Image in cardiology
Usefulness of cardiac computed tomography in planning and evaluating alcohol septal ablation
Utilidade da tomografia computorizada cardíaca no planeamento e avaliação do resultado da ablação septal por álcool
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It can also evaluate the success of the procedure, by assessing the obstruction decreasing and the extent of fibrotic tissue (without additional contrast if performed immediately following ASA), at low dose radiation exposure.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The authors present images illustrating the value of CT, comparing it with the other imaging modalities normally used in this context.</p><p id="par0015" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a> compares images of left ventricular outflow tract (LVOT) obstruction by echocardiography (A) and CT (B), the latter also identifying a septal artery (arrow).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a> shows the anatomy of the septal arteries by invasive coronary angiography (A) and CT (B–D), showing the relationship between the septal arteries (arrow) and the ventricular chamber (C) and the hypertrophied myocardium (B and D).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Images of the LVOT (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>) by echocardiography (A) and CT (B) following ASA confirm the success of the procedure.</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a> compares late enhancement images by magnetic resonance imaging (A) and CT (B) following ASA, showing areas of myocardial fibrosis (arrows) and microvascular lesion induced by alcohol ablation (triangle).</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Cardiac CT is a non-invasive technique that can be used to plan ASA, assess the outcome and predict its long-term success.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Protection of human and animal subjects</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidentiality of data</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data and that all the patients included in the study received sufficient information and gave their written informed consent to participate in the study.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Right to privacy and informed consent</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflicts of interest</span><p id="par0055" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-06-26" "fechaAceptado" => "2012-07-12" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Faustino, A; Utilidade da tomografia computorizada cardíaca no planeamento e avaliação do resultado da ablação septal por álcool. Rev Port Cardiol 2013. <span class="elsevierStyleInterRef" href="http://dx.doi.org/10.1016/j.repc.2012.07.009">http://dx.doi.org/10.1016/j.repc.2012.07.009</span></p>" ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1040 "Ancho" => 2168 "Tamanyo" => 179768 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A): Two-dimensional transthoracic echocardiogram in parasternal long-axis view in diastole; (B): the same view by multiplanar reconstruction (MPR) cardiac CT, 12 mm thickness, in diastole.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2550 "Ancho" => 2502 "Tamanyo" => 551859 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A): Invasive coronary angiography in right anterior oblique view; (B): maximum intensity projection (MIP) CT coronary angiography, 12 mm thickness; (C) and (D): CT coronary angiography, three-dimensional reconstruction.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1058 "Ancho" => 2167 "Tamanyo" => 196229 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">(A): Two-dimensional transthoracic echocardiogram in parasternal long-axis view in systole; (B): cardiac CT (MPR), 12 mm thickness, 3-chamber view, in systole (25% of the cardiac cycle).</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 997 "Ancho" => 2168 "Tamanyo" => 241724 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">(A): Cardiac magnetic resonance (phase-sensitive inversion recovery), late enhancement study in short-axis view; (B): cardiac CT (MPR), 12 mm thickness, in the same view.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is multidetector computed tomography a suitable alternative to MR imaging for the assessment of myocardial necrosis after alcohol septal ablation" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J.F. 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Soeda" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jcct.2009.10.004" "Revista" => array:6 [ "tituloSerie" => "J Cardiovasc Comput Tomogr" "fecha" => "2010" "volumen" => "4" "paginaInicial" => "62" "paginaFinal" => "65" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19914881" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003200000002/v1_201305171228/S2174204913000287/v1_201305171228/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003200000002/v1_201305171228/S2174204913000287/v1_201305171228/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913000287?idApp=UINPBA00004E" ]
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| 2022 November | 22 | 18 | 40 |
| 2022 October | 19 | 24 | 43 |
| 2022 September | 23 | 17 | 40 |
| 2022 August | 23 | 26 | 49 |
| 2022 July | 20 | 22 | 42 |
| 2022 June | 14 | 11 | 25 |
| 2022 May | 18 | 31 | 49 |
| 2022 April | 25 | 20 | 45 |
| 2022 March | 27 | 22 | 49 |
| 2022 February | 17 | 14 | 31 |
| 2022 January | 31 | 16 | 47 |
| 2021 December | 17 | 23 | 40 |
| 2021 November | 38 | 29 | 67 |
| 2021 October | 28 | 36 | 64 |
| 2021 September | 23 | 26 | 49 |
| 2021 August | 30 | 25 | 55 |
| 2021 July | 15 | 25 | 40 |
| 2021 June | 13 | 10 | 23 |
| 2021 May | 32 | 31 | 63 |
| 2021 April | 19 | 30 | 49 |
| 2021 March | 47 | 9 | 56 |
| 2021 February | 60 | 8 | 68 |
| 2021 January | 22 | 7 | 29 |
| 2020 December | 35 | 2 | 37 |
| 2020 November | 22 | 6 | 28 |
| 2020 October | 19 | 4 | 23 |
| 2020 September | 63 | 8 | 71 |
| 2020 August | 13 | 7 | 20 |
| 2020 July | 42 | 16 | 58 |
| 2020 June | 34 | 2 | 36 |
| 2020 May | 18 | 2 | 20 |
| 2020 April | 37 | 7 | 44 |
| 2020 March | 38 | 4 | 42 |
| 2020 February | 78 | 35 | 113 |
| 2020 January | 32 | 5 | 37 |
| 2019 December | 26 | 3 | 29 |
| 2019 November | 21 | 6 | 27 |
| 2019 October | 44 | 3 | 47 |
| 2019 September | 14 | 11 | 25 |
| 2019 August | 20 | 7 | 27 |
| 2019 July | 40 | 11 | 51 |
| 2019 June | 21 | 3 | 24 |
| 2019 May | 27 | 7 | 34 |
| 2019 April | 21 | 11 | 32 |
| 2019 March | 33 | 8 | 41 |
| 2019 February | 60 | 10 | 70 |
| 2019 January | 70 | 5 | 75 |
| 2018 December | 95 | 6 | 101 |
| 2018 November | 120 | 4 | 124 |
| 2018 October | 218 | 19 | 237 |
| 2018 September | 77 | 13 | 90 |
| 2018 August | 32 | 4 | 36 |
| 2018 July | 20 | 4 | 24 |
| 2018 June | 50 | 4 | 54 |
| 2018 May | 47 | 10 | 57 |
| 2018 April | 76 | 7 | 83 |
| 2018 March | 71 | 8 | 79 |
| 2018 February | 46 | 2 | 48 |
| 2018 January | 69 | 11 | 80 |
| 2017 December | 87 | 11 | 98 |
| 2017 November | 61 | 11 | 72 |
| 2017 October | 32 | 12 | 44 |
| 2017 September | 45 | 16 | 61 |
| 2017 August | 39 | 8 | 47 |
| 2017 July | 28 | 9 | 37 |
| 2017 June | 50 | 10 | 60 |
| 2017 May | 48 | 10 | 58 |
| 2017 April | 43 | 3 | 46 |
| 2017 March | 52 | 6 | 58 |
| 2017 February | 48 | 3 | 51 |
| 2017 January | 44 | 2 | 46 |
| 2016 December | 56 | 14 | 70 |
| 2016 November | 39 | 8 | 47 |
| 2016 October | 48 | 16 | 64 |
| 2016 September | 42 | 9 | 51 |
| 2016 August | 15 | 1 | 16 |
| 2016 July | 12 | 1 | 13 |
| 2016 June | 13 | 4 | 17 |
| 2016 May | 11 | 7 | 18 |
| 2016 April | 20 | 2 | 22 |
| 2016 March | 40 | 11 | 51 |
| 2016 February | 62 | 27 | 89 |
| 2016 January | 52 | 19 | 71 |
| 2015 December | 49 | 9 | 58 |
| 2015 November | 45 | 15 | 60 |
| 2015 October | 53 | 15 | 68 |
| 2015 September | 40 | 11 | 51 |
| 2015 August | 43 | 10 | 53 |
| 2015 July | 38 | 13 | 51 |
| 2015 June | 31 | 4 | 35 |
| 2015 May | 46 | 5 | 51 |
| 2015 April | 44 | 15 | 59 |
| 2015 March | 36 | 6 | 42 |
| 2015 February | 41 | 6 | 47 |
| 2015 January | 52 | 10 | 62 |
| 2014 December | 36 | 9 | 45 |
| 2014 November | 32 | 8 | 40 |
| 2014 October | 35 | 13 | 48 |
| 2014 September | 48 | 15 | 63 |
| 2014 August | 46 | 6 | 52 |
| 2014 July | 64 | 13 | 77 |
| 2014 June | 54 | 4 | 58 |
| 2014 May | 46 | 12 | 58 |
| 2014 April | 34 | 7 | 41 |
| 2014 March | 34 | 21 | 55 |
| 2014 February | 51 | 12 | 63 |
| 2014 January | 51 | 15 | 66 |
| 2013 December | 56 | 14 | 70 |
| 2013 November | 56 | 12 | 68 |
| 2013 October | 40 | 14 | 54 |
| 2013 September | 55 | 11 | 66 |
| 2013 August | 66 | 34 | 100 |
| 2013 July | 59 | 19 | 78 |
| 2013 June | 49 | 9 | 58 |
| 2013 May | 59 | 18 | 77 |
| 2013 April | 101 | 29 | 130 |
| 2013 March | 72 | 32 | 104 |
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