Three-dimensional reconstruction of the coronary sinus with rotational angiography.
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.
Kofune
Masayoshi
M
Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Watanabe
Ichiro
I
Ashino
Sonoko
S
Okumura
Yasuo
Y
Kawauchi
Kazunori
K
Kofune
Tatsuya
T
Ohkubo
Kimie
K
Hashimoto
Kenichi
K
Sugimura
Hidezou
H
Nakai
Toshiko
T
Hirayama
Atsushi
A
D000368:Aged; D015901:Angiography, Digital Subtraction; D054537:Atrioventricular Block / Q000000981:diagnostic imaging / Q000628:therapy; D017115:Catheter Ablation; D017023:Coronary Angiography / Q000379:methods*; D054326:Coronary Sinus / Q000000981:diagnostic imaging*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D010138:Pacemaker, Artificial; D012399:Rotation; D013617:Tachycardia, Supraventricular / Q000000981:diagnostic imaging* / Q000601:surgery; D014927:Wolff-Parkinson-White Syndrome / Q000000981:diagnostic imaging / Q000601:surgery