Applications of multimodality imaging for left atrial catheter ablation.
Applications of multimodality imaging for left atrial catheter ablation.
复制标题
多模式成像在左房导管消融中的应用。
DOI：
10.1093/ehjci/jeab205
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发表时间：
2021-12-18
期刊：
影响因子：
--
通讯作者：
Niederer SA
中科院分区：
文献类型：
--
作者：
Roney CH;Sillett C;Whitaker J;Lemus JAS;Sim I;Kotadia I;O'Neill M;Williams SE;Niederer SA
房性心律失常，包括心房颤动和心房扑动，可以通过导管消融治疗。房性心律失常导管消融的过程包括患者选择、术前计划、术中指导和术后评估，其特征通常在于使用几种成像模式来顺序告知关键临床决策。越来越多的先进成像模式通过专门的图像分析技术进行处理，并与术中电测量相结合，以告知治疗方法。在这里，我们回顾了多模态成像在左心房消融术中的应用。文章首先概述了如何在围消融期常规使用成像方式。然后，我们描述如何先进的成像技术可以告知患者选择消融和消融目标本身。正在进行的研究方向，通过使用成像结合先进的分析个性化的消融靶点，以改善导管消融的结果进行了讨论，连同他们的集成在标准的临床环境中的方法。最后，我们描述了未来的研究领域，有可能改善导管消融的结果。
Atrial arrhythmias, including atrial fibrillation and atrial flutter, may be treated through catheter ablation. The process of atrial arrhythmia catheter ablation, which includes patient selection, pre-procedural planning, intra-procedural guidance, and post-procedural assessment, is typically characterized by the use of several imaging modalities to sequentially inform key clinical decisions. Increasingly, advanced imaging modalities are processed via specialized image analysis techniques and combined with intra-procedural electrical measurements to inform treatment approaches. Here, we review the use of multimodality imaging for left atrial ablation procedures. The article first outlines how imaging modalities are routinely used in the peri-ablation period. We then describe how advanced imaging techniques may inform patient selection for ablation and ablation targets themselves. Ongoing research directions for improving catheter ablation outcomes by using imaging combined with advanced analyses for personalization of ablation targets are discussed, together with approaches for their integration in the standard clinical environment. Finally, we describe future research areas with the potential to improve catheter ablation outcomes.
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影响因子：
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