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Europace 2008 10(Supplement 3):iii48-iii56; doi:10.1093/europace/eun235
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

This article appears in the following Europace issue: Spotlight Issue: Cardiac Imaging in EP and CRT [View the issue table of contents]

IMAGING IN CATHETER ABLATION FOR AF

Image integration in catheter ablation of atrial fibrillation

Laurens F. Tops1,2,*, Martin J. Schalij2, Dennis W. den Uijl2, Theodore P. Abraham1, Hugh Calkins1 and Jeroen J. Bax2

1 Division of Cardiology, Johns Hopkins Medical Institutions, Baltimore, MD, USA; 2 Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands

Over the past few years, integration of different imaging modalities to guide catheter ablation procedures for atrial fibrillation has become possible. Various strategies are nowadays available that allow integration of the anatomical information provided by fluoroscopy, computed tomography, magnetic resonance imaging, or intracardiac echocardiography with the information provided by electroanatomic mapping. This review discusses the different image integration techniques, and an overview of the clinical experience with these systems will be provided. In addition, factors that may affect the accuracy of the image integration process will be addressed. Finally, the effect of image integration on procedural characteristics and outcome will be reviewed.

Key Words: Atrial fibrillation, Catheter ablation, Mapping, Computed Tomography, Magnetic Resonance Imaging


* Corresponding author. E-mail address: l.f.tops{at}lumc.nl


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