Abstract
Magnetic resonance angiography (MRA) has been established as an important imaging method in cardiac ablation procedures. In pulmonary vein (PV) isolation procedures, MRA has the potential to minimize the risk of severe complications, such as atrio-esophageal fistula, by providing detailed information on esophageal position relatively to cardiac structures. However, traditional non-gated, first-pass (FP) MRA approaches have several limitations, such as long breath-holds, non-uniform signal intensity throughout the left atrium (LA), and poor esophageal visualization. The aim of this observational study was to validate a respiratory-navigated, ECG-gated (EC), saturation recovery-prepared MRA technique for simultaneous imaging of LA, LA appendage, PVs, esophagus, and adjacent anatomical structures. Before PVI, 106 consecutive patients with a history of AF underwent either conventional FP-MRA (n = 53 patients) or our new EC-MRA (n = 53 patients). Five quality scores (QS) of LA and esophagus visibility were assessed by two experienced readers. The non-parametric Mann-Whitney U-test was used to compare QS between FP-MRA and EC-MRA groups, and linear regression was applied to assess clinical contributors to image quality. EC-MRA demons...Continue Reading
References
Jan 1, 1996·European Radiology·A J DuerinckxM K Vrman
Apr 18, 2001·European Radiology·J BogaertM Gewillig
Jan 8, 2003·Circulation·Fred H M WittkampfMaarten-Jan Cramer
May 11, 2006·Journal of Cardiovascular Electrophysiology·Jun DongHugh Calkins
Jul 14, 2006·Journal of Cardiovascular Electrophysiology·Moussa MansourJeremy N Ruskin
Sep 28, 2007·Pacing and Clinical Electrophysiology : PACE·Martin MartinekHelmut Purerfellner
May 26, 2009·European Journal of Radiology·Moritz WagnerAlexander Lembcke
Jun 23, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Emanuele BertagliaFranco Zoppo
Jun 30, 2009·Investigative Radiology·Mayil S KrishnamStefan Ruehm
Jul 8, 2009·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Aravindan KolandaiveluHenry R Halperin
Apr 20, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Domenico CaponiFiorenzo Gaita
May 22, 2010·Journal of Cardiovascular Electrophysiology·Irene E HofPeter Loh
May 17, 2012·Journal of Magnetic Resonance Imaging : JMRI·Gregor SommerGunnar Lund
Jun 16, 2012·PloS One·Tong ZhangBaozhong Shen
Nov 23, 2012·Journal of Magnetic Resonance Imaging : JMRI·Eszter FodiAhmed M Gharib
Jan 3, 2013·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Michelle FittsDaniel Kim
Nov 19, 2013·Circulation. Arrhythmia and Electrophysiology·Aakriti GuptaPrashanthan Sanders
Jun 15, 2014·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Riccardo FalettiGiovanni Gandini
Jun 21, 2014·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·John D GroarkeMichael Steigner
May 16, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Julia H IndikPamela K Woodard
Oct 16, 2018·BioMed Research International·Stephanie FichtnerHeidi L Estner
Nov 22, 2018·European Radiology Experimental·Riccardo FalettiPaolo Fonio
Aug 21, 2020·JACC. Clinical Electrophysiology·Hagai D YavinElad Anter