Detection of left atrial thrombus during routine diagnostic work-up prior to pulmonary vein isolation for atrial fibrillation: Role of transesophageal echocardiography and multidetector computed tomography

International Journal of Cardiology

Volumn 163, Issue 1, 2013, Pages 26-33

  Dorenkamp, Marc ^a,b   Sohns, Christian ^a   Vollmann, Dirk ^a   Lüthje, Lars ^a   Seegers, Joachim ^a   Wachter, Rolf ^a   Puls, Miriam ^a   Staab, Wieland ^a   Lotz, Joachim ^a   Zabel, Markus ^a  

^a UNIVERSITY OF GÖTTINGEN   (Germany)

^b CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

Author keywords

Atrial fibrillation; Left atrial thrombus; Multidetector computed tomography; Pulmonary vein isolation; Transesophageal echocardiography

Indexed keywords

IOMEPROL; PHENPROCOUMON; ANTICOAGULANT AGENT;

ADULT; ANTICOAGULANT THERAPY; ARTICLE; CHA2DS2 VASC SCORE; CHADS2 SCORE; CONTRAST ENHANCEMENT; CONTROLLED STUDY; DIABETES MELLITUS; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FEMALE; HEART ATRIUM APPENDAGE; HEART ATRIUM FIBRILLATION; HEART ATRIUM THROMBOSIS; HEART LEFT ATRIUM; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; PREDICTIVE VALUE; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; AGED; ANTICOAGULATION; CEREBROVASCULAR ACCIDENT; COMPUTED TOMOGRAPHY SCANNER; DIAGNOSTIC PROCEDURE; DISEASE ASSOCIATION; DRUG EFFICACY; GOLD STANDARD; HEART LEFT VENTRICLE EJECTION FRACTION; HIGH RISK PATIENT; IMAGE ANALYSIS; LUNG ARTERY PRESSURE; MULTIVARIATE ANALYSIS; RISK ASSESSMENT; RISK FACTOR; SYSTOLIC BLOOD PRESSURE; THROMBUS; ULTRASOUND SCANNER;

AGED; ATRIAL FIBRILLATION; DIAGNOSTIC TESTS, ROUTINE; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HEART ATRIA; HEART DISEASES; HUMANS; MALE; MIDDLE AGED; MULTIDETECTOR COMPUTED TOMOGRAPHY; PROSPECTIVE STUDIES; PULMONARY VEINS; REGISTRIES; THROMBOSIS;

EID: 84873096393     PISSN: 01675273     EISSN: 18741754     Source Type: Journal    
DOI: 10.1016/j.ijcard.2011.06.124     Document Type: Article

References (43)

1. V. Fuster, L.E. Ryden, and D.S. Cannom ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society Circulation 114 2006 e257 e354
2. E.J. Benjamin, P.A. Wolf, R.B. D'Agostino, H. Silbershatz, W.B. Kannel, and D. Levy Impact of atrial fibrillation on the risk of death: the Framingham Heart Study Circulation 98 1998 946 952
3. H. Calkins, J. Brugada, and D.L. Packer HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation Heart Rhythm 4 2007 816 861
4. H. Niinuma, R.T. George, A. Arbab-Zadeh, J.A. Lima, and C.A. Henrikson Imaging of pulmonary veins during catheter ablation for atrial fibrillation: the role of multi-slice computed tomography Europace 10 Suppl. 3:iii 2008 14 21
5. C. Sohns, S. Sossalla, and D. Vollmann Extra cardiac findings by 64-multidetector computed tomography in patients with symptomatic atrial fibrillation prior to pulmonal vein isolation Int J Cardiovasc Imaging 27 2011 127 134
6. J. Dong, T. Dickfeld, and D. Dalal Initial experience in the use of integrated electroanatomic mapping with three-dimensional MR/CT images to guide catheter ablation of atrial fibrillation J Cardiovasc Electrophysiol 17 2006 459 466
7. D. Fatkin, G. Scalia, and N. Jacobs Accuracy of biplane transesophageal echocardiography in detecting left atrial thrombus Am J Cardiol 77 1996 321 323
8. W.J. Manning, R.M. Weintraub, and C.A. Waksmonski Accuracy of transesophageal echocardiography for identifying left atrial thrombi. A prospective, intraoperative study Ann Intern Med 123 1995 817 822
9. W.A. Jaber, R.D. White, and S.A. Kuzmiak Comparison of ability to identify left atrial thrombus by three-dimensional tomography versus transesophageal echocardiography in patients with atrial fibrillation Am J Cardiol 93 2004 486 489
10. Y.Y. Kim, A.L. Klein, and S.S. Halliburton Left atrial appendage filling defects identified by multidetector computed tomography in patients undergoing radiofrequency pulmonary vein antral isolation: a comparison with transesophageal echocardiography Am Heart J 154 2007 1199 1205
11. A. Patel, E. Au, and K. Donegan Multidetector row computed tomography for identification of left atrial appendage filling defects in patients undergoing pulmonary vein isolation for treatment of atrial fibrillation: comparison with transesophageal echocardiography Heart Rhythm 5 2008 253 260
12. I. Gottlieb, A. Pinheiro, and J.A. Brinker Diagnostic accuracy of arterial phase 64-slice multidetector CT angiography for left atrial appendage thrombus in patients undergoing atrial fibrillation ablation J Cardiovasc Electrophysiol 19 2008 247 251
13. R.B. Tang, J.Z. Dong, and Z.Q. Zhang Comparison of contrast enhanced 64-slice computed tomography and transesophageal echocardiography in detection of left atrial thrombus in patients with atrial fibrillation J Interv Card Electrophysiol 22 2008 199 203
14. M. Martinez, J. Kirsch, and E.E. Williamson Utility of nongated multidetector computed tomography for detection of left atrial thrombus in patients undergoing catheter ablation of atrial fibrillation J Am Coll Cardiol Img 2 2009 69 76
15. Atrial Fibrillation Investigators Risk factors for stroke and efficacy of antithrombotic therapy in atrial fibrillation. Analysis of pooled data from five randomized controlled trials Arch Intern Med 154 1994 1449 1457
16. D. Scherr, D. Dalal, and K. Chilukuri Incidence and predictors of left atrial thrombus prior to catheter ablation of atrial fibrillation J Cardiovasc Electrophysiol 20 2009 379 384
17. M.N. Khan, A. Usmani, and S. Noor Low incidence of left atrial or left atrial appendage thrombus in patients with paroxysmal atrial fibrillation and normal EF who present for pulmonary vein antrum isolation procedure J Cardiovasc Electrophysiol 19 2008 356 358
18. J.W. McCready, L. Nunn, and P.D. Lambiase Incidence of left atrial thrombus prior to atrial fibrillation ablation: is pre-procedural transoesophageal echocardiography mandatory? Europace 12 2010 927 932
19. R. Cappato, H. Calkins, and S.A. Chen Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation Circulation 111 2005 1100 1105
20. 2 risk score to guide antithrombotic treatment in patients with atrial fibrillation - room for improvement Swiss Med Wkly 140 2010 73 77
21. B.F. Gage, C. van Walraven, and L. Pearce Selecting patients with atrial fibrillation for anticoagulation: stroke risk stratification in patients taking aspirin Circulation 110 2004 2287 2292
22. B.F. Gage, A.D. Waterman, W. Shannon, M. Boechler, M.W. Rich, and M.J. Radford Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation JAMA 285 2001 2864 2870
23. G.Y. Lip, R. Nieuwlaat, R. Pisters, D.A. Lane, and H.J. Crijns Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation Chest 137 2010 263 272
24. European Heart Rhythm Association European Association for Cardio-Thoracic Surgery A.J. Camm, P. Kirchhof, and G.Y. Lip Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC) Eur Heart J 31 2010 2369 2429
25. B.J. Maron, I. Olivotto, and P. Bellone Clinical profile of stroke in 900 patients with hypertrophic cardiomyopathy J Am Coll Cardiol 39 2002 301 307
26. A.S. Go, M.C. Fang, and N. Udaltsova Impact of proteinuria and glomerular filtration rate on risk of thromboembolism in atrial fibrillation: the Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study Circulation 119 2009 1363 1369
27. R.M. Lang, M. Bierig, and R.B. Devereux Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology J Am Soc Echocardiogr 18 2005 1440 1463
28. J.S. Shanewise, A.T. Cheung, and S. Aronson ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography J Am Soc Echocardiogr 12 1999 884 900
29. A. Natale, A. Raviele, and T. Arentz Venice Chart international consensus document on atrial fibrillation ablation J Cardiovasc Electrophysiol 18 2007 560 580
30. Y. Agmon, B.K. Khandheria, and F. Gentile Echocardiographic assessment of the left atrial appendage J Am Coll Cardiol 34 1999 1867 1877
31. M.N. Khan, A. Usmani, and S. Noor Low incidence of left atrial or left atrial appendage thrombus in patients with paroxysmal atrial fibrillation and normal EF who present for pulmonary vein antrum isolation procedure J Cardiovasc Electrophysiol 19 2008 356 358
32. S.K. Thambidorai, R.D. Murray, and K. Parakh Utility of transesophageal echocardiography in identification of thrombogenic milieu in patients with atrial fibrillation (an ACUTE ancillary study) Am J Cardiol 96 2005 935 941
33. N.K. Singh, N. Nallamothu, V.P. Zuck, and Z.F. Issa Left atrial appendage filling defects on 64-slice multidetector computed tomography in patients undergoing pulmonary vein isolation: predictors and comparison to transesophageal echocardiography J Comput Assist Tomogr 33 2009 946 951
34. J. Hur, Y.J. Kim, and H.J. Lee Left atrial appendage thrombi in stroke patients: detection with two-phase cardiac CT angiography versus transesophageal echocardiography Radiology 251 2009 683 690
35. R. Kato, L. Lickfett, and G. Meininger Pulmonary vein anatomy in patients undergoing catheter ablation of atrial fibrillation: lessons learned by use of magnetic resonance imaging Circulation 107 2003 2004 2010
36. F.H. Wittkampf, E.J. Vonken, and R. Derksen Pulmonary vein ostium geometry: analysis by magnetic resonance angiography Circulation 107 2003 21 23
37. O.K. Mohrs, B. Nowak, and S.E. Petersen Thrombus detection in the left atrial appendage using contrast-enhanced MRI: a pilot study AJR Am J Roentgenol 186 2006 198 205
38. E. Barrett-Connor, and K.T. Khaw Diabetes mellitus: an independent risk factor for stroke Am J Epidemiol 128 1988 116 123
39. V.R. Vaidyula, A.K. Rao, M. Mozzoli, C. Homko, P. Cheung, and G. Boden Effects of hyperglycemia and hyperinsulinemia on circulating tissue factor procoagulant activity and platelet CD40 ligand Diabetes 55 2006 202 208
40. K. Ellis, K.M. Ziada, and D. Vivekananthan Transthoracic echocardiographic predictors of left atrial appendage thrombus Am J Cardiol 97 2007 421 425
41. M. Sharifi, A. Parhizgar, P. Gupta, M. Mehdipour, F. Emrani, and D. Baldwin Is transesophageal echocardiography necessary before DC. Cardioversion in patients with a normal transthoracic echocardiogram? Echocardiography 24 2007 397 400
42. 2 score in the evaluation of thromboembolic risk in patients with atrial fibrillation undergoing transesophageal echocardiography before pulmonary vein isolation J Am Coll Cardiol 54 2009 2032 2039
43. S. Habara, K. Dote, and M. Kato Prediction of left atrial appendage thrombi in non-valvular atrial fibrillation Eur Heart J 28 2007 2217 2222