The use of cardiac computed tomography angiography in the assessment of percutaneous left atrial appendage closure – Review and experts recommendations endorsed by the Société française d’imagerie cardiaque et vasculaire diagnostique et interventionnelle

Autor: Virgile Chevance, Alexis Jacquier, Emmanuel Teiger, Haytham Derbel, Jean-Nicolas Dacher, Jean-François Deux, Romain Gallet, Vania Tacher, Rym Kharrat, Laurent Macron, Islem Sifaoui, Hicham Kobeiter, Damien Mandry, Vincent Le Pennec
Přispěvatelé: Molecular virology and immunology – Physiopathology and therapeutic of chronic viral hepatitis (Team 18) (Inserm U955), Institut Mondor de Recherche Biomédicale (IMRB), Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), CHU Henri Mondor, Endothélium, valvulopathies et insuffisance cardiaque (EnVI), Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN), Centre de résonance magnétique biologique et médicale (CRMBM), Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-Centre National de la Recherche Scientifique (CNRS), Aix Marseille Université (AMU), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Centre cardiologique du Nord (CCN), CHU Henri Mondor [Créteil], Université de Lorraine (UL)-Institut National de la Santé et de la Recherche Médicale (INSERM), DACHER, Jean Nicolas
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Percutaneous
Computed Tomography Angiography
medicine.medical_treatment
Atrial Appendage
030204 cardiovascular system & hematology
Atrial appendage
Prosthesis
Vascular disease
03 medical and health sciences
0302 clinical medicine
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Thromboembolism
Atrial Fibrillation
medicine
Humans
Radiology
Nuclear Medicine and imaging
030212 general & internal medicine
Thrombus
Contraindication
Cardiac imaging technique
Expert testimony
Radiological and Ultrasound Technology
medicine.diagnostic_test
business.industry
Angiography
Atrial fibrillation
General Medicine
medicine.disease
[SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
3. Good health
Treatment Outcome
cardiovascular system
Radiology
Tomography
X-Ray Computed
business
Zdroj: Diagnostic and Interventional Imaging
Diagnostic and Interventional Imaging, Elsevier, 2021, pp.S2211-5684(21)00140-6. ⟨10.1016/j.diii.2021.05.010⟩
Diagnostic and Interventional Imaging, 2021, pp.S2211-5684(21)00140-6. ⟨10.1016/j.diii.2021.05.010⟩
ISSN: 2211-5684
DOI: 10.1016/j.diii.2021.05.010⟩
Popis: International audience; Atrial fibrillation is the most common cause of arrhythmia which is responsible for over 15% of ischemic strokes, most of these being secondary to migration of a left atrial appendage (LAA) thrombus. In patient with contraindication to anticoagulant therapy, percutaneous closure system placement may be indicated. Cardiac computed tomography (CT) angiography plays a central role in the initial assessment as well as in the follow-up. The purpose of the pre-implantation cardiac CT angiography is to evaluate the anatomy of the LAA in order to select the most suitable prosthesis and check for any contraindication to device implantation. Image analysis is divided into four steps that include analysis of the approach; search for a thrombus in the LAA; investigation of the anatomy of the LAA (morphology of the LAA, dimensions of the LAA and choice of device) and cardiac and thoracic assessments. Follow-up involves CT examination to check for correct placement of the device and to detect any complications. On the basis of the results of currently available published research, a panel of experts has issued recommendations regarding cardiac CT angiography prior to percutaneous LAA closure device placement, which were further endorsed by the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV).
Databáze: OpenAIRE
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