2012
DOI: 10.1007/s00330-011-2375-0
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Quantitative analysis of left ventricular dyssynchrony using cardiac computed tomography versus three-dimensional echocardiography

Abstract: • Quantitative assessment of left ventricular dyssynchrony is feasible by cardiac computed tomography (CCT). • This technique has been compared with real-time three-dimensional echocardiography (RT3DE). • Reproducibility is significantly higher for CCT compared with RT3DE. • Time spent for analysis is significantly shorter for CCT. • Computed tomography may represent a valuable alternative to ultrasound for dyssynchrony assessment.

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Cited by 9 publications
(4 citation statements)
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“…Most papers have had a huge influence on the creation of clinical guidelines-in the 2010 version of the appropriate use criteria for cardiac CT, noninvasive coronary vein mapping prior to the placement of a biventricular pacemaker received an A (8), which means that it is highly recommended [63] . When the imaging technology was evaluated and the images started to have an acceptable quality and became more common, creating clinicalpractical guidelines was only a matter of time.…”
Section: Place On International Guidelinesmentioning
confidence: 99%
See 1 more Smart Citation
“…Most papers have had a huge influence on the creation of clinical guidelines-in the 2010 version of the appropriate use criteria for cardiac CT, noninvasive coronary vein mapping prior to the placement of a biventricular pacemaker received an A (8), which means that it is highly recommended [63] . When the imaging technology was evaluated and the images started to have an acceptable quality and became more common, creating clinicalpractical guidelines was only a matter of time.…”
Section: Place On International Guidelinesmentioning
confidence: 99%
“…In this method, an additional left ventricle (LV) lead is placed in the target coronary vein on the surface of the left ventricle. Proper implantation provides the possibility of pacing the left ventricle together with the classic pacing of the right ventricle and usually the right atrium The most important challenge of left ventricle lead implantation is the precise placement in the area where the electrical parameters are assumed to be optimal [8][9][10] . The lead is implanted via the right atrium by the cannulation of the coronary sinus (CS) ostium to the coronary sinus and the great cardiac vein to the lateral or posterolateral veins (typically), which are called the target veins [11,12] .…”
Section: Introductionmentioning
confidence: 99%
“…Cardiac CT allows 3-dimensional acquisition of cardiac function without the limitation of the need for adequate acoustic windows with echocardiography, and hence potentially improves reproducibility for assessment of mechanical dyssynchrony. CT-based dyssynchrony index using time to maximal wall thickness [63] and time to minimum LV volume [64] was highly reproducible was compared to echocardiographic assessment of dyssynchrony. While promising as a single imaging modality for CRT with visualization of the coronary veins, dyssynchrony assessment, and myocardial scar [65], prospective studies are needed to validate the utility of CT derived dyssynchrony index with clinical CRT response.…”
Section: Beyond Lvef Assessment For Crt In Hfmentioning
confidence: 99%
“…Echocardiography is the conventional method for the evaluation of LV mechanical dyssynchrony. However, CTA is also able to provide an assessment of mechanical dyssynchrony and was shown to be accurate in a comparison with echocardiography (41). CTA has been proven to be helpful in guiding CRT therapy on this basis (42).…”
Section: Crtmentioning
confidence: 99%