{"id":"48d9e3dab1ab","type":"article","url":"https://hartvaat.nl/2026/10/01/cardiale-ct-als-standaard-in-de-electrophysiologie-planning-en-veiligheid-bij-af/","title":"Cardiale CT als standaard in de electrophysiologie — planning en veiligheid bij AF-ablatie en CIED-behandeling","title_en":"Your map to the heart - Cardiac CT applications in modern electrophysiology.","category":"atriumfibrilleren","category_label":"Atriumfibrilleren","professions":["cardioloog"],"tags":[],"journal":"Clinical imaging","doi":"10.1016/j.clinimag.2026.110898","source_url":"https://doi.org/10.1016/j.clinimag.2026.110898","authors":["Stephanie Tan","Blandine Mondesert","Linda B Haramati"],"significance":5,"published":"2026-08-23","source_date":"2026-10-01","image":"","kennis":["https://hartvaat.nl/kennis/atriumfibrilleren/elektrisch-remodellering-atrium/","https://hartvaat.nl/kennis/atriumfibrilleren/esc-richtlijn-af-2024/"],"congress":"","summary_en":"This narrative review outlines the expanding role of cardiac CT in modern electrophysiology, particularly for atrial fibrillation ablation, cardiac implantable electronic device (CIED) management, and left atrial appendage closure. Optimized CT protocols provide high-resolution, low-radiation imaging that is essential for anatomical mapping, thrombus exclusion, device sizing, and early detection of procedural complications. For electrophysiologists and cardiologists, integrating cardiac CT into routine planning enhances procedural efficiency, improves patient safety, and supports personalized care pathways.","created":"2026-08-17T00:55:00Z","updated":"2026-08-17T00:55:00Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Deze narrative review beschrijft de groeiende rol van cardiale CT in de moderne electrophysiologie, met name bij atriumfibrilleren, CIED-behandelingen en linkervoorhofappendix-sluiting. Geoptimaliseerde CT-protocollen bieden hoge resolutiebeelden met lage stralingsbelasting, wat cruciaal is voor anatomische mapping, trombus-exclusie, apparaat-sizen en het opsporen van complicaties zoals veneuze stenose of periprocedurale effusies. Voor cardiologen en electrophysiologen verbetert deze beeldvorming de procedureplanning, verhoogt de veiligheid en draagt bij aan gepersonaliseerde patiëntenzorg.","abstract_original":"Cardiac computed tomography (CT) has become indispensable in contemporary electrophysiology, providing rapid, non-invasive, high-resolution imaging of the heart with dramatically reduced radiation exposure compared to previous techniques. This review synthesizes the current and expanding roles of cardiac CT across a broad spectrum of electrophysiology procedures, focusing on the management of cardiac implantable electronic devices (CIEDs)-including transvenous lead extraction, leadless pacemakers, and extravascular implantable cardioverter-defibrillators-as well as atrial fibrillation therapies such as pulmonary vein isolation and left atrial appendage closure. Optimized CT protocols are essential for delineating key cardiac structures, thereby enhancing procedural planning, improving efficiency, and reducing complications. This imaging data offers essential information for procedural planning, risk stratification, and clinical decision-making to improve patient outcomes. In CIED interventions, CT serves as the gold standard for diagnosing lead-related complications, mapping fibrosis and adhesions for complex extractions, and ensuring accurate device placement. For atrial fibrillation ablation, CT is critical for excluding intracardiac thrombus, precisely mapping pulmonary vein and left atrial anatomy, and identifying procedural complications such as pulmonary vein stenosis, pericardial effusion, and atrio-esophageal fistula. In left atrial appendage closure, CT facilitates device sizing, procedural planning, and reliable detection of device-related thrombus or peri-device leaks during follow-up. As electrophysiology procedures and device technologies continue to advance, cardiac CT is poised to remain a cornerstone of procedural safety, innovation, and personalized patient care."}