用心脏计算机断层扫描进行手术前成像,以检测内皮心室内心动力减退的内皮心室内心动力减退
Corrado Carbucicchio1, Fabrizio Guarracini2, Marco Schiavone1
1Department of Clinical Electrophysiology & Cardiac Pacing, Centro Cardiologico Monzino, IRCCS, Milan, Italy.
心脏CT有效地识别了心肌纤维化对心室动脉冲动移除,显示高一致性与电解剖绘图. 这种方法是可行的,并有助于在程序前评估废除成功.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 电子生理学 电子生理学
背景情况:
- 有限的研究评估系统性心脏计算机断层扫描 (CCT) 在手术前评估心肌纤维化.
- 在电生理学工作流程中实施CCT需要进一步描述.
研究的目的:
- 评估心脏纤维化评估中CCT和电解剖学映射 (EAM) 之间的一致性.
- 为了确定CCT的可行性,在进行腹腔动脉动脉 (VT) 移除的手术前评估.
主要方法:
- 从2017年11月到2021年12月,有望招募35名从2017年11月到2021年12月接受内分心静脉切除术的患者.
- 用于程序前痕评估的CCT,与EAM识别的低压区域相比.
- 在至少1年的随访后评估的术后静脉瘤复发.
主要成果:
- 对于心肌纤维化检测,CCT和EAM之间有着强烈的共识 (总Cohen κ = 0.933).
- 缺血患者的相关性最高 (κ = 1.000),心肌炎的相关性最低 (κ = 0.750).
- 74.3%的人实现了1年的VT复发自由; 60.0%的总体自由.
结论:
- 基于CCT的程序前评估是可行的VT切除.
- 在检测心肌纤维化时,CCT和EAM之间的诊断一致性很高.
- 当MRI禁用时,CCT可以作为痕评估的可行替代方案.
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