Table 8.
Advice for the use of CCT and CMR in non-ischaemic VT ablation procedures | Strength of advice | Imaging modality | CT specifications | MR specifications |
---|---|---|---|---|
(1) Pre-procedural imaging is advised to rule out intracavitary ventricular thrombus | CMR or CCT | i.v. contrast injection and imaging in arterial and delayed phase | Early and late gadolinium enhancement sequences/LGE, steady-state free precession sequence (cine) | |
(2) Pre-procedural imaging is advised to determine scar location | CMR or CCT | i.v. contrast injection and late iodine enhancement | LGE | |
(3) Pre-procedural imaging may be appropriate to determine scar transmurality | CMR or CCT | i.v. contrast injection and late iodine enhancement | LGE | |
(4) Pre-procedural imaging may be appropriate to determine intramural scar location | CMR | i.v. contrast injection and late iodine enhancement | LGE | |
(5) Pre-procedural imaging may be appropriate to identify areas of fibrofatty replacement in ARVC | CCT | i.v. contrast injection and imaging in arterial phase | Cine, black-blood sequences, LGE | |
(6) Whether post-processing imaging-derived scar (VT substrate) and integration into 3D mapping system is useful to aid or guide VT ablation is uncertain | CMR | i.v. contrast injection arterial phase and late iodine enhancement | LGE |
ACM, arrhythmogenic cardiomyopathy; CCT, cardiac computed tomography; CMR, cardiac magnetic resonance imaging; CT, computed tomography; LGE, late gadolinium enhancement; MR, magnetic resonance; VT, ventricular tachycardia.