Division of Cardiology, Section for Cardiac Electrophysiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Founders 9118, Philadelphia, PA, USA.
Europace. 2021 Apr 6;23(4):520-528. doi: 10.1093/europace/euaa249.
Catheter ablation is increasingly utilized to treat patients with atrial fibrillation (AF). Despite progress in technology and procedural strategy, there remain significant limitations with suboptimal outcomes. The role of imaging has continued to evolve, and multimodality imaging now presents an important opportunity to make substantial progress in the safety and efficacy of ablation. In this review, we discuss the history of imaging in the ablation of AF with a specific focus on the ability of cardiac computed tomography and magnetic resonance imaging to characterize anatomy, arrhythmogenic substrate, and guide ablation strategy. We will review the progress that has been made and highlight many of the limitations as well as future directions for the field.
导管消融术越来越多地用于治疗心房颤动（房颤）患者。尽管技术和手术策略取得了进展，但治疗效果仍不理想，存在明显的局限性。影像学的作用不断发展，多模态影像学现在为提高消融的安全性和有效性提供了一个重要的机会。在这篇综述中，我们讨论了影像学在房颤消融中的历史，特别关注心脏计算机断层扫描和磁共振成像在解剖结构、心律失常基质和指导消融策略方面的能力。我们将回顾已经取得的进展，并强调该领域的许多局限性和未来方向。
