of the European Heart Rhythm Association and European Association of Cardiovascular Imaging of the European Society of Cardiology

Deneke,

Kutyifa,

Hindricks

et al. 2024

Europace

View full text Add to dashboard Cite

show abstract

“…The CT-EAM fusion may improve the efficacy of AF ablation procedures, although it still remains a matter of debate. 18 Still, CT can define the cardiac anatomy, included uncommon variants and the atrial wall thickness (WT); 19 and may improve procedural safety: detection of thrombi, 20 oesophageal position 21 coronary disease, etc.…”

Section: Cardiac Imaging For Atrial Arrhythmias Proceduresmentioning

confidence: 99%

Twenty-five years of research in cardiac imaging in electrophysiology procedures for atrial and ventricular arrhythmias

Berruezo,

Penela,

Jáuregui

et al. 2023

Europace

View full text Add to dashboard Cite

Catheter ablation is nowadays considered the treatment of choice for numerous cardiac arrhythmias in different clinical scenarios. Fluoroscopy has traditionally been the primary imaging modality for catheter ablation, providing real-time visualization of catheter navigation. However, its limitations, such as inadequate soft tissue visualization and exposure to ionizing radiation, have prompted the integration of alternative imaging modalities. Over the years, advancements in imaging techniques have played a pivotal role in enhancing the safety, efficacy, and efficiency of catheter ablation procedures. This manuscript aims to explore the utility of imaging, including electroanatomical mapping, cardiac computed tomography, echocardiography, cardiac magnetic resonance, and nuclear cardiology exams, in helping electrophysiology procedures. These techniques enable accurate anatomical guidance, identification of critical structures and substrates, and real-time monitoring of complications, ultimately enhancing procedural safety and success rates. Incorporating advanced imaging technologies into routine clinical practice has the potential to further improve clinical outcomes of catheter ablation procedures and pave the way for more personalized and precise ablation therapies in the future.

show abstract

“…The meta‐analysis by Mammadi et al 4 in this journal shows that image integration to guide RF ablation for AF does not improve clinical and procedural outcomes. This conclusion is correct if one tries to accurately integrate the CT images with the electroanatomical map created during the procedure and perform the ablation using the integrated map alone.…”

Section: Image Integrationmentioning

confidence: 99%

Is preprocedural imaging before radiofrequency catheter ablation of atrial fibrillation and image integration useless?

Teo

2021

Journal of Arrhythmia

View full text Add to dashboard Cite

Impact of image integration on clinical and procedural outcomes of radiofrequency catheter ablation of atrial fibrillation: A meta‐analysis of randomized controlled trials

Cited by 4 publications

References 13 publications

Pre- and post-procedural cardiac imaging (computed tomography and magnetic resonance imaging) in electrophysiology: a clinical consensus statement of the European Heart Rhythm Association and European Association of Cardiovascular Imaging of the European Society of Cardiology

Pre- and post-procedural cardiac imaging (computed tomography and magnetic resonance imaging) in electrophysiology: a clinical consensus statement of the European Heart Rhythm Association and European Association of Cardiovascular Imaging of the European Society of Cardiology

Twenty-five years of research in cardiac imaging in electrophysiology procedures for atrial and ventricular arrhythmias

Is preprocedural imaging before radiofrequency catheter ablation of atrial fibrillation and image integration useless?

Contact Info

Product

Resources

About