Advanced search
1 file | 3.93 MB Add to list

Non-invasive visualization of the cardiac venous system in coronary artery disease patients using 64-slice computed tomography

Author
Organization
Abstract
OBJECTIVES This study was designed to evaluate the value of 64-slice computed tomography (CT) to visualize the cardiac veins and evaluate the relation between variations in venous anatomy and history of infarction. BACKGROUND Cardiac resynchronization therapy (CRT) is an attractive treatment for selected heart failure patients. Knowledge of venous anatomy may help in identifying candidates for successful left ventricular lead implantation. METHODS The 64-slice CT of 100 individuals (age 61 +/- 11 years, 68% men) was studied. Subjects were divided into 3 groups: 28 control patients, 38 patients with significant coronary artery disease (CAD), and 34 patients with a history of infarction. Presence of the following coronary sinus (CS) tributaries was evaluated: posterior interventricular vein (PIV), posterior vein of the left ventricle, and left marginal vein (LMV). Vessel diameters were also measured. RESULTS Coronary sinus and PIV were identified in all individuals. Posterior vein of the left ventricle was observed in 96% of control patients, 84% of CAD patients, and 82% of infarction patients. In patients with a history of infarction, a LMV was significantly less observed as compared with control patients and CAD patients (27% vs. 71% and 61%, respectively, p < 0.001). None of the patients with lateral infarction and only 22% of patients with anterior infarction had a LMV. Regarding quantitative data, no significant diffierences were observed between the groups. CONCLUSIONS Non-invasive evaluation of cardiac veins with 64-slice CT is feasible. There is considerable variation in venous anatomy. Patients with a history of infarction were less likely to have a LMV, which may hamper optimal left ventricular lead positioning in CRT implantation.
Keywords
OF-THE-ART, ACUTE MYOCARDIAL-INFARCTION, RESYNCHRONIZATION THERAPY, ANGIOGRAPHY, VENOGRAPHY, DRAINAGE, ANATOMY, VEINS

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 3.93 MB

Citation

Please use this url to cite or link to this publication:

MLA
Van de Veire, Nico R, Joanne D Schuijf, Johan De Sutter, et al. “Non-invasive Visualization of the Cardiac Venous System in Coronary Artery Disease Patients Using 64-slice Computed Tomography.” JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 48.9 (2006): 1832–1838. Print.
APA
Van de Veire, N. R., Schuijf, J. D., De Sutter, J., Devos, D., Bleeker, G. B., De Roos, A., Van der Wall, E. E., et al. (2006). Non-invasive visualization of the cardiac venous system in coronary artery disease patients using 64-slice computed tomography. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 48(9), 1832–1838.
Chicago author-date
Van de Veire, Nico R, Joanne D Schuijf, Johan De Sutter, Daniel Devos, Gabe B Bleeker, Albert De Roos, Ernst E Van der Wall, Martin J Schalij, and Jeroen J Bax. 2006. “Non-invasive Visualization of the Cardiac Venous System in Coronary Artery Disease Patients Using 64-slice Computed Tomography.” Journal of the American College of Cardiology 48 (9): 1832–1838.
Chicago author-date (all authors)
Van de Veire, Nico R, Joanne D Schuijf, Johan De Sutter, Daniel Devos, Gabe B Bleeker, Albert De Roos, Ernst E Van der Wall, Martin J Schalij, and Jeroen J Bax. 2006. “Non-invasive Visualization of the Cardiac Venous System in Coronary Artery Disease Patients Using 64-slice Computed Tomography.” Journal of the American College of Cardiology 48 (9): 1832–1838.
Vancouver
1.
Van de Veire NR, Schuijf JD, De Sutter J, Devos D, Bleeker GB, De Roos A, et al. Non-invasive visualization of the cardiac venous system in coronary artery disease patients using 64-slice computed tomography. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. 2006;48(9):1832–8.
IEEE
[1]
N. R. Van de Veire et al., “Non-invasive visualization of the cardiac venous system in coronary artery disease patients using 64-slice computed tomography,” JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, vol. 48, no. 9, pp. 1832–1838, 2006.
@article{356022,
  abstract     = {OBJECTIVES This study was designed to evaluate the value of 64-slice computed tomography (CT) to visualize the cardiac veins and evaluate the relation between variations in venous anatomy and history of infarction.
BACKGROUND Cardiac resynchronization therapy (CRT) is an attractive treatment for selected heart failure patients. Knowledge of venous anatomy may help in identifying candidates for successful left ventricular lead implantation.
METHODS The 64-slice CT of 100 individuals (age 61 +/- 11 years, 68% men) was studied. Subjects were divided into 3 groups: 28 control patients, 38 patients with significant coronary artery disease (CAD), and 34 patients with a history of infarction. Presence of the following coronary sinus (CS) tributaries was evaluated: posterior interventricular vein (PIV), posterior vein of the left ventricle, and left marginal vein (LMV). Vessel diameters were also measured.
RESULTS Coronary sinus and PIV were identified in all individuals. Posterior vein of the left ventricle was observed in 96% of control patients, 84% of CAD patients, and 82% of infarction patients. In patients with a history of infarction, a LMV was significantly less observed as compared with control patients and CAD patients (27% vs. 71% and 61%, respectively, p < 0.001). None of the patients with lateral infarction and only 22% of patients with anterior infarction had a LMV. Regarding quantitative data, no significant diffierences were observed between the groups.
CONCLUSIONS Non-invasive evaluation of cardiac veins with 64-slice CT is feasible. There is considerable variation in venous anatomy. Patients with a history of infarction were less likely to have a LMV, which may hamper optimal left ventricular lead positioning in CRT implantation.},
  author       = {Van de Veire, Nico R and Schuijf, Joanne D and De Sutter, Johan and Devos, Daniel and Bleeker, Gabe B and De Roos, Albert and Van der Wall, Ernst E and Schalij, Martin J and Bax, Jeroen J},
  issn         = {0735-1097},
  journal      = {JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY},
  keywords     = {OF-THE-ART,ACUTE MYOCARDIAL-INFARCTION,RESYNCHRONIZATION THERAPY,ANGIOGRAPHY,VENOGRAPHY,DRAINAGE,ANATOMY,VEINS},
  language     = {eng},
  number       = {9},
  pages        = {1832--1838},
  title        = {Non-invasive visualization of the cardiac venous system in coronary artery disease patients using 64-slice computed tomography},
  url          = {http://dx.doi.org/10.1016/j.jacc.2006.07.042},
  volume       = {48},
  year         = {2006},
}

Altmetric
View in Altmetric
Web of Science
Times cited: