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MR Prior to Ablation of Scar in Ventricle
Stefan L. Zimmerman, MD
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KEY FACTS

  • Terminology

    • Imaging

      CLINICAL ISSUES

      • Pathophysiology and Clinical Characterization of VT

        • Treatment of VT

          CARDIAC MR IMAGING IN VT ABLATION

          • Cardiac MR for Scar Imaging and Ablation Guidance

            • General Features

              • Ischemic and Nonischemic Myocardial Scar

                • Use of Cardiac MR in Patients With Devices

                  Selected References

                  1. Acosta J et al: Scar characterization to predict life-threatening arrhythmic events and sudden cardiac death in patients with cardiac resynchronization therapy: the GAUDI-CRT study. JACC Cardiovasc Imaging. 11(4):561-72, 2018
                  2. Al-Khatib SM et al: 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Heart Rhythm. 15(10):e190-e252, 2018
                  3. Andreu D et al: Cardiac magnetic resonance-aided scar dechanneling: influence on acute and long-term outcomes. Heart Rhythm. 14(8):1121-28, 2017
                  4. Mahida S et al: Cardiac imaging in patients with ventricular tachycardia. Circulation. 136(25):2491-507, 2017
                  5. Nazarian S et al: Safety of magnetic resonance imaging in patients with cardiac devices. N Engl J Med. 377(26):2555-64, 2017
                  6. Stevens SM et al: Device artifact reduction for magnetic resonance imaging of patients with implantable cardioverter-defibrillators and ventricular tachycardia: late gadolinium enhancement correlation with electroanatomic mapping. Heart Rhythm. 11(2):289-98, 2014
                  7. Sasaki T et al: Impact of nonischemic scar features on local ventricular electrograms and scar-related ventricular tachycardia circuits in patients with nonischemic cardiomyopathy. Circ Arrhythm Electrophysiol. 6(6):1139-47, 2013
                  8. Sasaki T et al: Myocardial structural associations with local electrograms: a study of postinfarct ventricular tachycardia pathophysiology and magnetic resonance-based noninvasive mapping. Circ Arrhythm Electrophysiol. 5(6):1081-90, 2012
                  Related Anatomy
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                  References
                  Tables

                  Tables

                  KEY FACTS

                  • Terminology

                    • Imaging

                      CLINICAL ISSUES

                      • Pathophysiology and Clinical Characterization of VT

                        • Treatment of VT

                          CARDIAC MR IMAGING IN VT ABLATION

                          • Cardiac MR for Scar Imaging and Ablation Guidance

                            • General Features

                              • Ischemic and Nonischemic Myocardial Scar

                                • Use of Cardiac MR in Patients With Devices

                                  Selected References

                                  1. Acosta J et al: Scar characterization to predict life-threatening arrhythmic events and sudden cardiac death in patients with cardiac resynchronization therapy: the GAUDI-CRT study. JACC Cardiovasc Imaging. 11(4):561-72, 2018
                                  2. Al-Khatib SM et al: 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Heart Rhythm. 15(10):e190-e252, 2018
                                  3. Andreu D et al: Cardiac magnetic resonance-aided scar dechanneling: influence on acute and long-term outcomes. Heart Rhythm. 14(8):1121-28, 2017
                                  4. Mahida S et al: Cardiac imaging in patients with ventricular tachycardia. Circulation. 136(25):2491-507, 2017
                                  5. Nazarian S et al: Safety of magnetic resonance imaging in patients with cardiac devices. N Engl J Med. 377(26):2555-64, 2017
                                  6. Stevens SM et al: Device artifact reduction for magnetic resonance imaging of patients with implantable cardioverter-defibrillators and ventricular tachycardia: late gadolinium enhancement correlation with electroanatomic mapping. Heart Rhythm. 11(2):289-98, 2014
                                  7. Sasaki T et al: Impact of nonischemic scar features on local ventricular electrograms and scar-related ventricular tachycardia circuits in patients with nonischemic cardiomyopathy. Circ Arrhythm Electrophysiol. 6(6):1139-47, 2013
                                  8. Sasaki T et al: Myocardial structural associations with local electrograms: a study of postinfarct ventricular tachycardia pathophysiology and magnetic resonance-based noninvasive mapping. Circ Arrhythm Electrophysiol. 5(6):1081-90, 2012