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- Title
Pulsed field ablation for atrial fibrillation – Lessons from magnetic resonance imaging.
- Authors
Fink, Thomas; Sciacca, Vanessa; Neven, Kars; Didenko, Maxim; Sommer, Philipp; Sohns, Christian
- Abstract
Pulsed field ablation (PFA) is a promising technology for the treatment of atrial fibrillation (AF). Due to its unique tissue selectivity, PFA potentially bears superior characteristics as compared to established thermal energy sources in AF ablation procedures. Cardiovascular magnetic resonance imaging (CMR) using late gadolinium enhancement (LGE) is an established tool in the analysis of myocardial fibrosis representing atrial cardiomyopathy as well as ablation‐induced atrial scar formation following catheter ablation with thermal energy. Mechanisms of atrial lesion formation differ between thermal ablation and electroporation and its impact on results of CMR imaging are not fully understood until now. In this review article, the potential of CMR imaging for PFA lesion assessment and available data are discussed. Further, additional needs to adopt imaging approaches to the cellular mechanisms of electroporation are considered.
- Subjects
CARDIOMYOPATHIES; SCARS; ATRIAL fibrillation; CATHETER ablation; MAGNETIC resonance imaging; FIBROSIS; ELECTROPHYSIOLOGY; ELECTROPORATION; DISEASE risk factors
- Publication
Pacing & Clinical Electrophysiology, 2023, Vol 46, Issue 12, p1586
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.14864