Approaching Ventricular Tachycardia Ablation in 2024: An Update on Mapping and Ablation Strategies, Timing, and Future Directions

被引：0

作者：

Di Cori, Andrea ^{[1
]}

Pistelli, Lorenzo ^{[1
]}

Parollo, Matteo ^{[1
]}

Zaurino, Nicola ^{[2
]}

Segreti, Luca ^{[1
]}

Zucchelli, Giulio ^{[1
]}

机构：

[1] Univ Hosp Pisa, Cardiac Thorac & Vasc Dept, Div Cardiol 2, I-56124 Pisa, Italy

[2] Johnson & Johnson Medial SpA, Biosense Webster, I-00071 Pomezia, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2024年 / 13卷 / 17期

关键词：

ventricular tachycardia; ventricular tachycardia ablation; electro-anatomical mapping; computed tomography; cardiac magnetic resonance; artificial intelligence; CATHETER ABLATION; SUBSTRATE ABLATION; SINUS RHYTHM; ISCHEMIC CARDIOMYOPATHY; IMAGE INTEGRATION; CRITICAL ISTHMUS; INFARCT SCAR; MULTICENTER; IDENTIFICATION; HEART;

D O I：

10.3390/jcm13175017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This review provides insights into mapping and ablation strategies for VT, offering a comprehensive overview of contemporary approaches and future perspectives in the field. The strengths and limitations of classical mapping strategies, namely activation mapping, pace mapping, entrainment mapping, and substrate mapping, are deeply discussed. The increasing pivotal relevance of CMR and MDCT in substrate definition is highlighted, particularly in defining the border zone, tissue channels, and fat. The integration of CMR and MDCT images with EAM is explored, with a special focus on their role in enhancing effectiveness and procedure safety. The abstract concludes by illustrating the Pisa workflow for the VT ablation procedure.

引用

页数：19

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