title: Collateral findings during computed tomography scan for atrial fibrillation ablation: Let's take a look around.
abstract: The growing number of atrial fibrillation catheter ablation procedures warranted the development of advanced cardiac mapping techniques, such as image integration between electroanatomical map and cardiac computed tomography. While scanning the chest before catheter ablation, it is frequent to detect cardiac and extracardiac collateral findings. Most collateral findings are promptly recognized as benign and do not require further attention. However, sometimes clinically relevant collateral findings are detected, which often warrant extra diagnostic examinations or even invasive procedure, and sometimes need to be followed-up over time. Even though reporting and further investigating collateral findings has not shown a clear survival benefit, almost all the working groups providing data on collateral findings reported some collateral findings eventually coming out to be malignancies, sometimes at an early stage. Therefore, there is currently no clear agreement about the right strategy to be followed.
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Perna
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Casella
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Maria Lucia
authors.initials: ML
authors.lastname: Narducci
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Dello Russo
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Bencardino
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Pontone
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Gemma
authors.initials: G
authors.lastname: Pelargonio
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Andreini
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Vitulano
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Pizzamiglio
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Conte
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Crea
authors.affiliation: Francesco Perna, Maria Lucia Narducci, Gianluigi Bencardino, Gemma Pelargonio, Nicola Vitulano, Filippo Crea, Cardiac Arrhythmia Unit, Agostino Gemelli University Hospital, 00168 Rome, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Tondo
keywords: Cardiac computed tomography; Collateral findings; Image integration; Incidental findings; Incidentalomas