Visualization of the cardiac venous system using cardiac magnetic resonance

被引:55
作者
Chiribiri, Amedeo [1 ]
Kelle, Sebastian [2 ]
Goetze, Stephan [2 ]
Kriatselis, Charalampos [2 ]
Thouet, Thomas [2 ]
Tangeharoen, Tarinee [2 ]
Paetsch, Ingo [2 ]
Schnackenburg, Bernhard [3 ]
Fleck, Eckart [2 ]
Nagel, Eike [2 ]
机构
[1] Univ Turin, Div Cardiol, Dept Internal Med, Turin, Italy
[2] Deutsch Herzzentrum Berlin, Dept Internal Med & Cardiol, Berlin, Germany
[3] Philips Med Syst, Hamburg, Germany
关键词
D O I
10.1016/j.amjcard.2007.08.049
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We sought to investigate the value of cardiac magnetic resonance to depict cardiac venous anatomy. For cardiac resynchronization therapy the lead for the left ventricle is usually placed by transvenous approach into a tributary of the coronary sinus (CS). Knowledge of the anatomy and variations of the cardiac venous system may facilitate the positioning of the left ventricle lead. The cardiac magnetic resonance examinations of 23 subjects (16 volunteers and 7 patients) were retrospectively analyzed. All examinations were performed using navigator-gated whole-heart steady-state free precession coronary artery imaging after administration of intravascular contrast agents (gadofosveset in volunteers; Ga-domer-17 in patients). The cardiac venous system was visualized in all subjects. The most frequent anatomical variant observed (in 12 subjects [52%]) was a connection of the small cardiac vein to the CS at the crux cordis. In 10 subjects (44%) the small veins entered the right atrium independently from the CS, and the posterior interventricular vein was connected to the CS at the crux cordis. Only one subject had a disconnection between the CS and posterior interventricular vein, which entered into the right atrium independently. The mean distance of the posterior vein of the left ventricle and the left marginal vein to the ostium of the CS was 15.2 +/- 4.7 mm and 49.7 +/- 14.1 mm, respectively. In conclusion, the anatomy of the cardiac venous system and its anatomical variability can be described using cardiac magnetic resonance. Its preimplantation visualization may help to facilitate the implant procedure and to reduce fluoroscopy time. (c) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:407 / 412
页数:6
相关论文
共 30 条
[1]   Cardiac resynchronization therapy for heart failure [J].
Abraham, WT ;
Hayes, DL .
CIRCULATION, 2003, 108 (21) :2596-2603
[2]   Carotid MR angiography: Phase II study of safety and efficacy for MS-325 [J].
Bluemke, DA ;
Stillman, AE ;
Bis, KG ;
Grist, TM ;
Baum, RA ;
D'Agostino, R ;
Malden, ES ;
Pierro, JA ;
Yucel, EK .
RADIOLOGY, 2001, 219 (01) :114-122
[3]   Gadolinium deposition in nephrogenic fibrosing dermopathy [J].
Boyd, Alan S. ;
Zic, John A. ;
Abraham, Jerrold L. .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2007, 56 (01) :27-30
[4]   Gadolinium and nephrogenic fibrosing dermopathy in pediatric patients [J].
Dharnidharka, Vikas R. ;
Wesson, Stanton K. ;
Fennell, Robert S. .
PEDIATRIC NEPHROLOGY, 2007, 22 (09) :1395-1395
[5]   ANALYSIS OF PROBABILITY AS AN AID IN THE CLINICAL-DIAGNOSIS OF CORONARY-ARTERY DISEASE [J].
DIAMOND, GA ;
FORRESTER, JS .
NEW ENGLAND JOURNAL OF MEDICINE, 1979, 300 (24) :1350-1358
[6]   Food and drug administration perspective - Magnetic resonance imaging of pacemaker and implantable cardioverter-defibrillator patients [J].
Faris, Owen P. ;
Shein, Mitchell .
CIRCULATION, 2006, 114 (12) :1232-1233
[7]   Evaluation of the coronary venous system using electron beam computed tomography [J].
Gerber, TC ;
Sheedy, PF ;
Bell, MR ;
Hayes, DL ;
Rumberger, JA ;
Behrenbeck, T ;
Holmes, DR ;
Schwartz, RS .
INTERNATIONAL JOURNAL OF CARDIAC IMAGING, 2001, 17 (01) :65-75
[8]   Angiographic anatomy of the coronary sinus and its tributaries [J].
Gilard, M ;
Mansourati, J ;
Etienne, Y ;
Larlet, JM ;
Truong, B ;
Boschat, J ;
Blanc, JJ .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1998, 21 (11) :2280-2284
[9]   Steady-state and dynamic MR angiography with MS-325: Initial experience in humans [J].
Grist, TM ;
Korosec, FR ;
Peters, DC ;
Witte, S ;
Walovitch, RC ;
Dolan, RP ;
Bridson, WE ;
Yucel, EK ;
Mistretta, CA .
RADIOLOGY, 1998, 207 (02) :539-544
[10]   Gadolinium - a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis? [J].
Grobner, T .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2006, 21 (04) :1104-1108