title: The use of imaging for electrophysiological and devices procedures: a report from the first European Heart Rhythm Association Policy Conference, jointly organized with the European Association of Cardiovascular Imaging (EACVI), the Council of Cardiovascular Imaging and the European Society of Cardiac Radiology.
abstract: Implantations of cardiac devices therapies and ablation procedures frequently depend on accurate and reliable imaging modalities for pre-procedural assessments, intra-procedural guidance, detection of complications, and the follow-up of patients. An understanding of echocardiography, cardiovascular magnetic resonance imaging, nuclear cardiology, X-ray computed tomography, positron emission tomography, and vascular ultrasound is indispensable for cardiologists, electrophysiologists as well as radiologists, and it is currently recommended that physicians should be trained in several imaging modalities. There are, however, no current guidelines or recommendations by electrophysiologists, cardiac imaging specialists, and radiologists, on the appropriate use of cardiovascular imaging for selected patient indications, which needs to be addressed. A Policy Conference on the use of imaging in electrophysiology and device management, with representatives from different expert areas of radiology and electrophysiology and commercial developers of imaging and device technologies, was therefore jointly organized by European Heart Rhythm Association (EHRA), the Council of Cardiovascular Imaging and the European Society of Cardiac Radiology (ESCR). The objectives were to assess the state of the level of evidence and a first step towards a consensus document for currently employed imaging techniques to guide future clinical use, to elucidate the issue of reimbursement structures and health economy, and finally to define the need for appropriate educational programmes to ensure clinical competence for electrophysiologists, imaging specialists, and radiologists.
authors.affiliation: Department of Cardiology, Institution of Medical Science, Uppsala University, Sweden. carina.blomstrom.lundqvist@akademiska.se
authors.forename: Carina
authors.initials: C
authors.lastname: Blomström Lundqvist
authors.forename: Angelo
authors.initials: A
authors.lastname: Auricchio
authors.forename: Josep
authors.initials: J
authors.lastname: Brugada
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Boriani
authors.forename: Jens
authors.initials: J
authors.lastname: Bremerich
authors.forename: Jose Angel
authors.initials: JA
authors.lastname: Cabrera
authors.forename: Herbert
authors.initials: H
authors.lastname: Frank
authors.forename: Matthias
authors.initials: M
authors.lastname: Gutberlet
authors.forename: Hein
authors.initials: H
authors.lastname: Heidbuchel
authors.forename: Karl-Heinz
authors.initials: KH
authors.lastname: Kuck
authors.forename: Patrizio
authors.initials: P
authors.lastname: Lancellotti
authors.forename: Frank
authors.initials: F
authors.lastname: Rademakers
authors.forename: Gerard
authors.initials: G
authors.lastname: Winkels
authors.forename: Christian
authors.initials: C
authors.lastname: Wolpert
authors.forename: Panos E
authors.initials: PE
authors.lastname: Vardas
mesh_terms: D002304:Cardiac Pacing, Artificial / Q000191:economics / Q000592:standards*; D002309:Cardiology / Q000191:economics / Q000193:education / Q000592:standards*; D017115:Catheter Ablation / Q000191:economics / Q000592:standards*; D032921:Consensus; D003362:Cost-Benefit Analysis; D017147:Defibrillators, Implantable / Q000592:standards; D003952:Diagnostic Imaging / Q000191:economics / Q000379:methods / Q000592:standards*; D004501:Education, Medical; D004554:Electric Countershock / Q000191:economics / Q000295:instrumentation / Q000592:standards*; D022062:Electrophysiologic Techniques, Cardiac / Q000191:economics / Q000592:standards*; D005060:Europe; D019317:Evidence-Based Medicine; D017048:Health Care Costs; D006801:Humans; D007349:Insurance, Health, Reimbursement; D010138:Pacemaker, Artificial / Q000592:standards; D012955:Societies, Medical / Q000592:standards*