Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiography
BackgroundThis study examines the anatomical characteristics of the mitral isthmus (MI) and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation, using cardiovascular computed tomographic angiography (CTA). Understanding this relationship is crucial to mini...
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| Language: | English |
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1461744/full |
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| author | Yilin Pan Yilin Pan Hong Zeng Xin Liu Xiaohang Fu Liyuan Pan Yanjing Wang |
| author_facet | Yilin Pan Yilin Pan Hong Zeng Xin Liu Xiaohang Fu Liyuan Pan Yanjing Wang |
| author_sort | Yilin Pan |
| collection | DOAJ |
| description | BackgroundThis study examines the anatomical characteristics of the mitral isthmus (MI) and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation, using cardiovascular computed tomographic angiography (CTA). Understanding this relationship is crucial to minimize the risk of esophageal injuries during ablation procedures.MethodsThe investigation included 300 participants, divided into 200 subjects in the experimental group undergoing atrial fibrillation ablation and 100 in the control group. Detailed CTA scans were used to assess the MI's structure and proximity to the esophagus, employing various measurements like the MI's endocardial length, depth, and its relation to adjacent esophageal anatomy.ResultsThe study revealed significant differences in the MI's length and distance measurements between the experimental and control groups, with the former showing greater dimensions, potentially influencing ablation strategies. A substantial proportion of patients exhibited close proximity or direct contact between the MI and the esophagus, emphasizing the importance of pre-procedural imaging in identifying risks for esophageal damage.ConclusionsPre-procedural cardiovascular CTA provides essential insights into the MI's anatomical details and its relation to the esophagus, aiding in the customization of ablation strategies to enhance procedural safety and efficacy. The findings highlight the significance of tailored imaging assessments to mitigate esophageal injury risks in atrial fibrillation ablation. |
| format | Article |
| id | doaj-art-4f5516b00b344fa7b396e8d7f8aac654 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-4f5516b00b344fa7b396e8d7f8aac6542025-02-10T06:48:58ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-02-011210.3389/fcvm.2025.14617441461744Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiographyYilin Pan0Yilin Pan1Hong Zeng2Xin Liu3Xiaohang Fu4Liyuan Pan5Yanjing Wang6Department of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaDepartment of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Radiology, China-Japan Union Hospital of Jilin University, Changchun, ChinaBackgroundThis study examines the anatomical characteristics of the mitral isthmus (MI) and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation, using cardiovascular computed tomographic angiography (CTA). Understanding this relationship is crucial to minimize the risk of esophageal injuries during ablation procedures.MethodsThe investigation included 300 participants, divided into 200 subjects in the experimental group undergoing atrial fibrillation ablation and 100 in the control group. Detailed CTA scans were used to assess the MI's structure and proximity to the esophagus, employing various measurements like the MI's endocardial length, depth, and its relation to adjacent esophageal anatomy.ResultsThe study revealed significant differences in the MI's length and distance measurements between the experimental and control groups, with the former showing greater dimensions, potentially influencing ablation strategies. A substantial proportion of patients exhibited close proximity or direct contact between the MI and the esophagus, emphasizing the importance of pre-procedural imaging in identifying risks for esophageal damage.ConclusionsPre-procedural cardiovascular CTA provides essential insights into the MI's anatomical details and its relation to the esophagus, aiding in the customization of ablation strategies to enhance procedural safety and efficacy. The findings highlight the significance of tailored imaging assessments to mitigate esophageal injury risks in atrial fibrillation ablation.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1461744/fullatrial fibrillationablationmitral isthmusesophageal injuryCT angiography |
| spellingShingle | Yilin Pan Yilin Pan Hong Zeng Xin Liu Xiaohang Fu Liyuan Pan Yanjing Wang Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiography Frontiers in Cardiovascular Medicine atrial fibrillation ablation mitral isthmus esophageal injury CT angiography |
| title | Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiography |
| title_full | Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiography |
| title_fullStr | Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiography |
| title_full_unstemmed | Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiography |
| title_short | Anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using CT angiography |
| title_sort | anatomical characteristics of mitral isthmus and its spatial relationship with the esophagus in patients undergoing atrial fibrillation ablation using ct angiography |
| topic | atrial fibrillation ablation mitral isthmus esophageal injury CT angiography |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1461744/full |
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