A comparison of pulmonary vein ostial anatomy by computerized tomography, echocardiography, and venography in patients with atrial fibrillation having radiofrequency catheter ablation
Accurate assessment of pulmonary vein anatomy is important to procedures that isolate these structures in patients with atrial fibrillation. Various modalities of pulmonary vein (PV) imaging are employed in clinical practice; however, the consistency of findings among the different modalities is unk...
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| Veröffentlicht in: | The American journal of cardiology 2004, Vol.93 (1), p.49-53 |
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| creator | Wood, Mark A Wittkamp, Michael Henry, Daniel Martin, Robert Nixon, J.V Shepard, Richard K Ellenbogen, Kenneth A |
| description | Accurate assessment of pulmonary vein anatomy is important to procedures that isolate these structures in patients with atrial fibrillation. Various modalities of pulmonary vein (PV) imaging are employed in clinical practice; however, the consistency of findings among the different modalities is unknown. The purpose of this study is to compare PV ostial anatomy by 4 common imaging techniques. Twenty-four patients undergoing catheter-based PV isolation procedures for atrial fibrillation had their PV ostial anatomy determined by cardiac computerized tomography (CT) and transesophageal echocardiography (TEE) before ablation and by intracardiac echocardiography (ICE) and venography during the ablation procedure. The number and maximal dimension of the PV ostia were determined by each imaging modality. In the 24 patients, 98 PV ostia were visualized by CT, 93 by ICE, 81 by TEE, and 71 by venography. The average ostial diameters were similar between CT (1.45 ± 0.29 cm) and ICE (1.51 ± 0.22 cm, p = 0.066). Compared with CT or ICE, the ostial diameters were larger with venography (1.67 ± 0.32 cm) and smaller with TEE (1.16 ± 0.28 cm, all p |
| doi_str_mv | 10.1016/j.amjcard.2003.09.011 |
| format | Article |
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Various modalities of pulmonary vein (PV) imaging are employed in clinical practice; however, the consistency of findings among the different modalities is unknown. The purpose of this study is to compare PV ostial anatomy by 4 common imaging techniques. Twenty-four patients undergoing catheter-based PV isolation procedures for atrial fibrillation had their PV ostial anatomy determined by cardiac computerized tomography (CT) and transesophageal echocardiography (TEE) before ablation and by intracardiac echocardiography (ICE) and venography during the ablation procedure. The number and maximal dimension of the PV ostia were determined by each imaging modality. In the 24 patients, 98 PV ostia were visualized by CT, 93 by ICE, 81 by TEE, and 71 by venography. The average ostial diameters were similar between CT (1.45 ± 0.29 cm) and ICE (1.51 ± 0.22 cm, p = 0.066). Compared with CT or ICE, the ostial diameters were larger with venography (1.67 ± 0.32 cm) and smaller with TEE (1.16 ± 0.28 cm, all p <0.001). PV ostial diameters as determined by ICE were significantly correlated with CT measurements (r = 0.57, p <0.001) and venography (r = 0.52, p <0.001). Venography measures of PV diameter were correlated with measures by CT (r = 0.33, p = 0.03). TEE measures were not correlated with any other modality (all p ≥0.43). CT identifies the greatest number of PV ostia followed by ICE. Venography overestimates and TEE underestimates ostial diameters compared with CT or ICE. The PV ostial dimensions obtained by ICE, CT, and venography are all significantly correlated.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2003.09.011</identifier><identifier>PMID: 14697465</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Atrial Fibrillation - diagnosis ; Atrial Fibrillation - pathology ; Atrial Fibrillation - therapy ; Biological and medical sciences ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Catheter Ablation ; Echocardiography ; Echocardiography, Transesophageal ; Female ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Phlebography ; Predictive Value of Tests ; Prospective Studies ; Pulmonary Veins - diagnostic imaging ; Pulmonary Veins - pathology ; Tomography, X-Ray Computed</subject><ispartof>The American journal of cardiology, 2004, Vol.93 (1), p.49-53</ispartof><rights>2004 Excerpta Medica Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-605689ef8c2b669f0df5822cfb60328c19d8946c27b2c0cd97f59518bb0d81bc3</citedby><cites>FETCH-LOGICAL-c391t-605689ef8c2b669f0df5822cfb60328c19d8946c27b2c0cd97f59518bb0d81bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjcard.2003.09.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15733111$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14697465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wood, Mark A</creatorcontrib><creatorcontrib>Wittkamp, Michael</creatorcontrib><creatorcontrib>Henry, Daniel</creatorcontrib><creatorcontrib>Martin, Robert</creatorcontrib><creatorcontrib>Nixon, J.V</creatorcontrib><creatorcontrib>Shepard, Richard K</creatorcontrib><creatorcontrib>Ellenbogen, Kenneth A</creatorcontrib><title>A comparison of pulmonary vein ostial anatomy by computerized tomography, echocardiography, and venography in patients with atrial fibrillation having radiofrequency catheter ablation</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Accurate assessment of pulmonary vein anatomy is important to procedures that isolate these structures in patients with atrial fibrillation. Various modalities of pulmonary vein (PV) imaging are employed in clinical practice; however, the consistency of findings among the different modalities is unknown. The purpose of this study is to compare PV ostial anatomy by 4 common imaging techniques. Twenty-four patients undergoing catheter-based PV isolation procedures for atrial fibrillation had their PV ostial anatomy determined by cardiac computerized tomography (CT) and transesophageal echocardiography (TEE) before ablation and by intracardiac echocardiography (ICE) and venography during the ablation procedure. The number and maximal dimension of the PV ostia were determined by each imaging modality. In the 24 patients, 98 PV ostia were visualized by CT, 93 by ICE, 81 by TEE, and 71 by venography. The average ostial diameters were similar between CT (1.45 ± 0.29 cm) and ICE (1.51 ± 0.22 cm, p = 0.066). Compared with CT or ICE, the ostial diameters were larger with venography (1.67 ± 0.32 cm) and smaller with TEE (1.16 ± 0.28 cm, all p <0.001). PV ostial diameters as determined by ICE were significantly correlated with CT measurements (r = 0.57, p <0.001) and venography (r = 0.52, p <0.001). Venography measures of PV diameter were correlated with measures by CT (r = 0.33, p = 0.03). TEE measures were not correlated with any other modality (all p ≥0.43). CT identifies the greatest number of PV ostia followed by ICE. Venography overestimates and TEE underestimates ostial diameters compared with CT or ICE. The PV ostial dimensions obtained by ICE, CT, and venography are all significantly correlated.</description><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - pathology</subject><subject>Atrial Fibrillation - therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Catheter Ablation</subject><subject>Echocardiography</subject><subject>Echocardiography, Transesophageal</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Phlebography</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Pulmonary Veins - diagnostic imaging</subject><subject>Pulmonary Veins - pathology</subject><subject>Tomography, X-Ray Computed</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAUhS0EotPCI4C8gVUT7GTi2CtUVS0gVeqmrC3_Nh4ldrCdqYYX4_XwdCK6ZGXd6--ee3QPAB8wqjHC5MuuFtNOiajrBqG2RqxGGL8CG0x7VmGG29dggxBqKoa37Aycp7QrJcYdeQvO8Jawfku6DfhzBVWYZhFdCh4GC-dlnIIX8QD3xpVOyk6MUHiRw3SA8vCML9lE99toWJrhMYp5OFxCo4ZwNOT-dYTXRcWvNSxys8jO-Jzgk8sDFDkexa2T0Y1j-SoWBrF3_hFGUXRsNL8W41VZKvJgylIo5Il7B95YMSbzfn0vwM_bm4fr79Xd_bcf11d3lWoZzhVBHaHMWKoaSQizSNuONo2ykqC2oQozTdmWqKaXjUJKs952rMNUSqQplqq9AJ9PunMMxUvKfHJJmeLWm7AkThHq257RAnYnUMWQUjSWz9FN5Y4cI35MjO_4mhg_JsYR4yWOMvdxXbDIyeiXqTWiAnxaAZGUGG0UXrn0wnV92-Jnoa8nzpRz7J2JPKlya2W0i0ZlroP7j5W_48S8-A</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Wood, Mark A</creator><creator>Wittkamp, Michael</creator><creator>Henry, Daniel</creator><creator>Martin, Robert</creator><creator>Nixon, J.V</creator><creator>Shepard, Richard K</creator><creator>Ellenbogen, Kenneth A</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>A comparison of pulmonary vein ostial anatomy by computerized tomography, echocardiography, and venography in patients with atrial fibrillation having radiofrequency catheter ablation</title><author>Wood, Mark A ; Wittkamp, Michael ; Henry, Daniel ; Martin, Robert ; Nixon, J.V ; Shepard, Richard K ; Ellenbogen, Kenneth A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-605689ef8c2b669f0df5822cfb60328c19d8946c27b2c0cd97f59518bb0d81bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - pathology</topic><topic>Atrial Fibrillation - therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Catheter Ablation</topic><topic>Echocardiography</topic><topic>Echocardiography, Transesophageal</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Phlebography</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Pulmonary Veins - diagnostic imaging</topic><topic>Pulmonary Veins - pathology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wood, Mark A</creatorcontrib><creatorcontrib>Wittkamp, Michael</creatorcontrib><creatorcontrib>Henry, Daniel</creatorcontrib><creatorcontrib>Martin, Robert</creatorcontrib><creatorcontrib>Nixon, J.V</creatorcontrib><creatorcontrib>Shepard, Richard K</creatorcontrib><creatorcontrib>Ellenbogen, Kenneth A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wood, Mark A</au><au>Wittkamp, Michael</au><au>Henry, Daniel</au><au>Martin, Robert</au><au>Nixon, J.V</au><au>Shepard, Richard K</au><au>Ellenbogen, Kenneth A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of pulmonary vein ostial anatomy by computerized tomography, echocardiography, and venography in patients with atrial fibrillation having radiofrequency catheter ablation</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2004</date><risdate>2004</risdate><volume>93</volume><issue>1</issue><spage>49</spage><epage>53</epage><pages>49-53</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Accurate assessment of pulmonary vein anatomy is important to procedures that isolate these structures in patients with atrial fibrillation. Various modalities of pulmonary vein (PV) imaging are employed in clinical practice; however, the consistency of findings among the different modalities is unknown. The purpose of this study is to compare PV ostial anatomy by 4 common imaging techniques. Twenty-four patients undergoing catheter-based PV isolation procedures for atrial fibrillation had their PV ostial anatomy determined by cardiac computerized tomography (CT) and transesophageal echocardiography (TEE) before ablation and by intracardiac echocardiography (ICE) and venography during the ablation procedure. The number and maximal dimension of the PV ostia were determined by each imaging modality. In the 24 patients, 98 PV ostia were visualized by CT, 93 by ICE, 81 by TEE, and 71 by venography. The average ostial diameters were similar between CT (1.45 ± 0.29 cm) and ICE (1.51 ± 0.22 cm, p = 0.066). Compared with CT or ICE, the ostial diameters were larger with venography (1.67 ± 0.32 cm) and smaller with TEE (1.16 ± 0.28 cm, all p <0.001). PV ostial diameters as determined by ICE were significantly correlated with CT measurements (r = 0.57, p <0.001) and venography (r = 0.52, p <0.001). Venography measures of PV diameter were correlated with measures by CT (r = 0.33, p = 0.03). TEE measures were not correlated with any other modality (all p ≥0.43). CT identifies the greatest number of PV ostia followed by ICE. Venography overestimates and TEE underestimates ostial diameters compared with CT or ICE. The PV ostial dimensions obtained by ICE, CT, and venography are all significantly correlated.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>14697465</pmid><doi>10.1016/j.amjcard.2003.09.011</doi><tpages>5</tpages></addata></record> |
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| subjects | Atrial Fibrillation - diagnosis Atrial Fibrillation - pathology Atrial Fibrillation - therapy Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system Catheter Ablation Echocardiography Echocardiography, Transesophageal Female Heart Humans Male Medical sciences Middle Aged Phlebography Predictive Value of Tests Prospective Studies Pulmonary Veins - diagnostic imaging Pulmonary Veins - pathology Tomography, X-Ray Computed |
| title | A comparison of pulmonary vein ostial anatomy by computerized tomography, echocardiography, and venography in patients with atrial fibrillation having radiofrequency catheter ablation |
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