Regional function analysis of left atrial appendage using motion estimation CT and risk of stroke in patients with atrial fibrillation

European Heart Journal Cardiovascular Imaging
Abdullah Al-IssaHiroshi Ashikaga

Abstract

The aim of this article is to determine the association between left atrial appendage (LAA) regional dysfunction using image-based motion-estimation computed tomography (CT) (iME) and a prior history of stroke or transient ischaemic attack (TIA) in patients with atrial fibrillation (AF). In this single-centre retrospective case-control study, among patients referred for AF ablation who underwent pre-ablation cardiac CT with retrospective ECG gating, we identified 18 patients with a prior history of stroke or TIA at the time of CT scan and 18 age- and gender-matched controls. All the patients were in sinus rhythm at the time of CT scan. Four-dimensional motion vector field was estimated from the CT images using iME. To assess myocardial deformation, area change ratio (A) and area change rate (AR) were calculated over the endocardial surface of the LAA. There was no significant difference in the baseline patient characteristics between the stroke/TIA group and the control group (67.6 ± 8.1 years old, 66.7% male, 16.7% persistent AF). LAA maximum (Amax; 23.8 ± 33.0 vs. 52.9 ± 41.2%, P = 0.02) and pre-atrial contraction area change ratio (ApreA; 13.7 ± 17.7 vs. 30.9 ± 29.2%, P = 0.04) were significantly lower in the stroke/TIA grou...Continue Reading

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Citations

Nov 4, 2016·Annals of Biomedical Engineering·Tomohiro OtaniHiroshi Ashikaga
Oct 27, 2017·European Heart Journal Cardiovascular Imaging·Thor EdvardsenBogdan A Popescu
Jun 24, 2017·Medical Physics·George S K FungKatsuyuki Taguchi

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