Cardiovascular magnetic resonance guided cardiac catheterisation – ready for clinical translation?

Cardiac magnetic resonance (CMR) imaging is increasingly replacing diagnostic cardiac catheterisation for the assessment of cardiac anatomy and measurement of cardiac output. Nevertheless, diagnostic cardiac catheterisation is still required for measurement of intracardiac or intravascular pressure. In addition, catheter-based interventions, particularly for structural heart disease, are a major growth area. Conventionally, the imaging modality used during catheterisation is x-ray, as it provides excellent visualisation of catheters, guidewires and devices. A recent imaging alternative to conventional x-ray guidance is CMR and in this article we will review the current state of MR-guided cardiac catheterisation and future possibilities.

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