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CT evaluation of left atrial pulmonary venous anatomy

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Abstract.

Multidetector CT (MDCT) visualization of the left atrial pulmonary venous anatomy is becoming increasingly requested prior to radiofrequencey catheter ablation (RFCA) procedures for refractory cardiac arrhythmias. MDCT imaging can define left atrial anatomy including atrial size and venous attachments as well identify complications such as stenoses, dissections or perforations. Proper understanding enables the cardiac imager to be knowledgeable so as to obtain the specific information needed for the interventional cardiologist. This paper reviews the left atrial venous anatomy, the clinical aspects of refractory atrial fibrillation, MDCT imaging protocols, procedural aspects of the ablation, and complications should they arise.

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References

  1. B Ghaye D Szapiro JN Dacher et al. (2003) ArticleTitlePercutaneous ablation for atrial fibrillation: the role of cross-sectional imaging. RadioGraphics 23 S19–S33 Occurrence Handle14557499

    PubMed  Google Scholar 

  2. D Schwartzman J Lacomis WG Wigginton (2003) ArticleTitleCharacterization of left atrium and distal pulmonary vein morphology using multidimensional computed tomography. J Am Coll Cardiol 41 1349–1357 Occurrence Handle12706931

    PubMed  Google Scholar 

  3. F Pilleul N Merchant (2000) ArticleTitleMRI of the pulmonary veins: comparison between 3D MR angiography and T1-weighted spin echo. J Comput Assist Tomogr 24 683–687 Occurrence Handle10.1097/00004728-200009000-00003 Occurrence Handle1:STN:280:DC%2BD3crgtVejtQ%3D%3D Occurrence Handle11045685

    Article  CAS  PubMed  Google Scholar 

  4. HM Tsao WC Yu HC Cheng et al. (2001) ArticleTitlePulmonary vein dilation in patients with atrial fibrillation: Detection by magnetic resonance imaging. J Cardiovasc Electrophysiol. 12 809–813 Occurrence Handle1:STN:280:DC%2BD38%2Fitlyhuw%3D%3D Occurrence Handle11469433

    CAS  PubMed  Google Scholar 

  5. JM Lacomis W Wigginton C Fuhrman et al. (2003) ArticleTitleMulti-detector row CT of the left atrium and pulmonary veins before radio-frequency catheter ablation for atrial fibrillation. Radiographics 23 S35–S50 Occurrence Handle14557500

    PubMed  Google Scholar 

  6. RH Falk (2001) ArticleTitleAtrial fibrillation. N Engl J Med 344 1067–1078 Occurrence Handle1:STN:280:DC%2BD3M3gvVersA%3D%3D Occurrence Handle11287978

    CAS  PubMed  Google Scholar 

  7. M Haissaguerre P Jais DE Shah et al. (1998) ArticleTitleSpontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 339 659–666 Occurrence Handle10.1056/NEJM199809033391003 Occurrence Handle9725923 Occurrence Handle1:STN:280:DyaK1czotlyhug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  8. JL Cox JP Boineau RB Schuessler KM Kater DG Lappos (1993) ArticleTitleFive-year experience with the maze procedure for atrial fibrillation. Ann Thor Surg 56 814–824 Occurrence Handle10.1016/0003-4975(93)90338-I Occurrence Handle1:STN:280:DyaK2c%2FivFansg%3D%3D

    Article  CAS  Google Scholar 

  9. R Lee T Nitta RB Schuessler et al. (1999) ArticleTitleThe closed heart MAZE: a nonbypass surgical technique. Ann Thorac Surg 67 1696–1702 Occurrence Handle1:STN:280:DyaK1MzhvVWlsw%3D%3D Occurrence Handle10391277

    CAS  PubMed  Google Scholar 

  10. MC Cohen GG Hartnell JP Finn (1994) ArticleTitleMagnetic resonance angiography of congenital pulmonary vein anomalies. Am Heart J 127 954–955 Occurrence Handle1:STN:280:DyaK2c3gsFGmug%3D%3D Occurrence Handle8154445

    CAS  PubMed  Google Scholar 

  11. EM Marom JE Herndon YH Kim HP McAdams (2004) ArticleTitleVariations in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation. Radiology 230 824–829 Occurrence Handle14739316

    PubMed  Google Scholar 

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Correspondence to William Stanford.

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Stanford, W., Breen, J.F. CT evaluation of left atrial pulmonary venous anatomy. Int J Cardiovasc Imaging 21, 133–139 (2005). https://doi.org/10.1007/s10554-004-5347-5

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  • DOI: https://doi.org/10.1007/s10554-004-5347-5

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