Collateral findings during computed tomography scan for atrial fibrillation ablation:Let's take a look around

作     者：Francesco Perna Michela Casella Maria Lucia Narducci Antonio Dello Russo Gianluigi Bencardino Gianluca Pontone Gemma Pelargonio Daniele Andreini Nicola Vitulano Francesca Pizzamiglio Edoardo Conte Filippo Crea Claudio Tondo 

作者机构：Cardiac Arrhythmia UnitAgostino Gemelli University Hospital Cardiac Arrhythmia Research CentreCentro Cardiologico MonzinoIRCCS 

出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志（英文版）（电子版）)

年 卷 期：2016年第8卷第4期

页      面：310-316页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Collateral findings Incidental findings Incidentalomas Cardiac computed tomography Image integration 

摘      要：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.