3‐D guidance of complex pulmonary artery stent placement using reconstructed rotational angiography with live overlay

Fagan, Thomas E.; Kay, Joseph; Carroll, John D.; Neubauer, Anne M.

doi:10.1002/ccd.23229

Cited by 41 publications

(23 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Repeated RVOT angiograms are used to help with this fine positioning. Some of these angiograms can be avoided when using 3DRA guidance and on screen 3D roadmap [11]. Haemodynamic monitoring is crucial during the deployment because this is a covered stent and when the valve is half deployed the blood flow through the RVOT can be compromised resulting in hypotension or bradycardia.…”

Section: Discussionmentioning

confidence: 99%

Early experience with the Venus p‑valve for percutaneous pulmonary valve implantation in native outflow tract

Garay

et al. 2016

Neth Heart J

View full text Add to dashboard Cite

IntroductionThe Venus p‑valve (MedTech, Shanghai, China) is a self-expanding percutaneous heart valve designed to be implanted in a native patched right ventricle outflow tract. The worldwide clinical experience with this valve is just beginning and the results have so far been encouraging. We present our initial early experience implanting the Venus p‑valve in the native right ventricle outflow tract of patients with Tetralogy of Fallot repaired with a transannular patch.MethodsIn 10 selected patients a procedure for percutaneous pulmonary valve implantation was performed using the Venus p‑valve. The patients mean age was 32 years (13–57), mean weight 59.6 kg (40–80). All patients had Tetralogy of Fallot with moderate to severe pulmonary regurgitation and an indication for pulmonary valve replacement.ResultsThe implantation procedure was successful in all the patients resulting in an immediately functional valve. No procedure-related complications were observed. Follow-up after 12 months (4–21) resulted in an improvement in NYHA class. There was a reduction of the mean right ventricle diastolic volume from 139 ml/m2 (105–179) to 78 ml/m2 (65–100) and improvement in the regurgitation fraction from 42% (29–58) to 1% (0–5), as seen on routine cardiac magnetic resonance 6 months after the implantation. No stent fractures have been observed so far.ConclusionPercutaneous pulmonary valve implantation with the Venus p‑valve resulted in a safe and effective procedure. The valve has predictable and sustained functional competence, resulting in clinical improvement in the patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Early experience with the Venus p‑valve for percutaneous pulmonary valve implantation in native outflow tract

Garay

et al. 2016

Neth Heart J

View full text Add to dashboard Cite

show abstract

“…The 3D model can be produced from different imaging modalities, such as CT, magnetic resonance, or ultrasound images. In cardiology, its use is limited to radiofrequency‐based atrial fibrillation ablation procedures and to complex rythmological and hemodynamic interventions in congenital heart diseases patients . So far, all of these evaluations are limited to feasibility studies or case reports providing a subjective evaluation of the contributions of this technology.…”

Section: Discussionmentioning

confidence: 99%

Value of Image Fusion in Coronary Angiography for the Detection of Coronary Artery Bypass Grafts

Plessis

Fresse

Cahouch

et al. 2016

JAHA

View full text Add to dashboard Cite

BackgroundCoronary angiography is more complex in patients with coronary artery bypass grafts (CABG). Image fusion is a new technology that allows the overlay of a computed tomography (CT) three‐dimension (3D) model with fluoroscopic images in real time.Methods and ResultsThis single‐center prospective study included 66 previous CABG patients undergoing coronary and bypass graft angiography. Image fusion coronary angiographies (fusion group, 20 patients) were compared to conventional coronary angiographies (control group, 46 patients). The fusion group included patients for whom a previous chest CT scan with contrast was available. For patients in this group, aorta and CABG were reconstructed in 3D from CT acquisitions and merged in real time with fluoroscopic images. The following parameters were compared: time needed to localize the CABG; procedure duration; air kerma (AK); dose area product (DAP); and volume of contrast media injected. Results are expressed as median. There were no significant differences between the 2 groups in patient demographics and procedure characteristics (access site, number of bypass to be found, and interventional cardiologist's experience). The time to localize CABG was significantly shorter in the fusion group (7.3 versus 12.4 minutes; P=0.002), as well as the procedure duration (20.6 versus 25.6 minutes; P=0.002), AK (610 versus 814 mGy; P=0.02), DAP (4390 versus 5922.5 cGy·cm2; P=0.02), and volume of iodinated contrast media (85 versus 116 cc; P=0.002).Conclusions3D image fusion improves the CABG detection in coronary angiography and reduces the time necessary to localize CABG, total procedure time duration, radiation exposure, and volume of contrast media.

show abstract

“…Recent introduction of rotational angiography has also helped to improve the understanding of the anatomy of the stenosis, especially in relation to adjacent side branches. 32,33 When deciding on the appropriate intervention for proximal branch PA stenosis, several anatomic factors need consideration:…”

Section: Proximal Main Branch Pulmonary Artery Stenosismentioning

confidence: 99%

Catheter Interventions for Pulmonary Artery Stenosis

Khan

Ing

2013

Interventional Cardiology Clinics

View full text Add to dashboard Cite

3‐D guidance of complex pulmonary artery stent placement using reconstructed rotational angiography with live overlay

Cited by 41 publications

References 48 publications

Early experience with the Venus p‑valve for percutaneous pulmonary valve implantation in native outflow tract

Early experience with the Venus p‑valve for percutaneous pulmonary valve implantation in native outflow tract

Value of Image Fusion in Coronary Angiography for the Detection of Coronary Artery Bypass Grafts

Catheter Interventions for Pulmonary Artery Stenosis

Contact Info

Product

Resources

About