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Catheter Ablation Guided by Real-Time MRI

  • Invasive Electrophysiology and Pacing (EK Heist, Section Editor)
  • Published:
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Abstract

Real-time magnetic resonance imaging (MRI) combines the advantages of excellent soft-tissue characterization in a true 3D anatomical and functional model with the possibility of lesion and gap visualization without the need of any radiation. Therefore, real-time MRI presents a particularly attractive imaging technology to guide electrophysiology studies and catheter ablation procedures. This article aims to provide an overview on current routine clinical application of MRI in the setting of interventional electrophysiology. Furthermore, development of real-time MRI guided electrophysiology studies and first experiences with MRI guided catheter ablation procedures are depicted. In this context advantages, challenges and limitations of real-time MRI guided catheter ablation as well as future perspectives are discussed.

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Abbreviations

AF:

Atrial fibrillation

CS:

Coronary sinus

DE:

Delayed enhancement

LAO:

Left anterior oblique

MRI:

Magnetic resonance imaging

RAO:

Right anterior oblique

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Compliance with Ethics Guidelines

Conflict of Interest

Charlotte Eitel reports received modest lecture honoraria from Philips GmbH, UB Healthcare, personal fees from St. Jude Medical.

Gerhard Hindricks received modest lecture honoraria from St. Jude Medical, Biotronik, Medtronic and Biosense and is a member of the St. Jude Medical and Biosense advisory boards.

Matthias Grothoff received modest lecture honoraria from Philips and Siemens Healthcare.

Matthias Gutberlet received modest lecture honoraria from Philips and Siemens Healthcare, and is a member of the Siemens MR advisory board.

Philipp Sommer received modest lecture honoraria by St Jude Medical, and Siemens Healthcare, and is a member of the St. Jude Medical advisory board.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Department of Electrophysiology, University of Leipzig, Heart Center, Struempellstrasse 39, 04289, Leipzig, Germany

    Charlotte Eitel, Gerhard Hindricks & Philipp Sommer

  2. Department of Diagnostic and Interventional Radiology, University of Leipzig, Heart Center, Leipzig, Germany

    Matthias Grothoff & Matthias Gutberlet

Authors
  1. Charlotte Eitel
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  2. Gerhard Hindricks
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  3. Matthias Grothoff
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  4. Matthias Gutberlet
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  5. Philipp Sommer
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Correspondence to Charlotte Eitel.

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This article is part of the Topical Collection on Invasive Electrophysiology and Pacing

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Eitel, C., Hindricks, G., Grothoff, M. et al. Catheter Ablation Guided by Real-Time MRI. Curr Cardiol Rep 16, 511 (2014). https://doi.org/10.1007/s11886-014-0511-6

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  • DOI: https://doi.org/10.1007/s11886-014-0511-6

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