Clinical Imaging
Volume 35, Issue 1 , Pages 1-9 , January 2011

CT evaluation of pulmonary venous anatomy variation in patients undergoing catheter ablation for atrial fibrillation

  • Chandani Thorning

      Affiliations

    • Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • Corresponding Author InformationCorresponding author. Department of Radiology, Imperial College Healthcare NHS Trust, Praed Street, W2 1NY London, UK. Tel.: +44 207 886 2041.
    • ,
  • Mohamad Hamady

      Affiliations

    • Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Jonathan Voon Ping Liaw

      Affiliations

    • Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Christoph Juli

      Affiliations

    • Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Phang Boon Lim

      Affiliations

    • Department of Cardiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Ranju Dhawan

      Affiliations

    • Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Nicholas S. Peters

      Affiliations

    • Department of Cardiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • D. Wyn Davies

      Affiliations

    • Department of Cardiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Prapa Kanagaratnam

      Affiliations

    • Department of Cardiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Mark D. O'Neill

      Affiliations

    • Department of Cardiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
    • ,
  • Andrew R. Wright

      Affiliations

    • Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK

Received 2 September 2009 ,Accepted 10 November 2009.

References 

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  2. Stewart S, Hart CL, Hole DJ, McMurray JJ. A population-based study of the long-term risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/Paisley study. Am J Med. 2002;113:359–364
  3. Haïssaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659–666
  4. Lacomis JM, Wigginton W, Fuhrman C, Schwartzman D, Armfield DR, Pealer KM. Multi-detector row CT of the left atrium and pulmonary veins before radio-frequency catheter ablation for atrial fibrillation. Radiographics. 2003;23:S35–S48
  5. Ahmed J, Sohal S, Malchano ZJ, Holmvang G, Ruskin JN, Reddy VY. Three-dimensional analysis of pulmonary venous ostial and antral anatomy: implications for balloon catheter-based pulmonary vein isolation. J Cardiovasc Electrophysiol. 2006;17:251–255
  6. Mansour M, Refaat M, Heist EK, Mela T, Cury R, Holmvang G, et al. Three-dimensional anatomy of the left atrium by magnetic resonance angiography: implications for catheter ablation for atrial Fibrillation. J Cardiovasc Electrophysiol. 2006;17:719–723
  7. Schmidt B, Ernst S, Ouyang F, Chun KR, Broemel T, Bänsch D, et al. External and endoluminal analysis of left atrial anatomy and the pulmonary veins in three-dimensional reconstructions of magnetic resonance angiography: the full insight from inside. J Cardiovasc Electrophysiol. 2006;17:957–964
  8. Kato R, Lickfett L, Meininger G, Dickfeld T, Wu R, Juang G, et al. Pulmonary vein anatomy in patients undergoing catheter ablation of atrial fibrillation: lessons learned by the use of magnetic resonance imaging. Circulation. 2003;107:2004–2010
  9. Jongbloed MR, Dirksen MS, Bax JJ, Boersma E, Geleijns K, Lamb HJ, et al. Atrial fibrillation: multidetector row CT of pulmonary vein anatomy prior to radiofrequency catheter ablation—initial experience. Radiology. 2005;234:702–709
  10. Kim YH, Marom EM, Herndon JE, McAdams HP. Pulmonary vein diameter, cross sectional area and shape: CT analysis. Radiology. 2005;235:43–49
  11. Schmidt B, Antz M, Ernst S, Ouyang F, Falk P, Chun J, et al. Pulmonary vein isolation by high-intensity focused ultrasound: first-in-man study with a steerable balloon catheter. Heart Rhythm. 2007;4:575–584
  12. Nakagawa H, Antz M, Wong T, Schmidt B, Ernst S, Ouyang F, et al. Initial experience using a forward directed, high-intensity focused ultrasound balloon catheter for pulmonary vein antrum isolation in patients with atrial fibrillation. J Cardiovasc Electrophysiol. 2007;18:136–144
  13. Lickfett L, Dickfeld T, Kato R, Tandri H, Vasamreddy CR, Berger R, et al. Changes of pulmonary vein orifice size and location throughout the cardiac cycle: dynamic analysis using magnetic resonance imaging. J Cardiovasc Electrophysiol. 2005;16:582–588
  14. Marom EM, Herndon JE, Kim YH, McAdams HP. Variation in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation. Radiology. 2004;230:824–829
  15. Tsao HM, Wu MH, Yu WC, Tai CT, Lin YK, Hsieh MH, et al. Role of right middle pulmonary vein in patients with paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol. 2001;12:1353–1357
  16. Cronin P, Sneider MB, Kazerooni EA, Kelly AM, Scharf C, Oral H, et al. MDCT of the left atrium and pulmonary veins in planning radiofrequency catheter ablation for atrial fibrillation: a how to guide. AJR. 2004;183:767–778
  17. Dong J, Calkins H, Solomon SB, Lai S, Dalal D, Lardo A, et al. Integrated electroanatomic mapping with three-dimensional computed tomographic images for real time guided ablations. Circulation. 2006;113:186–194
  18. Sra J, Krum D, Malloy A, Vass M, Belanger B, Soubelet E, et al. Registration of three-dimensional left atrial computed tomographic images with projection images obtained during fluoroscopy. Circulation. 2005;112:3763–3768

PII: S0899-7071(09)00310-6

doi: 10.1016/j.clinimag.2009.11.005

Clinical Imaging
Volume 35, Issue 1 , Pages 1-9 , January 2011

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