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.

Collateral findings during computed tomography scan for atrial fibrillation ablation: Let's take a look around / F. Perna, M. Casella, M.L. Narducci, A. Dello Russo, G. Bencardino, G. Pontone, G. Pelargonio, D. Andreini, N. Vitulano, F. Pizzamiglio, E. Conte, F. Crea, C. Tondo. - In: WORLD JOURNAL OF CARDIOLOGY. - ISSN 1949-8462. - 8:4(2016 Apr 26), pp. 310-316. [10.4330/wjc.v8.i4.310]

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

G. Pontone;D. Andreini;E. Conte;C. Tondo
2016-04-26

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.
cardiac computed tomography; collateral findings; image integration; incidental findings; incidentalom
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/436760
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