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Tytuł:
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The use of cardiac computed tomography angiography in the assessment of percutaneous left atrial appendage closure - Review and experts recommendations endorsed by the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle.
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Autorzy:
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Tacher V; Unité Inserm U955, Équipe 18, Université Paris Est, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France; Department of Radiology, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France. Electronic address: .
Sifaoui I; Department of Radiology, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
Kharrat R; Department of Radiology, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
Dacher JN; Inserm U1096, Department of Radiology, CHU de Rouen, Normandie University, UNIROUEN, 76000 Rouen, France.
Chevance V; Department of Radiology, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
Gallet R; Unité Inserm U955, Interventional Cardiology Department, Université Paris Est, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
Teiger E; Unité Inserm U955, Interventional Cardiology Department, Université Paris Est, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
Kobeiter H; Unité Inserm U955, Équipe 18, Université Paris Est, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France; Department of Radiology, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
Le Pennec V; Department of Radiology, University Hospital of Caen, 14118 Caen, France.
Jacquier A; Department of Radiology and Cardiovascular Imaging, UMR 7339, CNRS, CRMBM-CEMEREM (Centre de Résonance Magnétique Biologique et Médicale-Centre d'Exploration Métaboliques par Résonance Magnétique), Aix-Marseille Université, 13000 Marseille, France.
Mandry D; Department of Radiology, CHRU Nancy and Université de Lorraine, 54000 Nancy, France.
Macron L; Department of Radiology, Centre Cardiologique du Nord, 93000 Saint-Denis, France.
Derbel H; Unité Inserm U955, Équipe 18, Université Paris Est, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France; Department of Radiology, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
Deux JF; Unité Inserm U955, Équipe 18, Université Paris Est, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France; Department of Radiology, Hôpital Henri-Mondor, AP-HP, 94010 Créteil, France.
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Źródło:
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Diagnostic and interventional imaging [Diagn Interv Imaging] 2021 Oct; Vol. 102 (10), pp. 586-592. Date of Electronic Publication: 2021 Jun 17.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Paris : Elsevier Masson
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MeSH Terms:
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Atrial Appendage*/diagnostic imaging
Atrial Appendage*/surgery
Atrial Fibrillation*/diagnostic imaging
Atrial Fibrillation*/therapy
Angiography ; Computed Tomography Angiography ; Humans ; Tomography, X-Ray Computed ; Treatment Outcome
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Contributed Indexing:
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Keywords: Atrial appendage; Cardiac imaging technique; Expert testimony; Thromboembolism; Vascular disease
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Entry Date(s):
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Date Created: 20210620 Date Completed: 20210928 Latest Revision: 20210928
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Update Code:
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20240104
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DOI:
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10.1016/j.diii.2021.05.010
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PMID:
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34147390
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Atrial fibrillation is the most common cause of arrhythmia which is responsible for over 15% of ischemic strokes, most of these being secondary to migration of a left atrial appendage (LAA) thrombus. In patient with contraindication to anticoagulant therapy, percutaneous closure system placement may be indicated. Cardiac computed tomography (CT) angiography plays a central role in the initial assessment as well as in the follow-up. The purpose of the pre-implantation cardiac CT angiography is to evaluate the anatomy of the LAA in order to select the most suitable prosthesis and check for any contraindication to device implantation. Image analysis is divided into four steps that include analysis of the approach; search for a thrombus in the LAA; investigation of the anatomy of the LAA (morphology of the LAA, dimensions of the LAA and choice of device) and cardiac and thoracic assessments. Follow-up involves CT examination to check for correct placement of the device and to detect any complications. On the basis of the results of currently available published research, a panel of experts has issued recommendations regarding cardiac CT angiography prior to percutaneous LAA closure device placement, which were further endorsed by the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV).
(Copyright © 2021 Société française de radiologie. Published by Elsevier Masson SAS. All rights reserved.)