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World J Cardiol. Sep 26, 2023; 15(9): 415-426
Published online Sep 26, 2023. doi: 10.4330/wjc.v15.i9.415
Real-time cardiovascular magnetic resonance-guided radiofrequency ablation: A comprehensive review
Konstantinos Tampakis, Sokratis Pastromas, Alexandros Sykiotis, Stamatina Kampanarou, Georgios Kourgiannidis, Chrysa Pyrpiri, Maria Bousoula, Dimitrios Rozakis, George Andrikopoulos
Konstantinos Tampakis, Sokratis Pastromas, Alexandros Sykiotis, Georgios Kourgiannidis, George Andrikopoulos, Department of Pacing & Electrophysiology, Henry Dunant Hospital Center, Athens 11526, Greece
Stamatina Kampanarou, Chrysa Pyrpiri, Department of Radiology, Henry Dunant Hospital Center, Athens 11526, Greece
Maria Bousoula, Dimitrios Rozakis, Department of Anesthesiology, Henry Dunant Hospital Center, Athens 11526, Greece
Author contributions: Tampakis K, Andrikopoulos G and Kampanarou S wrote and revised the manuscript; Pastromas S, Sykiotis A, Pyrpiri C, Bousoula M, Rozakis D and Kourgiannidis G contributed to the collection of data; All authors have read and approve the final manuscript.
Conflict-of-interest statement: All the authors have no conflicts to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Konstantinos Tampakis, MD, MSc, Consultant Physician-Scientist, Department of Pacing & Electrophysiology, Henry Dunant Hospital Center, 107, Mesogion Ave, Athens 11526, Greece. kostastampakis@hotmail.com
Received: April 27, 2023
Peer-review started: April 27, 2023
First decision: July 19, 2023
Revised: August 10, 2023
Accepted: August 31, 2023
Article in press: August 31, 2023
Published online: September 26, 2023
Processing time: 146 Days and 12 Hours
Core Tip

Core Tip: Technologies and platforms for performing electrophysiology procedures in a cardiac magnetic resonance (CMR) environment have been developed and several human studies have demonstrated that CMR-guided catheter ablation is feasible for typical atrial flutter ablation. Expansion to other more complex arrhythmias, especially ventricular tachycardia and atrial fibrillation, would be of essential impact, taking into consideration the widespread use of substrate-based strategies. Importantly, several limitations need to be solved before application of CMR-guided ablation in a broad clinical setting. This article reviews the clinical implementation of real-time CMR-guided catheter ablation and discusses the potential benefits, challenges and future perspectives of this approach in the treatment of cardiac arrhythmias.