Abstract:
BACKGROUND:To investigate the anatomical features related to the failure of cryoballoon (CB) ablation for atrial fibrillation (AF) on pre-procedural CT images. METHODS:We retrospectively analyzed CT images of 100 patients with AF who had undergone a first CB ablation at our institution between June 2016 and April 2017. We measured the angle, short- and long axis length, and the area and ovality of 4 major pulmonary vein (PV) ostium on CT images. We performed logistic regression analysis to analyze the anatomical features related to the failure (incomplete CB ablation) of PV isolation. We also performed a receiver-operating characteristic (ROC) curve analysis to identify an appropriate cut-off value for anatomical features significantly associated with incomplete CB ablation. RESULTS:We analyzed 400 PVs in 100 patients [aged 64 (range, 27-82) years, 59% male]. The rate of incomplete CB ablation was significantly higher for right-than left-sided PVs (p < 0.001). The anatomical feature significantly associated with incomplete CB ablation was the angle at the right inferior PV (RIPV) (AOR: 1.17; 95% CI: 1.09-1.27, p < 0.001) and the right superior PV (RSPV) (AOR: 1.12; 95% CI: 1.01-1.23; p = 0.014). In the ROC analysis, the optimal cut-off value for RIPV and RSPV angle to discriminate an incomplete CB ablation were 40.1° and 79.7°, respectively. CONCLUSION:Our findings may help to select the appropriate ablation strategy to treat patients with AF. We show that the angle is an anatomical feature significantly related to failed CB ablation.
journal_name
J Cardiovasc Comput Tomogrjournal_title
Journal of cardiovascular computed tomographyauthors
Matsumoto Y,Muraoka Y,Funama Y,Mito S,Masuda T,Sato T,Akita T,Awai Kdoi
10.1016/j.jcct.2018.11.005subject
Has Abstractpub_date
2019-01-01 00:00:00pages
118-127issue
2eissn
1934-5925issn
1876-861Xpii
S1934-5925(18)30208-9journal_volume
13pub_type
杂志文章abstract:BACKGROUND:There is concern regarding the administration of iodinated contrast to patients with impaired renal function because of the increased risk of contrast-induced nephropathy. OBJECTIVE:Evaluate image quality and feasibility of a protocol with a reduced volume of iodinated contrast and utilization of dual-energ...
journal_title:Journal of cardiovascular computed tomography
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journal_title:Journal of cardiovascular computed tomography
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journal_title:Journal of cardiovascular computed tomography
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journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2012.10.002
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journal_title:Journal of cardiovascular computed tomography
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journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2017.02.003
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journal_title:Journal of cardiovascular computed tomography
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pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
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journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jcct.2014.12.002
更新日期:2015-01-01 00:00:00
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journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,评审
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journal_title:Journal of cardiovascular computed tomography
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
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journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2008.09.002
更新日期:2008-11-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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