CT Imaging of Left Ventricular Assist Devices and Associated Complications

被引:1
作者
Agdamag, Arianne C. [1 ]
Velangi, Pratik S. [1 ,2 ]
Salavati, Ali [3 ,4 ]
Nijjar, Prabhjot S. [1 ]
机构
[1] Univ Minnesota, Dept Med, Cardiovasc Div, Med Sch, 420 Delaware St SE,MMC 508, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Dept Med, Med Sch, Minneapolis, MN 55455 USA
[3] Univ Minnesota, Dept Radiol, Med Sch, Minneapolis, MN 55455 USA
[4] Johns Hopkins Univ, Dept Radiol & Radiol Sci, Baltimore, MD USA
关键词
Computed tomography; Computed tomography angiography; Cardiac computed tomography; Left ventricular assist device; CARDIAC COMPUTED-TOMOGRAPHY; METAL ARTIFACT REDUCTION; INTERNATIONAL SOCIETY; DUAL-ENERGY; DIAGNOSIS; ALGORITHM; HEART; MANAGEMENT; SYSTEM; BRIDGE;
D O I
10.1007/s12410-020-09546-y
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose of Review The purpose of this paper is to review the current role of computed tomography (CT) in the imaging of left ventricular assist devices (LVAD). Recent Findings Recent studies have highlighted the prognostic role of measuring skeletal muscle CT attenuation in predicting adverse LVAD outcomes. CT is also useful for evaluation of inflow cannula malposition, and outflow graft complications such as obstruction and kinking. In addition,F-18-fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET-CT) has been shown to be of value in evaluation of suspected LVAD infection. Newer CT techniques such as dual-energy CT and metal artifact reduction algorithms can potentially generate better quality CT images, though currently there is no high-quality published literature on their use in LVAD imaging. CT is a useful technique as part of a multi-modality approach in the evaluation of LVADs and associated complications.
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