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Fluoroscopic Anatomy of Right-Sided Heart Structures for Transcatheter Interventions
Authors:Michele Pighi  Pascal Thériault-Lauzier  Hind Alosaimi  Marco Spaziano  Giuseppe Martucci  Tian-Yuan Xiong  Jean Buithieu  Luiz Fernando Ybarra  Jonathan Afilalo  Jonathon Leipsic  Ozge Ozden Tok  Negareh Mousavi  Andrea Mangiameli  Thomas Pilgrim  Fabien Praz  Stephan Windecker  Nicolo Piazza
Affiliation:1. Department of Medicine, Division of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada;2. Department of Cardiology, West China Hospital, Sichuan University, China;3. Division of Cardiology and Centre for Clinical Epidemiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada;4. Department of Medicine and Radiology, University of British Columbia, Vancouver, British Columbia, Canada;5. Department of Cardiology, Memorial Hospital, Istanbul, Turkey;6. Interventional Cardiology Department, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France;7. Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland
Abstract:Performing transcatheter tricuspid valve interventions requires a thorough knowledge of right-heart imaging. Integration of chamber views across the spectrum of imaging modalities (i.e., multislice computed tomography, fluoroscopy, and echocardiography) can facilitate transcatheter interventions on the right heart. Optimal fluoroscopic viewing angles for guiding interventional procedures can be obtained using pre-procedural multislice computed tomography scans. The present paper describes fluoroscopic viewing angles necessary to appreciate right-heart chamber anatomy and their relationship to echocardiography using multislice computed tomography.
Keywords:fluoroscopic anatomy  multislice computed tomography  optimal projection curve  right heart  CAU  caudal  CRA  cranial  CS  coronary sinus  IVC  inferior vena cava  LAO  left anterior oblique  MSCT  multislice computed tomography  PA  pulmonary artery  RAO  right anterior oblique  RVOT  right ventricular outflow tract  SVC  superior vena cava  TEE  transesophageal echocardiography  TV  tricuspid valve
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