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001-es BibID:	BIBFORM111178
035-os BibID:	(cikkazonosító)6 (WoS)000975070400001 (Scopus)85152980454
Első szerző:	Nagy László Tibor (belgyógyász, kardiológus)
Cím:	Three-dimensional transesophageal echocardiographic evaluation of pulmonary vein anatomy prior to cryoablation : validation with cardiac CT scan / Nagy Laszlo Tibor, Jenei Csaba, Papp Timea Bianka, Urbancsek Reka, Kolozsvari Rudolf, Racz Agnes, Raduly Arnold Peter, Veisz Richard, Csanadi Zoltan
Dátum:	2023
ISSN:	1476-7120
Megjegyzések:	Background: Anatomical characteristics of the left atrium and the pulmonary veins (PVs) may be relevant to the success rate of cryoballoon (CB)-ablation for atrial fbrillation (AF). Cardiac computed tomography (CCT) is considered as the gold standard for preablation imaging. Recently, three-dimensional transesophageal echocardiography (3DTOE) has been proposed for preprocedural assessment of cardiac structures relevant to CB-ablation. The accuracy of 3DTOE has not been validated by other imaging modalities. Objective:We prospectively evaluated the feasibility and the accuracy of 3DTOE imaging for the assessment of left atrial and PV structures prior to pulmonary vein isolation (PVI). In addition, CCT was used to validate the measurements obtained with 3DTOE. Methods:PV anatomy of 67 patients (59.7% men, mean age 58.5?10.5 years) was assessed using both 3DTOE and CCT scan prior to PVI with the Arctic Front CB. The following parameters were measured bilaterally: PV ostium area (OA), the major and minor axis diameters of the ostium (a>b) and the width of the carina between the superior and the inferior PVs. In addition, the width of the left lateral ridge (LLR) between the left atrial appendage and the left superior PV. Evaluation of inter-technique agreement was based on linear regression with Pearson correlation coeffcient (PCC) and Bland?Altman analysis of biases and limits of agreement. Results: Moderate positive correlation (PCC 0.5?0.7) was demonstrated between the two imaging methods for the right superior PV's OA and both axis diameters, the width of the LLR and left superior PV (LSPV) minor axis diameter (b) with limits of agreement ?50% and no signifcant biases. Low positive or negligible correlation (PCC<0.5) was found for both inferior PV parameters. Conclusions: Detailed assessment of the right superior PV parameters, LLR and LSPV b is feasible with 3DTOE prior to AF ablation. This 3DTOE measurements demonstrated a clinically acceptable inter-technique agreement with those obtained with CCT.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Pulmonary vein imaging Three-dimensional transesophageal echocardiography Computed tomography Cryoablation
Megjelenés:	Cardiovascular Ultrasound. - 21 : 1 (2023), p. 1-11. -
További szerzők:	Jenei Csaba (1976-) (kardiológus) Papp Tímea Bianka (1994-) (általános orvos) Urbancsek Réka (1991-) (általános orvos) Kolozsvári Rudolf (1976-) (kardiológus) Rácz Ágnes (1983-) (orvos) Ráduly Arnold Péter (1993-) Veisz Richárd Csanádi Zoltán (1960-) (kardiológus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00043 GINOP
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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