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Visualization of coronary venous anatomy by cardiovascular magnetic resonance
- Source :
- Journal of Cardiovascular Magnetic Resonance, Vol 11, Iss 1, p 26 (2009), Journal of Cardiovascular Magnetic Resonance
- Publication Year :
- 2009
- Publisher :
- BMC, 2009.
-
Abstract
- Background Coronary venous imaging with whole-heart cardiovascular magnetic resonance (CMR) angiography has recently been described using developmental pulse sequences and intravascular contrast agents. However, the practical utility of coronary venous imaging will be for patients with heart failure in whom cardiac resynchronisation therapy (CRT) is being considered. As such complementary information on ventricular function and myocardial viability will be required. The aim of this study was to determine if the coronary venous anatomy could be depicted as part of a comprehensive CMR protocol and using a standard extracellular contrast agent. Methods and Results Thirty-one 3D whole heart CMR studies, performed after intravenous administration of 0.05 mmol/kg gadolinium DTPA, were reviewed. The cardiac venous system was visualized in all patients. The lateral vein of the left ventricle was present in 74%, the anterior interventricular vein in 65%, and the posterior interventricular vein in 74% of patients. The mean maximum distance of demonstrable cardiac vein on the 3D images was 81.5 mm and was dependent on the quality of the 3D data set. Five patients showed evidence of myocardial infarction on late gadolinium enhancement (LGE) images. Conclusion Coronary venous anatomy can be reliably demonstrated using a comprehensive CMR protocol and a standard extracellular contrast agent. The combination of coronary venous imaging, assessment of ventricular function and LGE may be useful in the management of patients with LV dysfunction being considered for CRT.
- Subjects :
- Gadolinium DTPA
Male
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
Myocardial Ischemia
Contrast Media
Magnetic Resonance Imaging, Cine
Magnetic resonance angiography
Ventricular Function, Left
Veins
Imaging, Three-Dimensional
Predictive Value of Tests
Internal medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
Myocardial infarction
cardiovascular diseases
Vein
Angiology
Aged
Retrospective Studies
Medicine(all)
Cardiac Vein
Radiological and Ultrasound Technology
medicine.diagnostic_test
business.industry
Research
Magnetic resonance imaging
Middle Aged
medicine.disease
Coronary Vessels
medicine.anatomical_structure
lcsh:RC666-701
Heart failure
Angiography
Injections, Intravenous
Cardiology
cardiovascular system
Cineangiography
Feasibility Studies
Female
Radiology
Cardiology and Cardiovascular Medicine
business
Magnetic Resonance Angiography
Subjects
Details
- Language :
- English
- ISSN :
- 10976647
- Volume :
- 11
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiovascular Magnetic Resonance
- Accession number :
- edsair.doi.dedup.....0a2066c2e452ed9ce4f4166f483b1b73