Multidetector computed tomography in planning the treatment of atrial fibrillation
| Autor: | M.E. Guillén Subirán, A. Castán Senar, M.E. Núñez Motilva, E. Angulo Hervías, D. Yagüe Romeo, P. Seral Moral |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Atrial fibrillation Right superior pulmonary vein 030204 cardiovascular system & hematology Ablation medicine.disease Right inferior pulmonary vein 03 medical and health sciences 0302 clinical medicine Left atrial Internal medicine Multidetector computed tomography cardiovascular system Cardiology General Earth and Planetary Sciences Medicine In patient cardiovascular diseases Thrombus business 030217 neurology & neurosurgery General Environmental Science |
| Zdroj: | Radiología (English Edition). 62:148-159 |
| ISSN: | 2173-5107 |
| DOI: | 10.1016/j.rxeng.2019.11.002 |
| Popis: | OBJECTIVE To know the anatomy of the pulmonary veins (PVs) by multidetector computed tomography (MDCT) in patients with atrial fibrillation (AF) prior to ablation. MATERIALS AND METHODS MDCT was performed in 89 patients with AF, analyzing the number of PVs, accessory variants and veins, diameter and ostial shape, distance to the first bifurcation and thrombus in the left atrial appendage. RESULTS The most frequent venous pattern was 4 PVs (two right and two. left) in 49 patients (55.1%). The superior veins had a statistically significant greater mean ostial diameter than the inferior veins (Right Superior Pulmonary Vein (RSPV)> Right Inferior Pulmonary Vein (RIPV); p=0.001 and Left Superior Pulmonary Vein (LSPV)> Left Inferior Pulmonary Vein (LIPV); p LSPV; p LIPV; p RIPV; p=0.008 and LSPV> LIPV; p=0.038). Mean distance to first bifurcation has been greater in left PVs respect to the right PVs (LSPV> RSPV; p RIPV; p |
| Databáze: | OpenAIRE |
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