Cardiac CT for electrophysiological interventions.

Journal: The international journal of cardiovascular imaging
Published Date: May 27, 2025

Abstract

Cardiac computed tomography (CCT) holds an important role in the field of electrophysiology offering critical insights that enhance the management of arrhythmias through precise procedural planning and execution. It has furthermore established its role as a useful imaging modality in left atrial appendage closure procedures. This review discusses the current applications of CCT from pre-interventional assessment to post-interventional follow-up, emphasizing its utility in improving the safety and efficacy of electrophysiological and left atrial appendage occlusion interventions. It also explores the integration of CCT with advanced technologies such as electroanatomical mapping systems and the emergence of innovative imaging modalities, including three-dimensional cardiac computational modelling. CCT's evolving capabilities suggest a promising future in electrophysiology and left atrial occlusion procedures when combined with further technological advancements, including artificial intelligence software.

Authors

  • Kosmas Maragiannis
    Department of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland.
  • Dominik C Benz
    Cardiac Imaging, Department of Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland; and.
  • Ardan M Saguner
    Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
  • Alexander Breitenstein
    Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
  • Jonathan Michel
    Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
  • Aju P Pazhenkottil
    Department of Nuclear Medicine, Cardiac Imaging, University and University Hospital Zurich, Ramistrasse 100, 8091, Zurich, Switzerland. Electronic address: aju.pazhenkottil@usz.ch.
  • Philipp A Kaufmann
    Cardiac Imaging, Department of Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland; and.
  • Ronny R Buechel
    Department of Nuclear Medicine, Cardiac Imaging, University and University Hospital Zurich, Ramistrasse 100, 8091, Zurich, Switzerland. Electronic address: ronny.buechel@usz.ch.
  • Andreas A Giannopoulos
    From the Applied Imaging Science Laboratory, Department of Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115 (T.C., A.A.G., K.K.K., F.J.R., D.M.); Harvard T.H. Chan School of Public Health, Boston, Mass (S.Y.); and Department of Radiology, Brigham and Women's Hospital, Boston, Mass (T.K., B.R.).

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