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Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience

Radiofrequency (RF) catheter ablation has become a widely used therapeutic approach. However, long-term results in terms of arrhythmia recurrence are still suboptimal. Cardiac magnetic resonance (CMR) could offer a valuable tool to overcome this limitation, with the possibility of targeting the arrh...

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Autores principales: De Zan, Giulia, Calò, Leonardo, Borrelli, Alessio, Guglielmo, Marco, De Ruvo, Ermenegildo, Rier, Sophie, van Driel, Vincent, Ramanna, Hemanth, Patti, Giuseppe, Rebecchi, Marco, Fusco, Armando, Stefanini, Matteo, Simonetti, Giovanni, van der Bilt, Ivo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132610/
https://www.ncbi.nlm.nih.gov/pubmed/37125279
http://dx.doi.org/10.1093/eurheartjsupp/suad051
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author De Zan, Giulia
Calò, Leonardo
Borrelli, Alessio
Guglielmo, Marco
De Ruvo, Ermenegildo
Rier, Sophie
van Driel, Vincent
Ramanna, Hemanth
Patti, Giuseppe
Rebecchi, Marco
Fusco, Armando
Stefanini, Matteo
Simonetti, Giovanni
van der Bilt, Ivo
author_facet De Zan, Giulia
Calò, Leonardo
Borrelli, Alessio
Guglielmo, Marco
De Ruvo, Ermenegildo
Rier, Sophie
van Driel, Vincent
Ramanna, Hemanth
Patti, Giuseppe
Rebecchi, Marco
Fusco, Armando
Stefanini, Matteo
Simonetti, Giovanni
van der Bilt, Ivo
author_sort De Zan, Giulia
collection PubMed
description Radiofrequency (RF) catheter ablation has become a widely used therapeutic approach. However, long-term results in terms of arrhythmia recurrence are still suboptimal. Cardiac magnetic resonance (CMR) could offer a valuable tool to overcome this limitation, with the possibility of targeting the arrhythmic substrate and evaluating the location, depth, and possible gaps of RF lesions. Moreover, real-time CMR-guided procedures offer a radiation-free approach with an evaluation of anatomical structures, substrates, RF lesions, and possible complications during a single procedure. The first steps in the field have been made with cavotricuspid isthmus ablation, showing similar procedural duration and success rate to standard fluoroscopy-guided procedures, while allowing visualization of anatomic structures and RF lesions. These promising results open the path for further studies in the context of more complex arrhythmias, like atrial fibrillation and ventricular tachycardias. Of note, setting up an interventional CMR (iCMR) centre requires safety and technical standards, mostly related to the need for CMR-compatible equipment and medical staff’s educational training. For the cardiac imagers, it is fundamental to provide correct CMR sequences for catheter tracking and guide RF delivery. At the same time, the electrophysiologist needs a rapid interpretation of CMR images during the procedures. The aim of this paper is first to review the logistic and technical aspects of setting up an iCMR suite. Then, we will describe the experience in iCMR-guided flutter ablations of two European centres, Policlinico Casilino in Rome, Italy, and Haga Teaching Hospital in The Hague, the Netherlands.
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spelling pubmed-101326102023-04-27 Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience De Zan, Giulia Calò, Leonardo Borrelli, Alessio Guglielmo, Marco De Ruvo, Ermenegildo Rier, Sophie van Driel, Vincent Ramanna, Hemanth Patti, Giuseppe Rebecchi, Marco Fusco, Armando Stefanini, Matteo Simonetti, Giovanni van der Bilt, Ivo Eur Heart J Suppl PLACE 2022 Supplement Paper Radiofrequency (RF) catheter ablation has become a widely used therapeutic approach. However, long-term results in terms of arrhythmia recurrence are still suboptimal. Cardiac magnetic resonance (CMR) could offer a valuable tool to overcome this limitation, with the possibility of targeting the arrhythmic substrate and evaluating the location, depth, and possible gaps of RF lesions. Moreover, real-time CMR-guided procedures offer a radiation-free approach with an evaluation of anatomical structures, substrates, RF lesions, and possible complications during a single procedure. The first steps in the field have been made with cavotricuspid isthmus ablation, showing similar procedural duration and success rate to standard fluoroscopy-guided procedures, while allowing visualization of anatomic structures and RF lesions. These promising results open the path for further studies in the context of more complex arrhythmias, like atrial fibrillation and ventricular tachycardias. Of note, setting up an interventional CMR (iCMR) centre requires safety and technical standards, mostly related to the need for CMR-compatible equipment and medical staff’s educational training. For the cardiac imagers, it is fundamental to provide correct CMR sequences for catheter tracking and guide RF delivery. At the same time, the electrophysiologist needs a rapid interpretation of CMR images during the procedures. The aim of this paper is first to review the logistic and technical aspects of setting up an iCMR suite. Then, we will describe the experience in iCMR-guided flutter ablations of two European centres, Policlinico Casilino in Rome, Italy, and Haga Teaching Hospital in The Hague, the Netherlands. Oxford University Press 2023-04-26 /pmc/articles/PMC10132610/ /pubmed/37125279 http://dx.doi.org/10.1093/eurheartjsupp/suad051 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle PLACE 2022 Supplement Paper
De Zan, Giulia
Calò, Leonardo
Borrelli, Alessio
Guglielmo, Marco
De Ruvo, Ermenegildo
Rier, Sophie
van Driel, Vincent
Ramanna, Hemanth
Patti, Giuseppe
Rebecchi, Marco
Fusco, Armando
Stefanini, Matteo
Simonetti, Giovanni
van der Bilt, Ivo
Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience
title Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience
title_full Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience
title_fullStr Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience
title_full_unstemmed Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience
title_short Cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience
title_sort cardiac magnetic resonance-guided cardiac ablation: a case series of an early experience
topic PLACE 2022 Supplement Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132610/
https://www.ncbi.nlm.nih.gov/pubmed/37125279
http://dx.doi.org/10.1093/eurheartjsupp/suad051
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