Key result
Electrocardiographic-gated multidetector CT provides a unique view of electrical activity propagation over cardiac structures, allowing precise functional and anatomical evaluation in paediatric arrhythmias.
Why the study?
Does low kilovoltage electrocardiographic-gated multidetector CT provide effective anatomical roadmapping for electrophysiological procedures in pediatric patients?
Does low kilovoltage electrocardiographic-gated multidetector CT provide effective anatomical roadmapping for electrophysiological procedures in pediatric patients?
Low kilovoltage ECG-gated multidetector CT is a valuable tool for precise anatomical and functional roadmapping prior to catheter ablation in pediatric patients with arrhythmias.
ECG-gated MDCT may aid paediatric arrhythmia evaluation; leaves open clinical adoption pending prospective validation.
Treatment of arrhythmias by catheter ablation targeting the anatomical foci of arrhythmias by radiofrequency has evolved dramatically in recent years. A road map for the relevant heart structures is an important asset for the success of the procedure and should be obtained before the intervention. This can be achieved by intra-cardiac echocardiography, conventional angiographic methods, multidetector CT, or MRI. The electrophysiological technique comprises a diagnostic procedure and an interventional - therapeutic - procedure. Electrocardiographic-gated multidetector CT is important in the diagnostic session to evaluate the anatomical details in combination with electric activity mapping. This combined protocol provides a unique view of the propagation of electrical activity, either normal or abnormal, over cardiac structures and allows a precise functional and anatomical evaluation to be obtained. In this review, we evaluate the role of electrocardiographic-gated multidetector CT in roadmapping arrhythmias in the paediatric age group, focussing on its strengths; we also evaluated some additional aspects that need further improvement in the future.
No takes yet. Share an insight, caveat, or question.
Khalil et al. (2016) conducted a review in Arrhythmias. Electrocardiographic-gated multidetector CT was evaluated. Electrocardiographic-gated multidetector CT provides a unique view of electrical activity propagation over cardiac structures, allowing precise functional and anatomical evaluation in paediatric arrhythmias.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: