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Journal of Interventional Cardiac Electrophysiology

Erschienen in:

01.10.2009 | REVIEW

Applications of computed tomography and magnetic resonance imaging in percutaneous ablation therapy for atrial fibrillation

verfasst von: Janice Y. Chyou, Angelo Biviano, Pedro Magno, Hasan Garan, Andrew J. Einstein

Erschienen in: Journal of Interventional Cardiac Electrophysiology | Ausgabe 1/2009

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Abstract

Percutaneous catheter ablation is an established therapy for symptomatic drug-refractory atrial fibrillation (AF). Accurate delineation of relevant anatomy is critical but often challenging and limited in traditional technologies such as intra-procedural fluoroscopy. There has been an increased interest in non-invasive three-dimensional imaging technologies, especially computed tomography (CT) and magnetic resonance imaging (MRI), as useful tools for patients undergoing AF ablation. Here, we review applications of CT and MRI before, during, and after AF ablation and highlight areas for future research.

Go, A. S., Hylek, E. M., Phillips, K. A., Chang, Y., Henault, L. E., Selby, J. V., et al. (2001). Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. Journal of the American Medical Association, 285(18), 2370–2375.PubMedCrossRef

Haïssaguerre, M., Jaïs, P., Shah, D. C., Takahashi, A., Hocini, M., Ouiniou, G., et al. (1998). Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. The New England Journal of Medicine, 339(10), 659–666.PubMedCrossRef

Kato, R., Lickfett, L., Meininger, G., Dickfeld, T., Wu, R., Juang, G., et al. (2003). Pulmonary vein anatomy in patients undergoing catheter ablation of atrial fibrillation: lessons learned by use of magnetic resonance imaging. Circulation, 107(15), 2004–2010.PubMedCrossRef

Lacomis, J. M., Goitein, O., Deible, C., & Schwartzman, D. (2007). CT of the pulmonary veins. Journal of Thoracic Imaging, 22(1), 63–76.PubMedCrossRef

Scharf, C., Sneider, M., Case, I., Chugh, A., Lai, S. W., Pelosi, F., et al. (2003). Anatomy of the pulmonary veins in patients with atrial fibrillation and effects of segmental ostial ablation analyzed by computed tomography. Journal of Cardiovascular Electrophysiology, 14(2), 150–155.PubMed

Mansour, M., Holmvang, G., Sosnovik, D., Migrino, R., Abbara, S., et al. (2004). Assessment of pulmonary vein anatomic variability by magnetic resonance imaging: implications for catheter ablation techniques for atrial fibrillation. Journal of Cardiovascular Electrophysiology, 15(4), 387–393.PubMedCrossRef

Marom, E. M., Herndon, J. E., Kim, Y. H., & McAdams, H. P. (2004). Variations in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation. Radiology, 230(3), 824–829.PubMedCrossRef

Schwartzman, D., Lacomis, J., & Wigginton, W. G. (2003). Characterization of left atrium and distal pulmonary vein morphology using multidimensional computed tomography. Journal of the American College of Cardiology, 41(8), 1349–1357.PubMedCrossRef

Lickfett, L., Kato, R., Tandri, H., Jayam, V., Vasamreddy, C. R., Dickfeld, T., et al. (2004). Characterization of a new pulmonary vein variant using magnetic resonance angiography: incidence, imaging, and interventional implications of the “right top pulmonary vein”. Journal of Cardiovascular Electrophysiology, 15(5), 538–543.PubMed

10.

Ahmed, J., Sohal, S., Malchano, Z. J., Holmvang, G., Ruskin, J. N., & Reddy, V. Y. (2006). Three-dimensional analysis of pulmonary venous ostial and antral anatomy: implications for balloon catheter-based pulmonary vein isolation. Journal of Cardiovascular Electrophysiology, 17(3), 251–255.PubMedCrossRef

11.

Schwartzman, D., Bazaz, R., & Nosbisch, J. (2004). Common left pulmonary vein: a consistent source of arrhythmogenic atrial ectopy. Journal of Cardiovascular Electrophysiology, 15(5), 560–566.PubMed

12.

Mansour, M., Holmvang, G., & Ruskin, J. (2004). Role of imaging techniques in preparation for catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 15(9), 1107–1108.PubMedCrossRef

13.

Lacomis, J. M., Wigginton, W., Fuhrman, C., Schwartzman, D., Armfield, D. R., & Pealer, K. M. (2003). Multi-detector row CT of the left atrium and pulmonary veins before radio-frequency catheter ablation for atrial fibrillation. Radiographics, 23, S35–S48.PubMedCrossRef

14.

Mansour, M., Refaat, M., Heist, E. K., Mela, T., Cury, R., Holmvang, G., et al. (2006). Three-dimensional anatomy of the left atrium by magnetic resonance angiography: implications for catheter ablation for atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(7), 719–723.PubMedCrossRef

15.

Cury, R. C., Abbara, S., Schmidt, S., Malchano, Z. J., Neuzil, P., Weichet, J., et al. (2005). Relationship of the esophagus and aorta to the left atrium and pulmonary veins: implications for catheter ablation of atrial fibrillation. Heart Rhythm, 2(12), 1317–1323.PubMedCrossRef

16.

Wongcharoen, W., Tsao, H. M., Wu, M. H., Tai, C. T., Chang, S. L., Lin, Y. J., et al. (2006). Morphologic characteristics of the left atrial appendage, roof, and septum: implications for the ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(9), 951–956.PubMedCrossRef

17.

Lacomis, J. M., Goitein, O., Deible, C., Moran, P. L., Mamone, G., Madan, S., et al. (2007). Dynamic multidimensional imaging of the human left atrial appendage. Europace, 9(12), 1134–1140.PubMedCrossRef

18.

Heist, E. K., Refaat, M., Danik, S. B., Holmvang, G., Ruskin, J. N., & Mansour, M. (2006). Analysis of the left atrial appendage by magnetic resonance angiography in patients with atrial fibrillation. Heart Rhythm, 3(11), 1313–1318.PubMedCrossRef

19.

Shapiro, M. D., Neilan, T. G., Jassal, D. S., Samy, B., Nasir, K., Hoffmann, U., et al. (2007). Multidetector computed tomography for the detection of left atrial appendage thrombus: a comparative study with transesophageal echocardiography. Journal of Computer Assisted Tomography, 31(6), 905–909.PubMedCrossRef

20.

Saremi, F., Channual, S., Gurudevan, S. V., Narula, J., & Abolhoda, A. (2008). Prevalence of left atrial appendage pseudothrombus filling defects in patients with atrial fibrillation undergoing coronary computed tomography angiography. Journal of Cardiovascular Computed Tomography, 2(3), 164–171.PubMedCrossRef

21.

Ohyama, H., Hosomi, N., Takahashi, T., Mizushige, K., Osaka, K., Kohno, M., et al. (2003). Comparison of magnetic resonance imaging and transesophageal echocardiography in detection of thrombus in the left atrial appendage. Stroke, 34(10), 2436–2439.PubMedCrossRef

22.

Lemola, K., Sneider, M., Desjardins, B., Case, I., Han, J., Good, E., et al. (2004). Computed tomographic analysis of the anatomy of the left atrium and the esophagus: implications for left atrial catheter ablation. Circulation, 110(24), 3655–3660.PubMedCrossRef

23.

Wang, S. L., Ooi, C. G., Siu, C. W., Yiu, M. W., Pang, C., Lau, C. C., et al. (2006). Endocardial visualization of esophageal-left atrial anatomic relationship by three-dimensional multidetector computed tomography “navigator imaging”. Pacing and Clinical Electrophysiology, 29(5), 502–508.PubMedCrossRef

24.

Tsao, H. M., Wu, M. H., Higa, S., Lee, K. T., Tai, C. T., Hsu, N. W., et al. (2005). Anatomic relationship of the esophagus and left atrium: implication for catheter ablation of atrial fibrillation. Chest, 128(4), 2581–2587.PubMedCrossRef

25.

Good, E., Oral, H., Lemola, K., Han, J., Tamirisa, K., Igic, P., et al. (2005). Movement of the esophagus during left atrial catheter ablation for atrial fibrillation. Journal of the American College of Cardiology, 46(11), 2107–2110.PubMedCrossRef

26.

Cheung, P., Hall, B., Chugh, A., Good, E., Lemola, K., Han, J., et al. (2004). Detection of inadvertent catheter movement into a pulmonary vein during radiofrequency catheter ablation by real-time impedance monitoring. Journal of Cardiovascular Electrophysiology, 15(6), 674–678.PubMedCrossRef

27.

Liu, X., Wang, X. H., Gu, J. N., Zhou, L., & Qiu, J. H. (2005). Electroanatomical systems to guided circumferential pulmonary veins ablation for atrial fibrillation: initial experience from comparison between the Ensite/NavX and CARTO system. Chinese Medical Journal, 118(14), 1156–1160.PubMed

28.

Piorkowski, C., Hindricks, G., Schreiber, D., Tanner, H., Weise, W., Koch, A., et al. (2006). Electroanatomic reconstruction of the left atrium, pulmonary veins, and esophagus compared with the "true anatomy" on multislice computed tomography in patients undergoing catheter ablation of atrial fibrillation. Heart Rhythm, 3(3), 317–327.PubMedCrossRef

29.

Sra, J., Krum, D., Malloy, A., Vass, M., Belanger, B., Soubelet, E., et al. (2005). Registration of three-dimensional left atrial computed tomographic images with projection images obtained using fluoroscopy. Circulation, 112(24), 3763–3768.PubMedCrossRef

30.

Ector, J., De Buck, S., Adams, J., Dymarkowski, S., Bogaert, J., Maes, F., et al. (2005). Cardiac three-dimensional magnetic resonance imaging and fluoroscopy merging: a new approach for electroanatomic mapping to assist catheter ablation. Circulation, 112(24), 3769–3776.PubMedCrossRef

31.

Dickfeld, T., Calkins, H., Zviman, M., Kato, R., Meininger, G., Lickfett, L., et al. (2003). Anatomic stereotactic catheter ablation on three-dimensional magnetic resonance images in real time. Circulation, 108(19), 2407–2413.PubMedCrossRef

32.

Sra, J., Krum, D., Hare, J., Okerlund, D., Thompson, H., Vass, M., et al. (2005). Feasibility and validation of registration of three-dimensional left atrial models derived from computed tomography with a noncontact cardiac mapping system. Heart Rhythm, 2(1), 55–63.PubMedCrossRef

33.

Dong, J., Calkins, H., Solomon, S. B., Lai, S., Dalal, D., Lardo, A. C., et al. (2006). Integrated electroanatomic mapping with three-dimensional computed tomographic images for real-time guided ablations. Circulation, 113(2), 186–194.PubMedCrossRef

34.

Kistler, P. M., Earley, M. J., Harris, S., Abrams, D., Ellis, S., Sporton, S. C., et al. (2006). Validation of three-dimensional cardiac image integration: use of integrated CT image into electroanatomic mapping system to perform catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(4), 341–348.PubMedCrossRef

35.

Feuchtner, G. M., Dichtl, W., Defrance, T., Stuhlinger, M., Klauser, A., Berger, T., et al. (2008). Fusion of multislice computed tomography and electroanatomical mapping data for 3D navigation of left and right atrial catheter ablation. European Journal of Radiology, 68(3), 456–464.PubMedCrossRef

36.

Tops, L. F., Bax, J. J., Zeppenfeld, K., Jongbloed, M. R., Lamb, H. J., van der Wall, E. E., et al. (2005). Fusion of multislice computed tomography imaging with three-dimensional electroanatomic mapping to guide radiofrequency catheter ablation procedures. Heart Rhythm, 2(10), 1076–1081.PubMedCrossRef

37.

Martinek, M., Nesser, H. J., Aichinger, J., Boehm, G., & Purerfellner, H. (2006). Accuracy of integration of multislice computed tomography imaging into three-dimensional electroanatomic mapping for real-time guided radiofrequency ablation of left atrial fibrillation-influence of heart rhythm and radiofrequency lesions. Journal of Interventional Cardiac Electrophysiology, 17(2), 85–92.PubMedCrossRef

38.

Dong, J., Dickfeld, T., Dalal, D., Cheema, A., Vasamreddy, C. R., Henrikson, C. A., et al. (2006). Initial experience in the use of integrated electroanatomic mapping with three-dimensional MR/CT images to guide catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(5), 459–466.PubMedCrossRef

39.

Richmond, L., Rajappan, K., Voth, E., Rangavajhala, V., Earley, M. J., Thomas, G., et al. (2008). Validation of computed tomography image integration into the EnSite NavX mapping system to perform catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 19(8), 821–827.PubMedCrossRef

40.

Noseworthy, P. A., Malchano, Z. J., Ahmed, J., Holmvang, G., Ruskin, J. N., & Reddy, V. Y. (2005). The impact of respiration on left atrial and pulmonary venous anatomy: implications for image-guided intervention. Heart Rhythm, 2(11), 1173–1178.PubMedCrossRef

41.

Malchano, Z. J., Neuzil, P., Cury, R. C., Holmvang, G., Weichet, J., Schmidt, E. J., et al. (2006). Integration of cardiac CT/MR imaging with three-dimensional electroanatomical mapping to guide catheter manipulation in the left atrium: implications for catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(11), 1221–1229.PubMedCrossRef

42.

Klemm, H. U., Steven, D., Johnsen, C., Ventura, R., Rostock, T., Lutomsky, B., et al. (2007). Catheter motion during atrial ablation due to the beating heart and respiration: Impact on accuracy and spatial referencing in three-dimensional mapping. Heart Rhythm, 4(5), 587–592.PubMedCrossRef

43.

Heist, E. K., Chevalier, J., Holmvang, G., Singh, J. P., Ellinor, P. T., Milan, D. J., et al. (2006). Factors affecting error in integration of electroanatomic mapping with CT and MR imaging during catheter ablation of atrial fibrillation. Journal of Interventional Cardiac Electrophysiology, 17(1), 21–27.PubMedCrossRef

44.

Dong, J., Dalal, D., Scherr, D., Cheema, A., Nazarian, S., Bilchick, K., et al. (2007). Impact of Heart Rhythm Status on Registration Accuracy of the Left Atrium for Catheter Ablation of Atrial Fibrillation. Journal of Cardiovascular Electrophysiology, 18(12), 1269–1276.PubMedCrossRef

45.

Kistler, P. M., Ho, S. Y., Rajappan, K., Morper, M., Harris, S., Abrams, D., et al. (2007). Electrophysiologic and anatomic characterization of sites resistant to electrical isolation during circumferential pulmonary vein ablation for atrial fibrillation: a prospective study. Journal of Cardiovascular Electrophysiology, 18(12), 1282–1288.PubMedCrossRef

46.

Sra, J., Narayan, G., Krum, D., Malloy, A., Cooley, R., Bhatia, A., et al. (2007). Computed tomography-fluoroscopy image integration-guided catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 18(4), 409–414.PubMedCrossRef

47.

Kistler, P. M., Rajappan, K., Jahngir, M., Earley, M. J., Harris, S., Abrams, D., et al. (2006). The impact of CT image integration into an electroanatomic mapping system on clinical outcomes of catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(10), 1093–1101.PubMedCrossRef

48.

Martinek, M., Nesser, H. J., Aichinger, J., Boehm, G., & Purerfellner, H. (2007). Impact of integration of multislice computed tomography imaging into three-dimensional electroanatomic mapping on clinical outcomes, safety, and efficacy using radiofrequency ablation for atrial fibrillation. Pacing and Clinical Electrophysiology, 30(10), 1215–1223.PubMedCrossRef

49.

Kistler, P. M., Rajappan, K., Harris, S., Earley, M. J., Richmond, L., Sporton, S. C., et al. (2008). Impact of image integration on catheter ablation of atrial fibrillation using electroanatomic mapping: a prospective randomized study. European Heart Journal, 29(24), 3029–3036.PubMedCrossRef

50.

Tsao, H. M., Wu, M. H., Huang, B. H., Lee, S. H., Lee, K. T., Tai, C. T., et al. (2005). Morphologic remodeling of pulmonary veins and left atrium after catheter ablation of atrial fibrillation: insight from long-term follow-up of three-dimensional magnetic resonance imaging. Journal of Cardiovascular Electrophysiology, 16(1), 7–12.PubMedCrossRef

51.

Packer, D. L., Keelan, P., Munger, T. M., Breen, J. F., Asirvatham, S., Peterson, L. A., et al. (2005). Clinical presentation, investigation and management of pulmonary vein stenosis complicating ablation for atrial fibrillation. Circulation, 111(5), 546–554.PubMedCrossRef

52.

Saad, E. B., Marrouche, N. F., Saad, C. P., Ha, E., Bash, D., White, R. D., et al. (2003). Pulmonary vein stenosis after catheter ablation of atrial fibrillation: emergence of a new clinical syndrome. Annals of Internal Medicine, 138(8), 634–638.PubMed

53.

Purerfellner, H., Cihal, R., Aichinger, J., Martinek, M., & Nesser, H. J. (2003). Pulmonary vein stenosis by ostial irrigated-tip ablation: incidence, time course, and prediction. Journal of Cardiovascular Electrophysiology, 14(2), 158–164.PubMed

54.

Burgstahler, C., Trabold, T., Kuettner, A., Kopp, A. F., Mewis, C., Kuehlkamp, V., et al. (2005). Visualization of pulmonary vein stenosis after radio frequency ablation using multi-slice computed tomography: initial clinical experience in 33 patients. International Journal of Cardiology, 102(2), 287–291.PubMedCrossRef

55.

Dong, J., Vasamreddy, C. R., Jayam, V., Dalal, D., Dickfeld, T., Eldadah, Z., et al. (2005). Incidence and predictors of pulmonary vein stenosis following catheter ablation of atrial fibrillation using the anatomic pulmonary vein ablation approach: results from paired magnetic resonance imaging. Journal of Cardiovascular Electrophysiology, 16(8), 845–852.PubMedCrossRef

56.

Berkowitsch, A., Neumann, T., Ekinci, O., Greiss, H., Dill, T., Kurzidim, H., et al. (2005). A decrease in pulmonary vein diameter after radiofrequency ablation predicts the development of severe stenosis. Pacing and Clinical Electrophysiology, 28, S83–S85.PubMedCrossRef

57.

Ghia, K. K., Chugh, A., Good, E., Pelosi, F., Jongnarangsin, K., Bogun, F., et al. (2009). A nationwide survey on the prevalence of atrioesophageal fistula after left atrial radiofrequency catheter ablation. Journal of Interventional Cardiac Electrophysiology, 24(1), 33–36.PubMedCrossRef

58.

Pappone, C., Oral, H., Santinelli, V., Vicedomini, G., Lang, C. C., Manguso, F., et al. (2004). Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation. Circulation, 109(22), 2724–2726.PubMedCrossRef

59.

Dagres, N., Kottkamp, H., Piorkowski, C., Doll, N., Mohr, F., Horlitz, M., et al. (2006). Rapid detection and successful treatment of esophageal perforation after radiofrequency ablation of atrial fibrillation: lessons from five cases. Journal of Cardiovascular Electrophysiology, 17(11), 1213–1215.PubMedCrossRef

60.

Scanavacca, M., Hachul, D., & Sosa, E. (2007). Atrioesophageal fistula–a dangerous complication of catheter ablation for atrial fibrillation. Nature Clinical Practice. Cardiovascular Medicine, 4(11), 578–579.PubMed

61.

Schley, P., Guilker, H., & Horlitz, M. (2006). Atrio-oesophageal fistula following circumferential pulmonary vein ablation: verification of diagnosis with multislice computed tomography. Europace, 8(3), 189–190.PubMedCrossRef

62.

Preis, O., Digumarthy, S. R., Wright, C. D., & Shepard, J. A. (2007). Atrioesophageal fistula after catheter pulmonary venous ablation for atrial fibrillation: imaging features. Journal of Thoracic Imaging, 22(3), 283–285.PubMedCrossRef

63.

Peters, D. C., Wylie, J. V., Hauser, T. H., Kissinger, K. V., Botnar, R. M., Essebag, V., et al. (2007). Detection of pulmonary vein and left atrial scar after catheter ablation with three-dimensional navigator-gated delayed enhancement MR imaging: initial experience. Radiology, 243(3), 690–695.PubMedCrossRef

64.

McGann, C. J., Kholmovski, E. G., Oakes, R. S., Blauer, J. J., Daccarett, M., Segerson, N., et al. (2008). New magnetic resonance imaging-based method for defining the extent of left atrial wall injury after the ablation of atrial fibrillation. Journal of the American College of Cardiology, 52(15), 1263–1271.PubMedCrossRef

65.

Badger, T. J., Oakes, R. S., Daccarett, M., Burgon, N. S., Akoum, N., Fish, E. N., et al. (2009). Temporal left atrial lesion formation after ablation of atrial fibrillation. Heart Rhythm, 6(2), 161–168.PubMedCrossRef

66.

Grobner, T., & Prischl, F. C. (2007). Gadolinium and nephrogenic systemic fibrosis. Kidney International, 72(3), 260–264.PubMedCrossRef

67.

Lacomis, J. M., Pealer, K., Fuhrman, C. R., Barley, D., Wigginton, W., & Schwartzman, D. (2006). Direct comparison of computed tomography and magnetic resonance imaging for characterization of posterior left atrial morphology. Journal of Interventional Cardiac Electrophysiology, 16(1), 7–13.PubMedCrossRef

68.

Orlov, M. V., Hoffmeister, P., Chaudhry, G. M., Almasry, I., Gijsbers, G. H., Swack, T., et al. (2007). Three-dimensional rotational angiography of the left atrium and esophagus–A virtual computed tomography scan in the electrophysiology lab? Heart Rhythm, 4(1), 37–43.PubMedCrossRef

69.

Thiagalingam, A., Manzke, R., D’Avila, A., Ho, I., Locke, A. H., Ruskin, J. N., et al. (2008). Intraprocedural Volume Imaging of the Left Atrium and Pulmonary Veins with Rotational X-Ray Angiography: Implications for Catheter Ablation of Atrial Fibrillation. Journal of Cardiovascular Electrophysiology, 19(3), 293–300.PubMedCrossRef

70.

Dickfeld, T., Calkins, H., Bradley, D., & Solomon, S. B. (2005). Stereotactic catheter navigation using magnetic resonance image integration in the human heart. Heart Rhythm, 2(4), 413–415.PubMedCrossRef

Titel: Applications of computed tomography and magnetic resonance imaging in percutaneous ablation therapy for atrial fibrillation
verfasst von: Janice Y. Chyou
Angelo Biviano
Pedro Magno
Hasan Garan
Andrew J. Einstein
Publikationsdatum: 01.10.2009
Verlag: Springer US
Erschienen in: Journal of Interventional Cardiac Electrophysiology / Ausgabe 1/2009
Print ISSN: 1383-875X
Elektronische ISSN: 1572-8595
DOI: https://doi.org/10.1007/s10840-009-9404-9

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Applications of computed tomography and magnetic resonance imaging in percutaneous ablation therapy for atrial fibrillation

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