63. Role of Cardiac Computed Tomography Imaging to Guide Catheter Ablation of Arrhythmias in Complex Cardiac Morphologies

  1. Mohammad Shenasa MD2,
  2. Gerhard Hindricks MD3,
  3. Martin Borggrefe MD4,
  4. Günter Breithardt MD5 and
  5. Mark E. Josephson MD6
  1. Farhood Saremi

Published Online: 18 DEC 2012

DOI: 10.1002/9781118481585.ch63

Cardiac Mapping, Fourth Edition

Cardiac Mapping, Fourth Edition

How to Cite

Saremi, F. (2013) Role of Cardiac Computed Tomography Imaging to Guide Catheter Ablation of Arrhythmias in Complex Cardiac Morphologies, in Cardiac Mapping, Fourth Edition (eds M. Shenasa, G. Hindricks, M. Borggrefe, G. Breithardt and M. E. Josephson), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118481585.ch63

Editor Information

  1. 2

    Attending Physician, Department of Cardiovascular Services, O'Connor Hospital, Heart & Rhythm Medical Group, San Jose, California, USA

  2. 3

    Professor of Medicine (Cardiology), University Leipzig, Heart Center, Director, Department of Electrophysiology, Leipzig, Germany

  3. 4

    Professor of Medicine (Cardiology), Head, Department of Cardiology, Angiology and Pneumology, University Medical Center, Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany

  4. 5

    Professor Emeritus of Medicine and Cardiology, Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany

  5. 6

    Chief, Cardiovascular Medicine Division, Director, Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Deaconess Medical Center, Herman C. Dana Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. University of Southern California, USC University Hospital, Los Angeles, CA, USA

Publication History

  1. Published Online: 18 DEC 2012
  2. Published Print: 10 JAN 2013

ISBN Information

Print ISBN: 9780470670460

Online ISBN: 9781118481585



  • catheter-based ablation;
  • multi-detector computed tomography;
  • myocardial pathologies;
  • cardiac computed tomography imaging;
  • cardiac conduction system;
  • cavotricuspid isthmus;
  • cardiac cycle


Despite advances in ablation techniques, catheter-based ablation continues to be a challenge in part due to the high degree of variability and complexity in individual cardiac anatomy. In this chapter, we focus on latest developments on the application of MDCT for electrophysiologic interventions. Cardiac anatomic landmarks of interest to electrophysiologists and their relationships with other structures, as well as important anatomical variants, will be reviewed. The chapter continues with the anatomical barriers in transvenous interventions, potential complications of catheter-based ablation procedures and other interventions, and myocardial pathologies detected with cardiac computed tomography imaging.