Skip to main content

Table 1 Protocol example for imaging of LAA occlusion devices using a 3rd generation dual source CT system

From: - LAA Occluder View for post-implantation Evaluation (LOVE) - standardized imaging proposal evaluating implanted left atrial appendage occlusion devices by cardiac computed tomography

 

Heart rate <70 bpm

Heart rate 71–85 bpm

Heart rate >85

Arrhythmia

cCTA technique

High pitch single heart beat acquisition

Prospective ECG gating (step-and-shot)

Retrospective ECG gating

Retrospective ECG gating

Tube voltage

BMI <28: 70 kVp

BMI <28: 70 kVp

BMI <28: 70 kVp

BMI <28: 70 kVp

BMI 28.1–30: 80 kVp

BMI 28.1–30: 80 kVp

BMI 28.1–30: 80 kVp

BMI 28.1–30: 80 kVp

BMI 30.1–33: 90 kVp

BMI 30.1–33: 90 kVp

BMI 30.1–33: 90 kVp

BMI 30.1–33: 90 kVp

BMI >33: 100–120 kVp

BMI >33: 100–120 kVp

BMI >33: 100–120 kVp

BMI >33: 100–120 kVp

Tube current-time product

Automated tube current modulation (Care Dose 4D, Siemens)

Automated tube current modulation (Care Dose 4D, Siemens)

Automated tube current modulation (Care Dose 4D, Siemens)

Automated tube current modulation (Care Dose 4D, Siemens)

Slice thickness

0.6 mm

0.6 mm

0.6 mm

0.6 mm

Reconstruction increment

0.4

0.4

0.4

0.4

Reconstruction kernel

Bv40 (vascular kernel) (Siemens)

Bv40 (vascular kernel) (Siemens)

Bv40 (vascular kernel) (Siemens)

Bv40 (vascular kernel) (Siemens)

Reconstruction phase

70 % RR

40–70 % RR

20–70 % RR

10–90 % RR

Reconstruction technique

Iterative reconstruction level III (ADMIRE, Siemens)

Iterative reconstruction level III (ADMIRE, Siemens)

Iterative reconstruction level III (ADMIRE, Siemens)

Iterative reconstruction level III (ADMIRE, Siemens)

Contrast medium

80 cc iomeprol 400 (Bracco)a

80 cc iomeprol 400 (Bracco)a

80 cc iomeprol 400 (Bracco)a

80 cc iomeprol 400 (Bracco)a

  1. Note: bpm: beats per minute; kVp: kilovoltage peak; ECG: electrocardiograma contrast material is not reduced as it is possible for a standard coronary CT angiography in order to reduce blood stasis artifacts within the left atrial appendage; the scan start is determined using bolus tracking within the descending aorta using a threshold of 120 HU and an additional delay of 7 s in order to have a slightly delayed scan start when compared to standard