Collateral findings during computed tomography scan for atrial fibrillation ablation: Let's take a look around

Francesco Perna, Michela Casella, Maria Lucia Narducci, Antonio Dello Russo, Gianluigi Bencardino, Gianluca Pontone, Gemma Pelargonio, Daniele Andreini, Francesca Pizzamiglio, Edoardo Conte, Filippo Crea, Claudio Tondo

Research output: Contribution to journalArticlepeer-review

Abstract

The growing number of atrial fibrillation catheter ablation procedures warranted the development of advanced cardiac mapping techniques, such as image integration between electroanatomical map and cardiac computed tomography. While scanning the chest before catheter ablation, it is frequent to detect cardiac and extracardiac collateral findings. Most collateral findings are promptly recognized as benign and do not require further attention. However, sometimes clinically relevant collateral findings are detected, which often warrant extra diagnostic examinations or even invasive procedure, and sometimes need to be followed-up over time. Even though reporting and further investigating collateral findings has not shown a clear survival benefit, almost all the working groups providing data on collateral findings reported some collateral findings eventually coming out to be malignancies, sometimes at an early stage. Therefore, there is currently no clear agreement about the right strategy to be followed.

Original languageEnglish
Pages (from-to)310-6
Number of pages7
JournalWorld Journal of Cardiology
Volume8
Issue number4
DOIs
Publication statusPublished - Apr 26 2016

Keywords

  • Journal Article
  • Review

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