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European Radiology

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01-04-2011 | Magnetic Resonance

Assessment of the coronary venous system in heart failure patients by blood pool agent enhanced whole-heart MRI

Authors: Robert Manzke, Ludwig Binner, Axel Bornstedt, Nico Merkle, Anja Lutz, Robert Gradinger, Volker Rasche

Published in: European Radiology | Issue 4/2011

Abstract

Objective

To investigate the feasibility of MRI for non-invasive assessment of the coronary sinus (CS) and the number and course of its major tributaries in heart failure patients.

Methods

Fourteen non-ischaemic heart failure patients scheduled for cardiac resynchronisation therapy (CRT) underwent additional whole-heart coronary venography. MRI was performed 1 day before device implantation. The visibility, location and dimensions of the CS and its major tributaries were assessed and the number of potential implantation sites identified. The MRI results were validated by X-ray venography conventionally acquired during the device implantation procedure.

Results

The right atrium (RA), CS and mid-cardiac vein (MCV) could be visualised in all patients. 36% of the identified candidate branches were located posterolaterally, 48% laterally and 16% anterolaterally. The average diameter of the CS was quantified as 9.8 mm, the posterior interventricular vein (PIV) 4.6 mm, posterolateral segments 3.3 mm, lateral 2.9 mm and anterolateral 2.9 mm. Concordance with X-ray in terms of number and location of candidate branches was given in most cases.

Conclusion

Contrast-enhanced MRI venography appears feasible for non-invasive pre-interventional assessment of the course of the CS and its major tributaries.

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Title: Assessment of the coronary venous system in heart failure patients by blood pool agent enhanced whole-heart MRI
Authors: Robert Manzke
Ludwig Binner
Axel Bornstedt
Nico Merkle
Anja Lutz
Robert Gradinger
Volker Rasche
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: European Radiology / Issue 4/2011
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-010-1961-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessment of the coronary venous system in heart failure patients by blood pool agent enhanced whole-heart MRI

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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