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Three-dimensional reconstruction of the coronary sinus with rotational angiography. 2008
Masayoshi Kofune, and
Ichiro Watanabe, and
Sonoko Ashino, and
Yasuo Okumura, and
Kazunori Kawauchi, and
Tatsuya Kofune, and
Kimie Ohkubo, and
Kenichi Hashimoto, and
Hidezou Sugimura, and
Toshiko Nakai, and
Atsushi Hirayama
Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
BACKGROUND High-speed rotational coronary venous (CV) angiography (RCVA) permits dynamic, multi-angle visualization of the CV anatomy. RESULTS RCVA uses a rapid isocentric rotation over a 108 degrees arc, right anterior oblique (RAO) 54 degrees to left anterior oblique (LAO) 54 degrees, in 4 s. Three-dimensional models of the venous tree were reconstructed, and the rotational images were analyzed using a full range of gantry angles, providing the operator with considerably more information about the CV anatomy than standard coronary sinus angiography images (SCVA). CONCLUSIONS The SCVA view, which optimally displayed the appropriate coronary sinus branch for left ventricular lead implantation, was often different from the conventional RAO and LAO views.
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