Advanced Imaging Integration for Catheter Ablation of Ventricular Tachycardia.
Christopher KowalewskiCiro AscioneMarta Nuñez-GarciaBuntheng LyMaxime SermesantAurélien BustinSoumaya SridiXavier BouteillerMasaaki YokoyamaKonstantinos VlachosCinzia MonacoBenjamin BouyerSamuel BuliardMarine ArnaudRomain TixierRemi ChauvelNicolas DervalThomas PambrunJosselin DuchateauPierre BordacharMélèze HociniGerhard HindricksMichel HaïssaguerreFrédéric SacherPierre JaisHubert CochetPublished in: Current cardiology reports (2023)
The use of imaging in VT has progressed recently. Intracardiac echography facilitates catheter navigation and the targeting of moving intracardiac structures. Integration of pre-procedural CT or MRI allows for targeting the VT substrate, with major expected impact on VT ablation efficacy and efficiency. Advances in computational modeling may further enhance the performance of imaging, giving access to pre-operative simulation of VT. These advances in non-invasive diagnosis are increasingly being coupled with non-invasive approaches for therapy delivery. This review highlights the latest research on the use of imaging in VT procedures. Image-based strategies are progressively shifting from using images as an adjunct tool to electrophysiological techniques, to an integration of imaging as a central element of the treatment strategy.