TY - JOUR
T1 - Ablation of Ventricular and Atrial Arrhythmias in the Era of Cardiac Magnetic Resonance
AU - Costantini, Pietro
AU - Coraducci, Francesca
AU - De Zan, Giulia
AU - Fedele, Damiano
AU - Ostillio, Eleonora
AU - Bertozzi, Riccardo
AU - Donato, Federico
AU - Muscogiuri, Giuseppe
AU - Pavon, Anna Giulia
AU - Bergamaschi, Luca
AU - Pizzi, Carmine
AU - Hendriks, Astrid
AU - Te Riele, Anneline S J M
AU - Suchá, Dominika
AU - Rier, Sophie
AU - van der Harst, Pim
AU - Velthuis, Birgitta
AU - van der Bilt, Ivo
AU - Colarieti, Anna
AU - Carriero, Alessandro
AU - Guglielmo, Marco
N1 - Publisher Copyright:
© 2025 The Author(s). Echocardiography published by Wiley Periodicals LLC.
PY - 2025/4
Y1 - 2025/4
N2 - In the past decade, cardiac magnetic resonance (CMR) has undergone remarkable progress, emerging as a pivotal tool in various cardiological scenarios. Its capacity for tissue characterization, both with and without contrast agents, makes CMR the perfect tool to study the substrate of arrhythmia. This review highlights the potential role of CMR in electrophysiology (EP) and its role in the ablation of atrial and ventricular arrhythmias. First, we will discuss the key aspects of ventricular arrhythmia ablation, while in the second part, we will review how CMR is changing the ablation of atrial arrhythmias. The potentiality of CMR in the pre-procedural, intra-procedural, and post-ablation assessment will be reviewed. In particular, CMR is capable of visualizing fibrosis and building 3D reconstruction. Furthermore, it is possible to merge a 3D-rendered shell of the heart into the EP room to guide radiation-free ablation through active or passive tracking. Finally, the accuracy of CMR in depicting ablation lesions and its ability to predict arrhythmia relapses will be discussed.
AB - In the past decade, cardiac magnetic resonance (CMR) has undergone remarkable progress, emerging as a pivotal tool in various cardiological scenarios. Its capacity for tissue characterization, both with and without contrast agents, makes CMR the perfect tool to study the substrate of arrhythmia. This review highlights the potential role of CMR in electrophysiology (EP) and its role in the ablation of atrial and ventricular arrhythmias. First, we will discuss the key aspects of ventricular arrhythmia ablation, while in the second part, we will review how CMR is changing the ablation of atrial arrhythmias. The potentiality of CMR in the pre-procedural, intra-procedural, and post-ablation assessment will be reviewed. In particular, CMR is capable of visualizing fibrosis and building 3D reconstruction. Furthermore, it is possible to merge a 3D-rendered shell of the heart into the EP room to guide radiation-free ablation through active or passive tracking. Finally, the accuracy of CMR in depicting ablation lesions and its ability to predict arrhythmia relapses will be discussed.
KW - Arrhythmias, Cardiac/surgery
KW - Atrial Fibrillation/surgery
KW - Catheter Ablation/methods
KW - Heart Atria/surgery
KW - Heart Ventricles/surgery
KW - Humans
KW - Magnetic Resonance Imaging, Cine/methods
KW - Magnetic Resonance Imaging/methods
KW - Tachycardia, Ventricular/surgery
U2 - 10.1111/echo.70150
DO - 10.1111/echo.70150
M3 - Review article
C2 - 40192428
SN - 0742-2822
VL - 42
JO - Echocardiography
JF - Echocardiography
IS - 4
M1 - e70150
ER -