Changing the Way We“See”Scar:How Multimodality Imaging Fits in the Electrophysiology Laboratory

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摘要 Substratecharacterizationisthemainstayofablationforventriculartachycardia(VT).Althoughtheuseofelectroanatomicvoltagemapping(EAVM)intheelectrophysiology(EP)laboratoryhasenabledreal-timeapproximationofmyocardialscar,ithaslimitations.Thisisrelatedtothesubjectiveandtediousnatureofvoltagemappingandthechallengesofdefiningthetransmuralityofscar.Variousnoninvasivemethodsofscarassessmenthaveemerged,withmagneticresonanceimaging(MRI)beingthemostaccurate.IntegratedMRIandelectroanatomicvoltagemappingstudiesdemonstrategoodcorrelation.Nonetheless,MRIhasadvantages.Theseinclude(1)preprocedureidentificationofepicardialandintramuralscar,(2)assessmentofablativelesionformationafterunsuccessfulablations,(3)identifi-cationofheterogeneousregionsofscar,wherecriticalconductingchannelsarelikelytooccur,and(4)predictivevalueintheassessmentofsuddencardiacdeath(SCD).Integrationofscarimaginginventriculartachycardiaablationandriskstratificationhasgreatpotentialtoadvancethepracticeofarrhythmiamanagement.
机构地区 不详
出处 《心血管创新与应用》 2016年B02期
出版日期 2016年12月07日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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