[Phrenic nerve identification with cardiac multidetector computed tomography].

Autor:	Nieto-Tolosa J; Servicio de Cardiología, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, España. jnieto1980@hotmail.com, Rodríguez-Sánchez D, Hurtado-Martínez JA, Pinar-Bermúdez E, Peñafiel-Verdú P, Sánchez-Muñoz JJ, Valdés-Chávarri M, García-Alberola A
Jazyk:	Spanish; Castilian
Zdroj:	Revista espanola de cardiologia [Rev Esp Cardiol] 2011 Oct; Vol. 64 (10), pp. 942-4.
DOI:	10.1016/j.recesp.2011.02.023
Abstrakt:	Cryoballoon ablation of the pulmonary veins is a new technique that has proven useful in preventing paroxysmal and persistent atrial fibrillation recurrence. One of the most serious complications of this method is right phrenic nerve palsy. The usefulness of multidetector computed tomography to locate the right phrenic nerve and artery and predict the risk of phrenic nerve palsy during cryoablation according to the distance between the right phrenic neurovascular bundle and the right superior pulmonary vein ostium has recently been described. Fifty-five consecutive patients with paroxysmal atrial fibrillation (52 ± 12 years) underwent balloon cryoablation, following multidetector computed tomography to measure the pulmonary veins. We were able to identify segments of the right pericardiacophrenic artery (mean length 25 mm [range 7-68 mm]) in only 10 patients (20%). (Copyright © 2010 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.)
Databáze:	MEDLINE
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