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First‐pass radionuclide angiocardiography in the determination of left‐to‐right cardiac shunt site in children

Title: First‐pass radionuclide angiocardiography in the determination of left‐to‐right cardiac shunt site in children
Authors: Tian, Jia‐He; Murray, I. Provan C.; Walker, Brenda; Hoschl, Radmil; Choy, Daniel; Freeman, Anthony
Source: Catheterization and Cardiovascular Diagnosis ; volume 8, issue 5, page 459-467 ; ISSN 0098-6569 1097-0304
Publisher Information: Wiley
Publication Year: 1982
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: To ascertain if the level of a left‐to‐right cardiac shunt can be reliably established by first‐pass radionuclide angiocardiography with 99m Tc‐pertechnetate, 102 children have been studied; 19 without a shunt, 26 with an atrial septal defect (ASD), 45 with a ventricular septal defect (VSD), and 12 with a patent ductus arteriosus (PDA). Time‐activity curves were generated over the right atrium and ventricle, and several quantitative parameters were derived from the curves. It was concluded that in the absence of right‐sided valvular incompetence, the time‐activity curves show the greatest abnormality in the cardiac chambers distal to the left‐to‐right shunt. The right ventricular curve is typically altered in ASD but cannot be relied upon to differentiate VSD or PDA. The identification of ASD is assisted by the use of two of the parameters, the count ratio C4:C1 and time ratio T2:T1.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/ccd.1810080505
Availability: http://dx.doi.org/10.1002/ccd.1810080505; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fccd.1810080505; https://onlinelibrary.wiley.com/doi/pdf/10.1002/ccd.1810080505
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
Accession Number: edsbas.BA92E15F
Database: BASE