Single-photon emission computed tomographic-multidetector computed tomographic fusion image integration: A potential aid to left ventricular substrate ablation

Mati Friehling, Prahlad G. Menon, Daniel R. Ludwig, David Schwartzman

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Aims To illustrate the feasibility of ventricular tachycardia (VT) ablation assisted by single photon emission computed tomography (SPECT)-multidetector (MDCT) computed tomography â € fusionâ €™ image guidance. Methods and results A patient with ischaemic cardiomyopathy and recurrent VT underwent catheter ablation. Prior to the procedure, SPECT and MDCT had been obtained. A combined (â € fusionâ €™) image was created, and this image was registered to the operative field using a commercial catheter navigation system. There was a close anatomic and electrophysiological correspondence between the left ventricular electroanatomic map obtained in the operating theatre and the fusion image. Conclusion If accuracy of this technique can be confirmed, fusion image guidance may offer a significant value during catheter ablation of VT, including improved substrate detail and procedure abbreviation.

Original languageEnglish
Pages (from-to)1860-1863
Number of pages4
JournalEuropace
Volume16
Issue number12
DOIs
StatePublished - Oct 8 2014

Keywords

  • Cardiac computed tomography
  • Catheter ablation
  • Single-photon emission computed tomography
  • Ventricular tachycardia

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