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Multislice CT pp 755–776Cite as

Computed Tomography in the Management of Electrophysiology Procedures

Computed Tomography in Electrophysiology

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Cardiac computed tomography (CT) is an established noninvasive imaging technique which provides essential anatomic and functional appraisal prior to electrophysiology procedures in patients with atrial fibrillation (AF), heart failure (HF) undergoing cardiac resynchronization therapy (CRT), and ventricular tachycardia (VT). Modern technological advances have allowed cardiac CT to have a role in pre-procedural planning for invasive electrophysiology procedures such as pulmonary vein isolation (PVI) and left atrial appendage (LAA) occlusion devices in patients with AF, coronary venous imaging in patients undergoing CRT, and myocardial scar detection in patients undergoing substrate mapping for ventricular tachycardia ablation with contraindications to cardiac magnetic resonance imaging (MRI) for scar imaging. This chapter addresses the applications of cardiac CT as a pre-procedural guide to facilitate a variety of electrophysiology procedures in (1) AF patients to anatomically assess the left atrium (LA), LAA, and pulmonary veins (PV) for co-registration with electro-anatomical mapping (EAM), (2) end-stage HF patients who are being considered for CRT to anatomically assess for the coronary venous tree, and (3) VT patients who have contradictions to MRI for myocardial scar assessment but may benefit from CT myocardial scar detection for substrate mapping for VT ablation.

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Authors and Affiliations

  1. Department of Radiology, Weill Cornell Medicine, 525 E. 68th Street, L-024, New York, NY, 10021, USA

    Joseph Negusei MD, Ian R. Drexler MD, MBA & Quynh A. Truong MD, MPH, FACC, FAHA, FSCCT

  2. Division of Cardiology, Weill Cornell Medicine, New York, NY, USA

    Jim Cheung MD & Quynh A. Truong MD, MPH, FACC, FAHA, FSCCT

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  1. Joseph Negusei MD
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  2. Ian R. Drexler MD, MBA
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  3. Jim Cheung MD
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  4. Quynh A. Truong MD, MPH, FACC, FAHA, FSCCT
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Correspondence to Quynh A. Truong MD, MPH, FACC, FAHA, FSCCT .

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Editors and Affiliations

  1. Department of Radiology, Universitätsklinikum Tübingen, Tübingen, Baden-Württemberg, Germany

    Konstantin Nikolaou

  2. Department of Diagnostic and Interventional Radiology, University of Freiburg, Freiburg, Germany

    Fabian Bamberg

  3. Department of Surgical and Medical Sciences and Translational Medicine, “Sapienza” – University of Rome, Rome, Italy

    Andrea Laghi

  4. Department of Radiology, Duke University School of Medicine, Durham, NC, USA

    Geoffrey D. Rubin

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Negusei, J., Drexler, I.R., Cheung, J., Truong, Q.A. (2017). Computed Tomography in the Management of Electrophysiology Procedures. In: Nikolaou, K., Bamberg, F., Laghi, A., Rubin, G.D. (eds) Multislice CT. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2016_99

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