Visualisation of coronary venous anatomy by computed tomography angiography prior to cardiac resynchronisation therapy implantation
Background The purpose of this study was to illustrate the additive value of computed tomography angiography (CTA) for visualisation of the coronary venous anatomy prior to cardiac resynchronisation therapy (CRT) implantation. Methods Eighteen patients planned for CRT implantation were prospectively...
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| Veröffentlicht in: | Netherlands heart journal 2018-09, Vol.26 (9), p.433-444 |
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| creator | Nguyên, U. C. Cluitmans, M. J. M. Luermans, J. G. L. M. Strik, M. de Vos, C. B. Kietselaer, B. L. J. H. Wildberger, J. E. Prinzen, F. W. Mihl, C. Vernooy, K. |
| description | Background
The purpose of this study was to illustrate the additive value of computed tomography angiography (CTA) for visualisation of the coronary venous anatomy prior to cardiac resynchronisation therapy (CRT) implantation.
Methods
Eighteen patients planned for CRT implantation were prospectively included. A specific CTA protocol designed for visualisation of the coronary veins was carried out on a third-generation dual-source CT platform. Coronary veins were semi-automatically segmented to construct a 3D model. CTA-derived coronary venous anatomy was compared with intra-procedural fluoroscopic angiography (FA) in right and left anterior oblique views.
Results
Coronary venous CTA was successfully performed in all 18 patients. CRT implantation and FA were performed in 15 patients. A total of 62 veins were visualised; the number of veins per patient was 3.8 (range: 2–5). Eighty-five per cent (53/62) of the veins were visualised on both CTA and FA, while 10% (6/62) were visualised on CTA only, and 5% (3/62) on FA only. Twenty-two veins were present on the lateral or inferolateral wall; of these, 95% (21/22) were visualised by CTA. A left-sided implantation was performed in 13 patients, while a right-sided implantation was performed in the remaining 2 patients because of a persistent left-sided superior vena cava with no left innominate vein on CTA.
Conclusion
Imaging of the coronary veins by CTA using a designated protocol is technically feasible and facilitates the CRT implantation approach, potentially improving the outcome. |
| doi_str_mv | 10.1007/s12471-018-1132-2 |
| format | Article |
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The purpose of this study was to illustrate the additive value of computed tomography angiography (CTA) for visualisation of the coronary venous anatomy prior to cardiac resynchronisation therapy (CRT) implantation.
Methods
Eighteen patients planned for CRT implantation were prospectively included. A specific CTA protocol designed for visualisation of the coronary veins was carried out on a third-generation dual-source CT platform. Coronary veins were semi-automatically segmented to construct a 3D model. CTA-derived coronary venous anatomy was compared with intra-procedural fluoroscopic angiography (FA) in right and left anterior oblique views.
Results
Coronary venous CTA was successfully performed in all 18 patients. CRT implantation and FA were performed in 15 patients. A total of 62 veins were visualised; the number of veins per patient was 3.8 (range: 2–5). Eighty-five per cent (53/62) of the veins were visualised on both CTA and FA, while 10% (6/62) were visualised on CTA only, and 5% (3/62) on FA only. Twenty-two veins were present on the lateral or inferolateral wall; of these, 95% (21/22) were visualised by CTA. A left-sided implantation was performed in 13 patients, while a right-sided implantation was performed in the remaining 2 patients because of a persistent left-sided superior vena cava with no left innominate vein on CTA.
Conclusion
Imaging of the coronary veins by CTA using a designated protocol is technically feasible and facilitates the CRT implantation approach, potentially improving the outcome.</description><identifier>ISSN: 1568-5888</identifier><identifier>EISSN: 1876-6250</identifier><identifier>DOI: 10.1007/s12471-018-1132-2</identifier><identifier>PMID: 30030750</identifier><language>eng</language><publisher>Houten: Bohn Stafleu van Loghum</publisher><subject>Blood clots ; Body mass index ; Cardiology ; Catheters ; Coronary vessels ; Ejection fraction ; Electrocardiography ; Medical Education ; Medical imaging ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pacemakers ; Patients ; Tomography ; Veins & arteries</subject><ispartof>Netherlands heart journal, 2018-09, Vol.26 (9), p.433-444</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-2bee66ef9a98341c0760c6ef0bfcfa98139052dc44c7e3085c4c42d408a256703</citedby><cites>FETCH-LOGICAL-c470t-2bee66ef9a98341c0760c6ef0bfcfa98139052dc44c7e3085c4c42d408a256703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115304/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115304/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41096,42165,51551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30030750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nguyên, U. C.</creatorcontrib><creatorcontrib>Cluitmans, M. J. M.</creatorcontrib><creatorcontrib>Luermans, J. G. L. M.</creatorcontrib><creatorcontrib>Strik, M.</creatorcontrib><creatorcontrib>de Vos, C. B.</creatorcontrib><creatorcontrib>Kietselaer, B. L. J. H.</creatorcontrib><creatorcontrib>Wildberger, J. E.</creatorcontrib><creatorcontrib>Prinzen, F. W.</creatorcontrib><creatorcontrib>Mihl, C.</creatorcontrib><creatorcontrib>Vernooy, K.</creatorcontrib><title>Visualisation of coronary venous anatomy by computed tomography angiography prior to cardiac resynchronisation therapy implantation</title><title>Netherlands heart journal</title><addtitle>Neth Heart J</addtitle><addtitle>Neth Heart J</addtitle><description>Background
The purpose of this study was to illustrate the additive value of computed tomography angiography (CTA) for visualisation of the coronary venous anatomy prior to cardiac resynchronisation therapy (CRT) implantation.
Methods
Eighteen patients planned for CRT implantation were prospectively included. A specific CTA protocol designed for visualisation of the coronary veins was carried out on a third-generation dual-source CT platform. Coronary veins were semi-automatically segmented to construct a 3D model. CTA-derived coronary venous anatomy was compared with intra-procedural fluoroscopic angiography (FA) in right and left anterior oblique views.
Results
Coronary venous CTA was successfully performed in all 18 patients. CRT implantation and FA were performed in 15 patients. A total of 62 veins were visualised; the number of veins per patient was 3.8 (range: 2–5). Eighty-five per cent (53/62) of the veins were visualised on both CTA and FA, while 10% (6/62) were visualised on CTA only, and 5% (3/62) on FA only. Twenty-two veins were present on the lateral or inferolateral wall; of these, 95% (21/22) were visualised by CTA. A left-sided implantation was performed in 13 patients, while a right-sided implantation was performed in the remaining 2 patients because of a persistent left-sided superior vena cava with no left innominate vein on CTA.
Conclusion
Imaging of the coronary veins by CTA using a designated protocol is technically feasible and facilitates the CRT implantation approach, potentially improving the outcome.</description><subject>Blood clots</subject><subject>Body mass index</subject><subject>Cardiology</subject><subject>Catheters</subject><subject>Coronary vessels</subject><subject>Ejection fraction</subject><subject>Electrocardiography</subject><subject>Medical Education</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pacemakers</subject><subject>Patients</subject><subject>Tomography</subject><subject>Veins & arteries</subject><issn>1568-5888</issn><issn>1876-6250</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp1UU1v1DAQjRCIlsIP4IIsceESGH97L0ioKgWpEhfgankdZ9dVYgc7qZQzf5xpt1s-JE4ez3t-M8-vaV5SeEsB9LtKmdC0BWpaSjlr2aPmlBqtWsUkPMZaKtNKY8xJ86zWawCpGdVPmxMOwEFLOG1-fo91cUOsbo45kdwTn0tOrqzkJqS8VOKSm_O4ku2K0Dgtc-gINvKuuGm_IryLx3oqMRcEiXeli86TEuqa_B4FjwPmfUDuSuI4DS7Nd83nzZPeDTW8uD_Pmm8fL76ef2qvvlx-Pv9w1XqhYW7ZNgSlQr9xG8MF9aAVeLzDtvc99ijfgGSdF8LrwMFIL7xgnQDjmFQa-Fnz_qA7LdsxdD6kubjB4tYj-rXZRfs3kuLe7vKNVZRKDgIF3twLlPxjCXW2Y6w-DOgk4FdZBppzJplWSH39D_U6LyWhPcu04UoxTjWy6IHlS661hP5hGQr2NmJ7iNhixPY2Ysvwzas_XTy8OGaKBHYgVITSLpTfo_-v-gtB-rYA</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Nguyên, U. C.</creator><creator>Cluitmans, M. J. M.</creator><creator>Luermans, J. G. L. M.</creator><creator>Strik, M.</creator><creator>de Vos, C. B.</creator><creator>Kietselaer, B. L. J. H.</creator><creator>Wildberger, J. E.</creator><creator>Prinzen, F. 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M. ; Strik, M. ; de Vos, C. B. ; Kietselaer, B. L. J. H. ; Wildberger, J. E. ; Prinzen, F. W. ; Mihl, C. ; Vernooy, K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-2bee66ef9a98341c0760c6ef0bfcfa98139052dc44c7e3085c4c42d408a256703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Blood clots</topic><topic>Body mass index</topic><topic>Cardiology</topic><topic>Catheters</topic><topic>Coronary vessels</topic><topic>Ejection fraction</topic><topic>Electrocardiography</topic><topic>Medical Education</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pacemakers</topic><topic>Patients</topic><topic>Tomography</topic><topic>Veins & arteries</topic><toplevel>online_resources</toplevel><creatorcontrib>Nguyên, U. C.</creatorcontrib><creatorcontrib>Cluitmans, M. J. 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C.</au><au>Cluitmans, M. J. M.</au><au>Luermans, J. G. L. M.</au><au>Strik, M.</au><au>de Vos, C. B.</au><au>Kietselaer, B. L. J. H.</au><au>Wildberger, J. E.</au><au>Prinzen, F. W.</au><au>Mihl, C.</au><au>Vernooy, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visualisation of coronary venous anatomy by computed tomography angiography prior to cardiac resynchronisation therapy implantation</atitle><jtitle>Netherlands heart journal</jtitle><stitle>Neth Heart J</stitle><addtitle>Neth Heart J</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>26</volume><issue>9</issue><spage>433</spage><epage>444</epage><pages>433-444</pages><issn>1568-5888</issn><eissn>1876-6250</eissn><abstract>Background
The purpose of this study was to illustrate the additive value of computed tomography angiography (CTA) for visualisation of the coronary venous anatomy prior to cardiac resynchronisation therapy (CRT) implantation.
Methods
Eighteen patients planned for CRT implantation were prospectively included. A specific CTA protocol designed for visualisation of the coronary veins was carried out on a third-generation dual-source CT platform. Coronary veins were semi-automatically segmented to construct a 3D model. CTA-derived coronary venous anatomy was compared with intra-procedural fluoroscopic angiography (FA) in right and left anterior oblique views.
Results
Coronary venous CTA was successfully performed in all 18 patients. CRT implantation and FA were performed in 15 patients. A total of 62 veins were visualised; the number of veins per patient was 3.8 (range: 2–5). Eighty-five per cent (53/62) of the veins were visualised on both CTA and FA, while 10% (6/62) were visualised on CTA only, and 5% (3/62) on FA only. Twenty-two veins were present on the lateral or inferolateral wall; of these, 95% (21/22) were visualised by CTA. A left-sided implantation was performed in 13 patients, while a right-sided implantation was performed in the remaining 2 patients because of a persistent left-sided superior vena cava with no left innominate vein on CTA.
Conclusion
Imaging of the coronary veins by CTA using a designated protocol is technically feasible and facilitates the CRT implantation approach, potentially improving the outcome.</abstract><cop>Houten</cop><pub>Bohn Stafleu van Loghum</pub><pmid>30030750</pmid><doi>10.1007/s12471-018-1132-2</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Netherlands heart journal, 2018-09, Vol.26 (9), p.433-444 |
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| language | eng |
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| source | EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; Springer Nature OA Free Journals |
| subjects | Blood clots Body mass index Cardiology Catheters Coronary vessels Ejection fraction Electrocardiography Medical Education Medical imaging Medicine Medicine & Public Health Original Original Article Pacemakers Patients Tomography Veins & arteries |
| title | Visualisation of coronary venous anatomy by computed tomography angiography prior to cardiac resynchronisation therapy implantation |
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