# Cardiac CT for electrophysiological interventions

**Authors:** Kosmas Maragiannis, Dominik C. Benz, Ardan M. Saguner, Alexander Breitenstein, Jonathan Michel, Aju P. Pazhenkottil, Philipp A. Kaufmann, Ronny R. Buechel, Andreas A. Giannopoulos

PMC · DOI: 10.1007/s10554-025-03397-8 · 2025-05-27

## TL;DR

This paper reviews how cardiac CT improves the planning and outcomes of heart rhythm treatments and left atrial procedures.

## Contribution

The paper highlights new integrations of cardiac CT with technologies like 3D modeling and AI in electrophysiology.

## Key findings

- CCT is critical for pre- and post-interventional assessments in arrhythmia treatments.
- CCT is useful in left atrial appendage closure procedures.
- Combining CCT with AI and 3D modeling could enhance future electrophysiology interventions.

## Abstract

Cardiac computed tomography (CCT) holds an important role in the field of electrophysiology offering critical insights that enhance the management of arrhythmias through precise procedural planning and execution. It has furthermore established its role as a useful imaging modality in left atrial appendage closure procedures. This review discusses the current applications of CCT from pre-interventional assessment to post-interventional follow-up, emphasizing its utility in improving the safety and efficacy of electrophysiological and left atrial appendage occlusion interventions. It also explores the integration of CCT with advanced technologies such as electroanatomical mapping systems and the emergence of innovative imaging modalities, including three-dimensional cardiac computational modelling. CCT’s evolving capabilities suggest a promising future in electrophysiology and left atrial occlusion procedures when combined with further technological advancements, including artificial intelligence software.

## Full-text entities

- **Diseases:** left atrial appendage occlusion (MESH:D059446), atrial occlusion (MESH:D001157), left (MESH:D018487), arrhythmias (MESH:D001145)

## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12241250/full.md

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Source: https://tomesphere.com/paper/PMC12241250