[1]赵亮,孟小茜,张家友,等.CT三维重建心房颤动患者肺静脉前庭解剖形态学研究[J].介入放射学杂志,2008,(12):876-880.
 ZHAO Liang,MENG Xiaoxi,ZHANG Jiayou,et al.Anatomical morphologic study of pulmonary vein antrum by computed tomography angiography in patients with artrial fibrillation[J].journal interventional radiology,2008,(12):876-880.
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CT三维重建心房颤动患者肺静脉前庭解剖形态学研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年12期
页码:
876-880
栏目:
临床研究
出版日期:
2008-12-15

文章信息/Info

Title:
Anatomical morphologic study of pulmonary vein antrum by computed tomography angiography in patients with artrial fibrillation
作者:
赵亮孟小茜张家友
200003上海第二军医大学长征医院心内科(赵亮、张家友、姜其均、赵学、廖德宁);影像科(孟小茜、刘士远)
Author(s):
ZHAO LiangMENG Xiao-xiZHANG Jia-youJIANG Qi-junZHAO XueLIU Shi-yuanLIAO De-ning.
Department of Cardiology,Changzheng Hospital,Second Military Medical University,Shanghai200003,China
关键词:
肺静脉前庭CT心房颤动
分类号:
R541.2
文献标志码:
B
摘要:
目的应用CT三维重建方法描述并测量心房颤动患者肺静脉前庭的解剖形态。方法30例在三维标测技术下行肺静脉前庭线性消融术治疗心房颤动的患者,术前应用CT进行心脏扫描,三维重建后描述肺静脉解剖形态学特点并测量相关数据。结果左上肺静脉最大径(24.30±4.54)mm、最小径(17.76±4.24)mm;左下肺静脉最大径(19.10±4.45)mm、最小径(12.27±3.52)mm;右上肺静脉最大径(22.99±5.04)mm、最小径(16.19±4.87)mm;右下肺静脉最大径(18.63±4.60)mm、最小径(14.46±3.48)mm。左肺静脉间嵴:前缘(14.78±3.86)mm、中部(7.20±1.42)mm、后缘(14.94±3.82)mm;右肺静脉间嵴:前缘(15.86±5.14)mm、中部(7.91±3.35)mm、后缘(18.73±5.55)mm。左心耳与左肺静脉间嵴上缘、中部、下缘分别为(19.12±4.98)mm、(7.74±3.30)mm、(17.92±5.14)mm。结论CT三维重建图像能够真实反映肺静脉前庭的解剖结构,可作为术前了解肺静脉前庭的方法之一;肺静脉前庭结构个体差异

参考文献/References:

[1]Haissaguerre M,Jais P,Shah DC,et al.Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins[J].N Eng J Med,1998,339:659-666.
[2]Mesas CE,Pappone C,Lang CCE,et al.Left atrial tachycardia after circumferential pulmonary vein ablation for atrial fibrillation:Electroanatomic characterization and treatment [J].J Am Coll Cardio1,2004,44:l071-1079.
[3]Verma A,Marrouche NF,Natale A.Pulmonary vein antrum isolation:intracardiac echocardiography-guided technique[J].J Cardiovasc Electrophysiol,2004,15:1335-1340.
[4]Hkira H,Yuji O,Yasushi M,et al.Correlation between anatomy and electrical activation in canine pulmonary veins[J].Circulation,2003,107:1550-1555.
[5]Scherlag BJ ,Nakagawa H,Jackman WM,et al.Electrical stim-ulation to identify neural elements on the heart:their role in atrial fibrillation[J].J Interv Card Electrophysiol,2005,13Suppl 1:37-42.
[6]杨延宗,王照谦,王鸣道,等.多层螺旋CT在评价心房颤动导管射频消融电隔离术后肺静脉狭窄中的应用[J].中华心血管病杂志,2004,32:217-220.
[7]Wan WR,Wong CR,Hsuan MT ,et al.Morphologic characteris-tics of the left atrial appendage,roof,and septum:implications for the ablation of atrial fibrillation[J].J Cardiovasc Electrop-hysiol,2006,17:951-956.
[8]单飞,张志勇,陈刚,等.多排螺旋CT检测肺静脉变异及肺静脉孔指数在心房颤动射频消融术前的应用[J].中华心血管病杂志,2007,35:329-332.
[9]Hsuan MT ,Mei HW,Satoshi H,et al.Anatomic relationship of the esophagus and left atrium implication for catheter ablation of atrial fibrillation[J].Chest,2005,128:2581-2587.
[10]Chugh AC,Oral H,Lemola K,et al.Prevalence,mechanisms ,and clinical significance of macroreentrant atrial tachycardia during and following left atrial ablation for atrial fibrillation[J].Heart Rhythm,2005,2:464-471.
[11]Kristina L,Michael S,Benoit D,et al.Computed tomographic analysis of the anatomy of the left atrium and the esophagus implications for left atrial catheter ablation[J].Circulation,2004,110:3655-3660.
[12]Jun D,Timm D,Darshan D,et al.Initial experience in the use of integrated electroanatomic mapping with three-dimensional MR/CT images to guide catheter ablation of atrial fibrillation[J].J Cardiovasc Eletrophysiol,2006,17:459-466.

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备注/Memo

备注/Memo:
收稿日期:2008-05-19
更新日期/Last Update: 2008-12-15