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Abstract #4857

High-resolution, free-breathing, fat-suppressed 3D Late Gadolinium Enhancement to define atrial wall scar after atrial fibrillation ablation

Rajesh Dash1,2, Henry Chubb3, Xianglun Mao4, Fara Nikbeh4, Pingni Wang4, Yuko Tada1, Gaspar Delso5, Martin Janich6, Sanjiv Narayan1, Daniel Ennis1, and Phillip C Yang1
1Stanford University, Stanford, CA, United States, 2Cardiovascular Institute, Stanford, CA, United States, 3Stanford Lucille Packard Childrens Hospital, Stanford, CA, United States, 4GE Healthcare, Inc., Menlo Park, CA, United States, 5GE Healthcare, Inc., Barcelona, Spain, 6GE Healthcare, Inc., Munich, Germany

Synopsis

Keywords: Myocardium, Arrhythmia, atrial fibrillation, ablation, atrial wall, scar, delayed gadolinium enhancementAtrial fibrillation (AF) ablation procedures still face challenges to achieve durable restoration of sinus rhythm. Advanced cardiac MRI delayed enhancement can delineate atrial wall scar to aid in planning AF ablation. However, thin atrial walls demand more advanced sequence development. In this study, we report protocol optimizations for high-resolution, free-breathing, fat-suppressed 3D LGE to detect atrial wall scar. In three AF patients to date, we found progressive improvements in CNR and detailed the sequence modification that led to these improvements. Future iterations will be used to assess atrial scar in patients, pre- and post-AF ablation.

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