Standardized Review of Atrial Anatomy for Cardiac Electrophysiologists

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• 作者：Damián Sánchez-Quintana (1)
  Gonzalo Pizarro (2)
  José Ramón López-Mínguez (3)
  Siew Yen Ho (4)
  José Angel Cabrera (2)
  
• 关键词：Morphological substrate ; Atrial fibrillation ; Atrial flutter ; Pulmonary vein ; Myoarchitecture
• 刊名：Journal of Cardiovascular Translational Research
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：6
• 期：2
• 页码：124-144
• 全文大小：2638KB
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• 作者单位：Damián Sánchez-Quintana (1)
  Gonzalo Pizarro (2)
  José Ramón López-Mínguez (3)
  Siew Yen Ho (4)
  José Angel Cabrera (2)
  
  1. Departamento de Anatomía y Biología Celular, Facultad de Medicina, Universidad de Extremadura, Avenida de Elvas s/n, 06071, Badajoz, Spain
  2. Hospital Universitario Quirón-Madrid, European University of Madrid, Madrid, Spain
  3. Servicio de Cardiología, Sección de Hemodinámica, Hospital Infanta Cristina, Badajoz, Spain
  4. Cardiac Morphology Unit, Royal Brompton Hospital, Imperial College, London, UK
  
• ISSN：1937-5395

文摘

Catheter ablation of cardiac arrhythmias has rapidly evolved from a highly experimental procedure to a standard form of therapy for various tachyarrhythmias. The advances in this field have included, first, the development of techniques of catheter ablation that often requires the precise destruction of minute amounts of arrhythmogenic tissues and, second, techniques of resynchronization therapy that require pacing different parts of the ventricles. A detailed prepocedural knowledge of cardiac anatomy can improve the safety of the procedure and its rate success. It helps the electrophysiologist to choose the appropiate region for ablation, shortening the procedural time. The atrial anatomy structures are usually localized before ablation by different imaging techniques such as fluoroscopy, electroanatomic mapping, intracardiac echocardiography or multidetector computed tomography. In this review, we describe the normal anatomy of the atria, highlighting the landmarks of interest to intervencional cardiologist, stressing their relationship to other structures. This article is part of a JCTR special issue on Cardiac Anatomy.