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DOI:10.2214/AJR.04.1382
AJR 2005; 185:1001-1006
© American Roentgen Ray Society

Clinical Observations

Noninvasive Evaluation of Cardiac Veins with 16-MDCT Angiography

Suhny Abbara1, Ricardo C. Cury1, Koen Nieman1, Vivek Reddy2, Fabian Moselewski1, Steven Schmidt1, Maros Ferencik1, Udo Hoffmann1, Thomas J. Brady1 and Stephan Achenbach1,3

1 Department of Radiology, Massachusetts General Hospital and Harvard Medical School, CIMIT, 100 Charles River Plaza, Ste. 400, Boston, MA 02114.
2 Department of Cardiology, Massachusetts General Hospital, Boston, MA 02114.
3 Present address: Department of Internal Medicine II (Cardiology), University of Erlangen-Nuremberg, Erlangen 91054, Germany.

OBJECTIVE. Anatomic mapping of the cardiac veins is important to guide transvenous therapeutic procedures such as biventricular pacing. As an alternative to invasive venography, we studied the feasibility of MDCT of the cardiac venous anatomy.

CONCLUSION. Cardiac venous anatomy is variable. MDCT is a noninvasive method that allows detailed imaging of the cardiac venous anatomy, including small cardiac veins and thebesian valves. Therefore, cardiac MDCT may be a valuable tool for guiding procedures that involve the cardiac venous system.


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