Intraprocedural Imaging of Left Atrium and Pulmonary Veins: A Comparison Study between Rotational Angiography and Cardiac Computed Tomography

Background: Atrial fibrillation (AF) ablation is facilitated by anatomical visualization of the left atrium (LA) and the pulmonary veins (PVs). The purpose of this study was to compare accuracy, radiation exposure, and costs between three‐dimensional atriography (3D‐ATG) and cardiac computed tomography (CCT).

[1]  D. Krum,et al.  Computed Tomography‐Fluoroscopy Image Integration‐Guided Catheter Ablation of Atrial Fibrillation , 2007, Journal of cardiovascular electrophysiology.

[2]  Babak Movassaghi,et al.  Segmentation and registration of three-dimensional rotational angiogram on live fluoroscopy to guide atrial fibrillation ablation: a new online imaging tool. , 2009, Heart rhythm.

[3]  R. Cury,et al.  Pulmonary vein contraction: characterization of dynamic changes in pulmonary vein morphology using multiphase multislice computed tomography scanning. , 2008, Heart rhythm.

[4]  J. Ector,et al.  Obesity is a major determinant of radiation dose in patients undergoing pulmonary vein isolation for atrial fibrillation. , 2007, Journal of the American College of Cardiology.

[5]  M. Cova,et al.  64-Slice CT coronary angiography versus conventional coronary angiography: activity-based cost analysis , 2009, La radiologia medica.

[6]  J Zoetelief,et al.  Dose conversion coefficients for interventional procedures. , 2005, Radiation protection dosimetry.

[7]  J. Paul,et al.  Strategies for reduction of radiation dose in cardiac multislice CT , 2007, European Radiology.

[8]  H. Halperin,et al.  Integrated Electroanatomic Mapping With Three-Dimensional Computed Tomographic Images for Real-Time Guided Ablations , 2006, Circulation.

[9]  Nassir Marrouche,et al.  Three-dimensional left atrial and esophagus reconstruction using cardiac C-arm computed tomography with image integration into fluoroscopic views for ablation of atrial fibrillation: accuracy of a novel modality in comparison with multislice computed tomography. , 2008, Heart rhythm.

[10]  Kim Rajappan,et al.  The Impact of CT Image Integration into an Electroanatomic Mapping System on Clinical Outcomes of Catheter Ablation of Atrial Fibrillation , 2006, Journal of cardiovascular electrophysiology.

[11]  Silvia G. Priori,et al.  ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association task force on practice guidelines and the European society of cardiology committee for PRAC , 2006 .

[12]  Michel Haïssaguerre,et al.  Prospective randomized comparison between the conventional electroanatomical system and three-dimensional rotational angiography during catheter ablation for atrial fibrillation. , 2010, Heart rhythm.

[13]  S. Goetze,et al.  Rapid ventricular pacing to optimize rotational angiography in atrial fibrillation ablation , 2009, Journal of Interventional Cardiac Electrophysiology.

[14]  Douglas L Packer,et al.  New generation of electro-anatomic mapping: full intracardiac ultrasound image integration. , 2008, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[15]  Lu-Yuan Lee,et al.  Intravenous adenosine and dyspnea in humans. , 2005, Journal of applied physiology.

[16]  J. Fisher,et al.  Adenosine Induced Atrial Fibrillation Precipitating Polymorphic Ventricular Tachycardia , 2000, Pacing and clinical electrophysiology : PACE.

[17]  Maria Grazia Bongiorni,et al.  Image integration increases efficacy of paroxysmal atrial fibrillation catheter ablation: results from the CartoMerge Italian Registry. , 2009, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[18]  Henry R. Halperin,et al.  Pulmonary Vein Anatomy in Patients Undergoing Catheter Ablation of Atrial Fibrillation: Lessons Learned by Use of Magnetic Resonance Imaging , 2003, Circulation.

[19]  David O. Martin,et al.  Atrial Fibrillation Ablation in Patients With Therapeutic International Normalized Ratio: Comparison of Strategies of Anticoagulation Management in the Periprocedural Period , 2007, Circulation.

[20]  M. Eldar,et al.  Comparison of results with different left ventricular pacing leads. , 2007, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[21]  F. Maes,et al.  Biplane three-dimensional augmented fluoroscopy as single navigation tool for ablation of atrial fibrillation: accuracy and clinical value. , 2008, Heart rhythm.

[22]  Jörg Hausleiter,et al.  Radiation Dose Estimates From Cardiac Multislice Computed Tomography in Daily Practice: Impact of Different Scanning Protocols on Effective Dose Estimates , 2006, Circulation.

[23]  B. Lerman,et al.  Role of Arterial Chemoreceptors in Mediating the Effects of Endogenous Adenosine on Sympathetic Nerve Activity , 1994, Circulation.

[24]  E. Fleck,et al.  A new approach for contrast-enhanced X-ray imaging of the left atrium and pulmonary veins for atrial fibrillation ablation: rotational angiography during adenosine-induced asystole. , 2008, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[25]  Hans-Joachim Nesser,et al.  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 , 2007, Pacing and clinical electrophysiology : PACE.

[26]  F. Maes,et al.  Adenosine-induced ventricular asystole or rapid ventricular pacing to enhance three-dimensional rotational imaging during cardiac ablation procedures. , 2009, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[27]  Douglas Packer,et al.  Worldwide Survey on the Methods, Efficacy, and Safety of Catheter Ablation for Human Atrial Fibrillation , 2005, Circulation.

[28]  R. Morin,et al.  Ionizing Radiation in Cardiac Imaging: A Science Advisory From the American Heart Association Committee on Cardiac Imaging of the Council on Clinical Cardiology and Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention , 2009, Circulation.

[29]  E. Fleck,et al.  Intraprocedural reconstruction of the left atrium and pulmonary veins as a single navigation tool for ablation of atrial fibrillation: a feasibility, efficacy, and safety study. , 2009, Heart rhythm.

[30]  Kim Rajappan,et al.  The impact of image integration on catheter ablation of atrial fibrillation using electroanatomic mapping: a prospective randomized study. , 2008, European heart journal.

[31]  Katja Zeppenfeld,et al.  Real-time integration of intracardiac echocardiography and multislice computed tomography to guide radiofrequency catheter ablation for atrial fibrillation. , 2008, Heart rhythm.

[32]  G. M. Chaudhry,et al.  Three-dimensional rotational angiography of the left atrium and esophagus--A virtual computed tomography scan in the electrophysiology lab? , 2007, Heart rhythm.