EP Fellows Curriculum: Current and Future Strategies to Optimize VT Ablation with Imaging-EP Fellows Curriculum: Current and Future Strategies to Optimize VT Ablation with Imaging

EP Fellows Curriculum: Current and Future Strategies to Optimize VT Ablation with Imaging

Video Transcription

Video Summary

The speaker discussed the use of imaging in ventricular tachycardia (VT) ablation procedures. He mentioned that although their center has a lot of experience with using imaging, they have not published much in this area yet. He highlighted the importance of using imaging to better understand the substrate for VT and how it can be used to guide ablation procedures. He discussed the work of Drs. Josephson and Wellens in identifying the subendocardial disease with fibrosis that can create the substrate for reentry at the subendocardial level. He talked about the challenges of mapping VT and the different approaches being used. He mentioned the use of mapping tools and imaging to help identify and target areas of electrophysiological vulnerability. He also discussed the use of high-density mapping and multiple-electrode systems in mapping scar tissue in VT patients. He touched on the use of CT and MRI imaging for scar detection and how it can be helpful in pre-planning and risk stratification for VT ablation procedures. He also mentioned the emerging software called "inheart" which can create detailed anatomical models from imaging data to aid in mapping and ablation procedures. Overall, the speaker emphasized the potential for imaging to improve the outcomes of VT ablation procedures by improving visualization, guidance, and targeting of scar tissue.

Keywords

imaging

ventricular tachycardia

ablation procedures

substrate for VT

mapping VT

electrophysiological vulnerability

high-density mapping

scar detection

inheart software