Expert Recommendations on Cardiac Computed Tomography for Planning Transcatheter Left Atrial Appendage Occlusion
Expert Recommendations on Cardiac Computed Tomography for Planning Transcatheter Left Atrial Appendage Occlusion
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DOI：
10.1016/j.jcin.2019.08.054
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发表时间：
2020-02-10
影响因子：
11.3
通讯作者：
Nielsen-Kudsk, Jens Erik
中科院分区：
文献类型：
--
作者：
Korsholm, Kasper;Berti, Sergio;Nielsen-Kudsk, Jens Erik
经导管左心耳闭塞是一种越来越多的替代口服抗凝治疗心房颤动患者。术前成像是成功干预的先决条件，经食管超声心动图是目前的金标准。然而，心脏计算机断层扫描提供了高质量的多平面和三维重建图像。然而，缺乏标准化的成像方案已经减缓了心脏计算机断层扫描在临床实践中的应用。本文在现有研究和专家共识的基础上，为左房耳闭塞术前规划中的心脏计算机断层成像的准备、采集和解释提供了一种方案。(C) 2020年由美国心脏病学会基金会发布。
Transcatheter left atrial appendage occlusion is an increasingly used alternative to oral anticoagulation in selected patients with atrial fibrillation. Pre-procedural imaging is a prerequisite to a successful intervention, with transesophageal echocardiography as the current gold standard. However, cardiac computed tomography offers improved imaging with high-quality multiplanar and 3-dimensional reconstructed images. Nevertheless, the lack of a standardized imaging protocol has slowed the adoption of cardiac computed tomography into clinical practice. On the basis of current research and expert consensus, this paper provides a protocol for the preparation, acquisition, and interpretation of cardiac computed tomographic imaging in pre-procedural planning of left atrial appendage occlusion. (C) 2020 by the American College of Cardiology Foundation.