Pulsed field ablation for atrial fibrillation – Lessons from magnetic resonance imaging

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 ima...

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Published inPacing and clinical electrophysiology Vol. 46; no. 12; pp. 1586 - 1594
Main Authors Fink, Thomas, Sciacca, Vanessa, Neven, Kars, Didenko, Maxim, Sommer, Philipp, Sohns, Christian
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.12.2023
Subjects
atrial fibrillation
Atrial Fibrillation - diagnostic imaging
Atrial Fibrillation - surgery
Cardiomyopathies - diagnostic imaging
Cardiomyopathies - surgery
Cardiomyopathy
Catheter Ablation - methods
Contrast Media
Electroporation
Fibrillation
Fibrosis
Gadolinium
Heart Atria - diagnostic imaging
Heart Atria - pathology
Heart Atria - surgery
Humans
lesion formation
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
pulsed field ablation
atrial fibrillation
lesion formation
magnetic resonance imaging
pulsed field ablation
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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.
AbstractList 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.
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.
Author Neven, Kars
Fink, Thomas
Didenko, Maxim
Sohns, Christian
Sciacca, Vanessa
Sommer, Philipp
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  givenname: Kars
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  fullname: Neven, Kars
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  givenname: Maxim
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  organization: Ruhr‐Universität Bochum
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  givenname: Philipp
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  givenname: Christian
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  surname: Sohns
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  organization: Ruhr‐Universität Bochum
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Issue 12
Keywords atrial fibrillation
lesion formation
magnetic resonance imaging
pulsed field ablation
Language English
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2023 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals LLC.
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Snippet Pulsed field ablation (PFA) is a promising technology for the treatment of atrial fibrillation (AF). Due to its unique tissue selectivity, PFA potentially...
Abstract Pulsed field ablation (PFA) is a promising technology for the treatment of atrial fibrillation (AF). Due to its unique tissue selectivity, PFA...
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SubjectTerms atrial fibrillation
Atrial Fibrillation - diagnostic imaging
Atrial Fibrillation - surgery
Cardiomyopathies - diagnostic imaging
Cardiomyopathies - surgery
Cardiomyopathy
Catheter Ablation - methods
Contrast Media
Electroporation
Fibrillation
Fibrosis
Gadolinium
Heart Atria - diagnostic imaging
Heart Atria - pathology
Heart Atria - surgery
Humans
lesion formation
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
pulsed field ablation
Title Pulsed field ablation for atrial fibrillation – Lessons from magnetic resonance imaging
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fpace.14864
https://www.ncbi.nlm.nih.gov/pubmed/37943015
https://www.proquest.com/docview/2900608482
https://search.proquest.com/docview/2888034544
Volume 46
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