过食管回声心脏学和计算机断层扫描血管学不匹配在左心房附属体血栓的评估
Natalie Bloch-Isenberg1, Robert Zukermann2, Samia Massalha2
1Internal Medicine Department D.
Journal of cardiovascular medicine (Hagerstown, Md.)
|December 5, 2023
概括
胸部CT血管造影 (CTA) 显示低一致性与转食道心声造影 (TEE) 诊断心房动患者的左心房附属体 (LAA) 血栓. 这些成像方法可以更好地一起用于排除LAA血栓.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 诊断程序 诊断程序 诊断程序
背景情况:
- 经食道心声学 (TEE) 是诊断左心房尾 (LAA) 血栓的黄金标准.
- 胸部CT血管造影 (CTA) 经常用于排除LAA血栓在诸如肺静脉隔离 (PVI) 和LAA关闭等程序之前.
- 与TEE相比,LAA血栓的CTA诊断准确性需要进一步评估.
研究的目的:
- 为了比较胸部CTA与TEE的诊断准确度,以检测心房动患者的LAA血栓.
- 评估CTA和TEE发现之间的一致性,以诊断LAA血栓.
主要方法:
- 在30天内接受TEE和胸部CTA的连续心房患者的回顾性分析.
- 包括TEE自发回声对比 (SEC) 或LAA血栓患者.
- 对LAA血栓的CTA扫描进行前性分析,并与TEE结果进行比较.
主要成果:
- 在符合纳入标准的63名患者中,23人患有LAA血栓,40人患有TEE上的SEC.
- 在11名高度怀疑的患者中,CTA确定了LAA血栓.
- 只有6名患者 (26.1%) 在CTA和TEE之间有一致的LAA血栓诊断,这表明协议很低.
结论:
- 在诊断LAA血栓时,CTA和TEE之间存在显著的差异.
- CTA和TEE可以作为补充而不是可互换的诊断工具来排除LAA血栓.
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