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

Nico R Van de Veire, Joanne D Schuijf, Johan De Sutter UGent, Daniel Devos UGent, Gabe B Bleeker, Albert De Roos, Ernst E Van der Wall, Martin J Schalij and Jeroen J Bax (2006) JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. 48(9). p.1832-1838
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.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
OF-THE-ART, ACUTE MYOCARDIAL-INFARCTION, RESYNCHRONIZATION THERAPY, ANGIOGRAPHY, VENOGRAPHY, DRAINAGE, ANATOMY, VEINS
journal title
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
J. Am. Coll. Cardiol.
volume
48
issue
9
pages
1832 - 1838
Web of Science type
Article
Web of Science id
000241804400017
JCR category
CARDIAC & CARDIOVASCULAR SYSTEMS
JCR impact factor
9.701 (2006)
JCR rank
3/73 (2006)
JCR quartile
1 (2006)
ISSN
0735-1097
DOI
10.1016/j.jacc.2006.07.042
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
356022
handle
http://hdl.handle.net/1854/LU-356022
date created
2007-03-13 11:02:00
date last changed
2010-09-23 08:56:50
@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 {\textlangle} 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},
  keyword      = {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},
}

Chicago
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.
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.
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.
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.