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Mild thickening of the caecal apex wall may also occur (caecal bar and the arrowhead sign) [7, 17].
The catheter was subsequently removed and the hole in the apex wall closed with a suture.
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The ligament complex was attached to the cervix inwardly, to the apex pelvic wall (the ilium) upwardly, and to the posterior pelvic wall by its attachment to the coccygeus dorsally.
Four-chamber LGE-T1WI reveals a diffuse and homogeneous enhancement of the RV myocardium (black arrows) involving the free wall, apex, and right side of the interventricular septum (arrowheads).
On the other hand, the CT-based method, which provides frozen images during one respiratory phase, can cause significant mismatches with PET data and, thus, cause artifacts, often in the apex and lateral wall regions [14].
In all CHF patients with LBBB the activation wavefront turned around the apex and inferior wall of the left ventricle.
A cardiac 99mTc-MIBI scan performed two weeks later showed diffuse hypokinesis and fixed perfusion defects in the apex and inferior wall.
The RV apex and free wall are easily accessible, either at the epicardium via a surgical implantation or at the endocardium by means of a transvenous approach.
During the last decade, MRI has become commonly used in the planning of prostate radiotherapy, and compared with planning CT provides improved soft tissue resolution, allowing more consistent delineation of the prostate apex, anterior rectal wall, 37 and penile bulb.
Both terms ' alternative-site RV pacing' and 'selective-site RV pacing' refer to pacing at sites other than the RV apex or free wall, though either located within or approached via the RV.
In addition to the traditional RV apex and free wall sites, several other sites within the RV became accessible by advances in pacemaker-lead technology and implant approaches and began to be clinically explored.
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