Table 12.
Advice for the use of CT and MR in the diagnosis and management of neurological complications | Strength of advice | Imaging modality | CT specifications | MR specifications |
---|---|---|---|---|
(1) Emergent brain imaging is advised in all patients with new neurological symptoms compatible with cerebral ischaemia after left cardiac chamber ablation before initiation of any specific therapy | CT or MRI | |||
(2) In patients who are potential candidates for treatment with intravenous fibrinolysis, a non-contrast CT or MRI is advised to exclude intracranial haemorrhage | CT | Cerebral non-contrast CT | ||
(3) In patients who are potential candidates for treatment with mechanical thrombectomy, non-invasive imaging of the intracranial arteries is advised during the initial imaging evaluation | CT or MR | Angiography | Angiography | |
(4) In patients presenting with new neurological symptoms within 6 weeks of the ablation, emergent brain imaging is advised, followed in the case of pathological findings by a chest CT to evaluate for atrio-oesophageal fistula | CT or MR |
CT, computed tomography; MR, magnetic resonance.