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July 26, 2006Journal of Cardiovascular ElectrophysiologyOpen Access

External and Endoluminal Analysis of Left Atrial Anatomy and the Pulmonary Veins in Three‐Dimensional Reconstructions of Magnetic Resonance Angiography: The Full Insight from Inside

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Why the study?

Does endoluminal 3D reconstruction of MRA improve the assessment of pulmonary vein ostial geometry compared to external 3D reconstruction in patients undergoing PV isolation?

Population

28 patients undergoing magnetic resonance angiography for left atrial and pulmonary vein anatomy assessment

Comparison

Endoluminal three-dimensional reconstructions of… vs External three-dimensional reconstructions of MRA

Design

Cross-sectional

Authors

BSBoris SchmidtSESabine ErnstFOFeifan Ouyang

Discussion

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Overview

Endoluminal 3D MRA was associated with better PV ostial assessment; leaves open whether narrow ridges should alter isolation technique.

Structured PICO

Does endoluminal 3D reconstruction of MRA improve the assessment of pulmonary vein ostial geometry compared to external 3D reconstruction in patients undergoing PV isolation?

P
Population
28 patients undergoing magnetic resonance angiography (MRA) for left atrial and pulmonary vein anatomy assessment
I
Intervention
Endoluminal (en 3D) three-dimensional reconstructions of MRA
C
Comparator
External (ex 3D) three-dimensional reconstructions of MRA
O
Outcome
Geometry of the PV ostia and their spatial relation to adjacent structures (diameters, shape, distances between ipsilateral PV ostia, LA isthmus line, roof line, distance between left PV and LAA)surrogate

Endoluminal 3D MRA reconstructions provide precise anatomical details of pulmonary vein ostia, suggesting that individual encircling of every PV during isolation should be discouraged due to narrow separating ridges.

Cite This Study

Schmidt et al. (2006) studied this question.

synapsesocial.com/papers/6a209a8548884d7e56911568https://doi.org/10.1111/j.1540-8167.2006.00548.x
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