Affiliation:
1. Second Division of Cardiology, Cardiac-Thoracic and Vascular Department, University Hospital of Pisa, 56124 Pisa, Italy
2. Biosense Webster, Johnson & Johnson Medial SpA, 00071 Pomezia, Italy
Abstract
This review provides insights into mapping and ablation strategies for VT, offering a comprehensive overview of contemporary approaches and future perspectives in the field. The strengths and limitations of classical mapping strategies, namely activation mapping, pace mapping, entrainment mapping, and substrate mapping, are deeply discussed. The increasing pivotal relevance of CMR and MDCT in substrate definition is highlighted, particularly in defining the border zone, tissue channels, and fat. The integration of CMR and MDCT images with EAM is explored, with a special focus on their role in enhancing effectiveness and procedure safety. The abstract concludes by illustrating the Pisa workflow for the VT ablation procedure.