Proximity of Right Coronary Artery to Cavotricuspid Isthmus as Determined by Computed Tomography

dc.contributor.authorAl Aloul, Basel
dc.contributor.authorSigurdsson, Gardar
dc.contributor.authorCan, İlknur
dc.contributor.authorLi, Jian-Mingi
dc.contributor.authorDykoski, Richard
dc.contributor.authorTholakanahalli, Venkatakrishna N.
dc.date.accessioned2020-03-26T18:04:52Z
dc.date.available2020-03-26T18:04:52Z
dc.date.issued2010
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Radiofrequency ablation of atrial flutter is a commonly performed procedure. Ablation success depends upon complete transmural atrial tissue injury to achieve bidirectional cavotricuspid isthmus (CTI) block. Transmural ablation increases risk of injury to the adjacent right coronary artery (RCA). Distance between the RCA and the endocardium within the CTI area is not well described. We aimed to perform in vivo measurements of the distance between the CTI area and adjacent RCA. Methods: Thirty-three consecutive patients underwent electrocardiogram-gated contrast-enhanced computed tomography. CTI area was divided into nine segments based on three common catheter locations (paraseptal, central, and lateral or 5, 6, and 7 o'clock) and ventricular to atrial ablation line. Results: Mean age was 64 +/- 11 years and 97% of the participants were male. Paraseptal, central, and lateral measurements at the tricuspid annulus ridge showed endocardial to RCA distance 9 +/- 3, 6 +/- 2, and 5 +/- 3 mm, respectively (range 2-17 mm). Corresponding measurements for the ventricular side were 5 +/- 3, 4 +/- 2, and 4 +/- 2 mm and atrial side measurements were 3 +/- 2, 3 +/- 2, and 3 +/- 3 mm. Distance was < 2 mm in 14% of segments on the ventricular side and 39% of segments on the atrial side. Paired t-test showed significant difference (P < 0.001) between tricuspid annulus ridge measurements and adjacent atrial or ventricular measurements. Conclusions: Distance between endocardium and RCA lumen is reduced in areas adjacent to the tricuspid annulus ridge.en_US
dc.identifier.citationAl Aloul, B., Sigurdsson, G., Can, İ., Li, J.-M., Dykoski, R., Tholakanahalli, V. N., (2010). Proximity of Right Coronary Artery to Cavotricuspid Isthmus as Determined by Computed Tomography. Pace-Pacing and Clinical Electrophysiology, (33), 1319-1323. Doi: 10.1111/j.1540-8159.2010.02844.x
dc.identifier.doi10.1111/j.1540-8159.2010.02844.xen_US
dc.identifier.endpage1323en_US
dc.identifier.issn0147-8389en_US
dc.identifier.pmid20663073en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1319en_US
dc.identifier.urihttps://dx.doi.org/10.1111/j.1540-8159.2010.02844.x
dc.identifier.urihttps://hdl.handle.net/20.500.12395/25193
dc.identifier.volume33en_US
dc.identifier.wosWOS:000283374500007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorCan, İlknur
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofPace-Pacing and Clinical Electrophysiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAblationen_US
dc.subjectElectrophysiology-clinicalen_US
dc.subjectSvten_US
dc.subjectRadiologyen_US
dc.titleProximity of Right Coronary Artery to Cavotricuspid Isthmus as Determined by Computed Tomographyen_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Yükleniyor...
Küçük Resim
İsim:
5193.pdf
Boyut:
276.56 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Makale Dosyası