True about LGE scar – Cardiology MCQ – Answer

True statement/s about LGE (late gadolinium enhancement) in cardiac magnetic resonance imaging for scar in ventricular tachycardia:

Answer:

1. All of the above

Imaging data is thus useful in deciding on the access (endocardial or epicardial approach) for ablation of ventricular tachycardia. Imaging will also tell us whether there is pericardial calcification which may interfere with catheter navigation in pericardial space in case of epicardial ablation. Similarly presence of intracardiac thrombus as delineated by imaging will be considered a potential risk for embolisation in case of endocardial ablation.
Reference
Mahida S et al.Cardiac Imaging in Patients With Ventricular Tachycardia.  Circulation. 2017;136:2491-2507.
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