Prone Position is Essential for Detection of Pulmonary Vein Pseudostenosis by Enhanced Multidetector Computed Tomography in Patients Who Undergo Pulmonary Vein Isolation
スポンサーリンク
概要
- 論文の詳細を見る
Background Pulmonary vein (PV) stenosis is a major complication of PV isolation (PVI) by catheter ablation, so in the present study the optimal position for detecting PV stenosis on enhanced multidetector computed tomography (MDCT) image acquisition was determined. Methods and Results The 64-slice enhanced MDCT was carried out before and after PVI in 116 consecutive patients with atrial fibrillation while they were in the prone position, as well as while supine. The supine position MDCT image showed >50% diameter stenosis of the PV in 11 (9%) patients before PVI (% diameter stenosis: mean 55±4%, range 51-65%). Greater than 50% diameter stenosis was seen in the left inferior PV in all 11 patients. The prone position attenuated the PV stenosis findings in the MDCT images in all 11 patients (mean 9±6%, range 2-18%). Stenosis visualized on images acquired in the supine position was, therefore, concluded to be pseudostenosis caused by descending aorta compression. At 3 months after PVI, no significant changes in PV diameter were observed in these 11 patients. Conclusion The present study demonstrated that the prone position is essential for eliminating PV pseudostenosis observed on supine-position enhanced MDCT images. The results also indicate that preexisting PV organic stenosis is rare.
- 社団法人日本循環器学会の論文
- 2008-08-20
著者
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Murakami Masaaki
Department of Molecular Immunology Institute for Genetic Medicine, Hokkaido University Graduate Scho
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Maruyama Masahiko
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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Murakami Masaaki
十全会心臓病センター榊原病院 循環器内科
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Kusachi Shozo
Department of Medical Technology, Okayama University Medical School
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Hirohata Atsushi
Cardiovascular Medicine, the Sakakibara Heart institute of Okayama
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Hina Kazuyoshi
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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村上 宅郎
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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Murakami T
Department Of Human Morphology Okayama University Graduate School Of Medicine Dentistry And Pharmace
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Murakami Takuro
岡山大学 第2解剖
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Yamamoto Keizo
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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KAWAMURA Hiroshi
Department of Medicine, Nippon Dental University School of Dentistry
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MURAKAMI Takashi
Department of Clinical Sciences and Laboratory Medicine, Kansai Medical University
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MIYOSHI Toru
Department of Molecular Biology and Biochemistry, Okayama University Graduate School of Medicine, De
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HIROHATA Satoshi
Department of Molecular Biology and Biochemistry, Okayama University Graduate School of Medicine, De
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Kusachi Shozo
Department Of Medical Technology Okayama University Graduate School Of Health Sciences
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Kusachi Shozo
Department Of Medical Technology Faculty Of Medical Sciences Okayama University Medical School
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Kusachi Shozo
The First Department Of Internal Medicine
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Hina Kazuyoshi
The First Department Of Internal Medicine Okayama University Medical School
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Yamaji Hirosuke
Department of Cardiovascular Medicine, Cardiovascular Center Sakakibara Hospital
-
Yamamoto Keizo
Department of Cardiovascular Medicine, Cardiovascular Center Sakakibara Hospital
-
Hirohata Atsushi
Department of Cardiovascular Medicine, Cardiovascular Center Sakakibara Hospital
-
Hina Kazuyoshi
Department of Cardiovascular Medicine, Cardiovascular Center Sakakibara Hospital
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Murakami Masaaki
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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Murakami Masahiro
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine And Dentistry
-
Yamamoto Keizo
The Sakakibara Heart institute of Okayama
-
Kawamura Hiroshi
The Sakakibara Heart Institute of Okayama
-
Yamaji Hirosuke
The Sakakibara Heart Institute of Okayama
-
Hirano Kazuhiro
The 1st Department of lnternal Medicine Okayama University Medical School
-
Hirohata Satoshi
Department Of Molecular Biology And Biochemistry Okayama University Graduate School Of Medicine Dent
-
Miyoshi Toru
Department Of Molecular Biology And Biochemistry Okayama University Graduate School Of Medicine Dent
-
Yamawaki Hitoshi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
-
Yamawaki Hitoshi
Dept. Of Cardiovascular Science Okayama University Graduate School Of Medicine Dentistry And Pharmac
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Murakami Masaaki
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine And Dentistry
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Murakami Takashi
Department Of Cardiology Okayama University School Of Medicine
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Hirohata Atsushi
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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Hirohata Atsushi
Department Of Cardiology Cardiovascular Center Sakakibara Hospital
-
Yamamoto Keizo
Department Of Anatomy Nara Medical University:department Of Anatomy School Of Medicine Tokushima Uni
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Kawamura Hiroshi
Department Of Medicine Nippon Dental University School Of Life Dentistry
-
Yamaji Hirosuke
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
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村上 宅郎
Department Of Human Morphology Okayama University Graduate School Of Medicine Dentistry And Pharmace
-
Hirohata Satoshi
Department Of Molecular Biology And Biochemistry Okayama University Graduate School Of Medicine And
-
Hina Kazumasa
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
-
Kusachi Shozo
Okayama University Medical School
-
Saito Kouhei
Department Of Biological Science And Technology Science University Of Tokyo
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Hina Kazuyoshi
Department Of Cardiology Cardiovascular Institute Sakakibara Hospital
-
Misaki Mie
Department Of Physical Technology Yashima General Hospital
-
Murakami Masaaki
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
-
Kusachi Shozo
Dept Of Mol Biol And Biochem Okayama Univ Grad Sch Of Med And Dent:dept Of Nursing Niimi College
-
Murakami Masaaki
Department Of Applied Mathematics Faculty Of Engineering Science Osaka University
-
Murakami M
Department Of Synthetic Chemistry And Biological Chemistry Graduate School Of Engineering Kyoto Univ
-
Murakami M
Kyoto Univ. Kyoto
-
Murakami Masaaki
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
-
Kawamura Hiroshi
Department Of Cardiology Sakakibara Heart Institute Of Okayama
-
Kawamura Hiroshi
Department Of Biology Faculty Of Science Konan University
-
Hirohata Satoshi
Department Of Molecular Biology And Biochemistry Okayama University Graduate School Of Medicine And
-
Hina Kazumasa
First Department Of Internal Medicine Okayama University Medical School
-
Kawamura Hiroshi
Cardiovasucular Center Sakakibara Hospital
-
Hirano Kazuhiro
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
-
Yamamoto Kazuhide
Department Of Medicine And Medical Science Okayama University Graduate School Of Medicine Dentistry
-
Yamamoto Kazuhide
Department Of Medicine And Medical Science Okayama University Graduate School Of Medicine Dentistry
-
Kawamura Hiroshi
Department Of Architecture And Civil Engineering Kobe University
-
Miyoshi Toru
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And Pharmaceutical Sciences
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村上 宅郎
Second Department Of Anatomy Okayama University Graduate School Of Medicine And Dentistry
-
Hirohata Satoshi
Department of Medical Technology, Okayama University Graduate School of Health Sciences, Japan
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YAMAJI Hirosuke
Department of Cardiology, Mitoyo General Hospital
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Kusachi Shozo
Department of Internal Medicine I, Okayama University Medical School
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