CT of Left Ventricular Assist Devices

被引:57
作者
Carr, Carrie M. [1 ]
Jacob, Jaisy [4 ]
Park, Soon J. [2 ]
Karon, Barry L. [3 ]
Williamson, Eric E. [1 ]
Araoz, Philip A. [1 ]
机构
[1] Mayo Clin, Dept Radiol, Rochester, MN 55905 USA
[2] Mayo Clin, Div Cardiovasc Surg, Dept Surg, Rochester, MN 55905 USA
[3] Mayo Clin, Div Cardiovasc Dis, Dept Med, Rochester, MN 55905 USA
[4] SUNY Hlth Sci Ctr, Grad Sch Med, Brooklyn, NY 11203 USA
关键词
HEART-FAILURE; PERICARDIAL TAMPONADE; AORTIC REGURGITATION; COMPUTED-TOMOGRAPHY; CIRCULATORY SUPPORT; CARDIOGENIC-SHOCK; DIAGNOSIS; THERAPY; FUSION; SYSTEM;
D O I
10.1148/rg.302095734
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Left ventricular assist devices (LVADs) have become an increasingly beneficial option for patients with heart failure, especially in light of the insufficient availability of donor hearts. LVADs have been used effectively in end-stage heart failure as a bridge to heart transplantation, as destination therapy for those ineligible for transplantation, or as a bridge to myocardial recovery. Presently, a wide variety of LVADs are being used therapeutically. Four different LVADs have been used at the authors' institution. The records of 42 patients who underwent implantation of 46 total LVADs during a 17-month period were reviewed; in 23 of these patients, computed tomography of the device was performed. Increased use of LVADs necessitates understanding of the normal positioning of a variety of these devices and recognition of potential complications, which include inflow and outflow cannula complications, postoperative hemorrhage, pericardial tamponade, thrombus formation, aortic valve stenosis, aortic valve insufficiency, right-sided heart failure, and infection. (C)RSNA, 2010.radiographics.rsna.org
引用
收藏
页码:429 / 444
页数:16
相关论文
共 48 条
[1]   Mitral regurgitation: Quantification with 16-detector row CT - Initial experience [J].
Alkadhi, H ;
Widermuth, S ;
Bettex, DA ;
Plass, A ;
Baumert, B ;
Leschka, S ;
Desbiolles, LM ;
Marincek, B ;
Boehm, T .
RADIOLOGY, 2006, 238 (02) :454-463
[2]   Aortic regurgitation: Assessment with 64-section CT [J].
Alkadhi, Hatern ;
Desbiolles, Lotus ;
Husmann, Lars ;
Plass, Andre ;
Leschka, Sebastian ;
Scheffei, Hans ;
Vachenauer, Robert ;
Schepis, Tiziano ;
Gaemperli, Oliver ;
Flohr, Thomas G. ;
Genoni, Michele ;
Marincek, Borut ;
Jenni, Rolt ;
Kaufmann, Philipp A. ;
Frauenfelder, Thomas .
RADIOLOGY, 2007, 245 (01) :111-121
[3]  
Banchs JE, 2006, J AM SOC ECHOCARDIOG, V19
[4]   Left ventricular assist device and drug therapy for the reversal of heart failure [J].
Birks, Emma J. ;
Tansley, Patrick D. ;
Hardy, James ;
George, Robert S. ;
Bowles, Christopher T. ;
Burke, Margaret ;
Banner, Nicholas R. ;
Khaghani, Asghar ;
Yacoub, Magdi H. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (18) :1873-1884
[5]  
Bolno Paul B., 2003, Cardiology Clinics, V21, P15, DOI 10.1016/S0733-8651(03)00002-X
[6]  
Catena E, 2007, Minerva Cardioangiol, V55, P247
[7]   Distribution and likelihood of lymph node metastasis based on the lobar location of nonsmall-cell lung cancer [J].
Cerfolio, Robert J. ;
Bryant, Ayesha S. .
ANNALS OF THORACIC SURGERY, 2006, 81 (06) :1969-1973
[8]   The use of an implantable left ventricular assist device in a patient with cardiogenic shock following acute myocardial infarction [J].
Chua, TP ;
Pepper, JR ;
Fox, KM .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1998, 66 (01) :55-58
[9]  
Clegg AJ, 2005, HEALTH TECHNOL ASSES, V9, P1
[10]   Acquired commissural fusion of aortic valves in patients with left ventricular assist devices [J].
Connelly, JH ;
Abrams, J ;
Klima, T ;
Vaughn, WK ;
Frazier, OH .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2003, 22 (12) :1291-1295