3D advanced imaging overlay with rapid registration in CHD to reduce radiation and assist cardiac catheterisation interventions

Arar, Yousef; Reddy, Sunil; Kim, Heidi; Dimas, Vasiliki V; Zellers, Thomas M.; Zahr, Riad Abou; Vamsee, Ravi; Greer, Joshua S.; Tandon, Animesh; Pontiki, Antonia; Dillenbeck, Jeanne; Zabala, Luis; Greil, Gerald; Nugent, Alan; Hussain, Tarique

doi:10.1017/s1047951120000712

Cited by 17 publications

(3 citation statements)

References 10 publications

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“…The significant improvements in fluoroscopy time and contrast reduction are likely due to pre-procedural planning. As noted above, there was no use of 3D models, and only one case utilised overlay 14 guidance. Not surprisingly, in this case, there was significant distortion from the wire after crossing the patent ductus arteriosus, limiting the effectiveness of the overlay.…”

Section: Discussionmentioning

confidence: 99%

Pre-procedural CT imaging aids neonatal PDA stenting for ductal-dependent pulmonary blood flow with reduction in overall procedural morbidity

et al. 2021

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Patent ductus arteriosus stenting for ductal-dependent pulmonary blood flow is a technically challenging neonatal procedure to maintain a stable pulmonary circulation. Pre-procedural computed tomography imaging aids in outlining ductal origin, insertion, size, course and curvature. Computed tomography imaging may add value to procedural outcomes and reduce overall procedural morbidity in neonatal patent ductus arteriosus stenting. We conducted a single centre retrospective chart review of neonates with ductal-dependent pulmonary blood flow who underwent patent ductus arteriosus stenting between January 1, 2014 and June 31, 2020. We compared patients variables between patients who underwent pre-procedural computed tomography imaging to those who did not. A total of 64 patients were referred for patent ductus arteriosus stenting with 33 (52%) obtaining pre-procedural computed tomography imaging. Average age [19 days; range 1–242 days (p = 0.85)] and weight [3.3 kg (range 2.2–6.0 kg; p = 0.19)] was not significantly different between the groups. A diagnosis of pulmonary atresia was made in 42 out of 64 (66%) patients prior to patent ductus arteriosus stenting. The cohort with pre-intervention computed tomography imaging had a significant reduction in the total number of access sites (1.2 versus 1.5; p = 0.03), contrast needed (5.9 versus 8.2 ml/kg; p = 0.008), fluoroscopy (20.7 versus 38.8 minutes; p = 0.02) and procedural time (83.4–128.4 minutes; p = 0.002) for the intervention. There was no significant difference in radiation burden between the groups (p = 0.35). Pre-procedural computed tomography imaging adds value by aiding interventional planning for neonatal patent ductus arteriosus stenting. A statistically significant reduction in the number of access sites, contrast exposure, as well as fluoroscopic and procedural time was noted without significantly increasing the cumulative radiation burden.

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Section: Discussionmentioning

confidence: 99%

Pre-procedural CT imaging aids neonatal PDA stenting for ductal-dependent pulmonary blood flow with reduction in overall procedural morbidity

et al. 2021

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“…Cross-sectional overlay enabled registration of previously acquired CT and/or MRI images is being used to rapidly fuse with X-ray fluoroscopic imaging in single and biplane systems [10,11]. Several single-plane overlay examples (VesselNavigator system (Philips Healthcare, Best, The Netherlands)) are outlined below (Figures 14-18) [12]. A biplane overlay example (Siemens bi-plane system (Siemens Healthineers, Munich, Germany) is depicted in Figure 19 [13].…”

Section: Cross-sectional Overlay Fusion In the Catheterization Labmentioning

confidence: 99%

Role of Cross-Sectional Imaging in Pediatric Interventional Cardiac Catheterization

et al. 2022

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Management of congenital heart disease (CHD) has recently increased utilization of cross-sectional imaging to plan percutaneous interventions. Cardiac computed tomography (CT) and cardiac magnetic resonance (CMR) imaging have become indispensable tools for pre-procedural planning prior to intervention in the pediatric cardiac catheterization lab. In this article, we review several common indications for referral and the impact of cross-sectional imaging on procedural planning, success, and patient surveillance.

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“…This imaging overlay technology enables 3D reconstruction of structures of interest (Central illustration, A), providing guidance for transcatheter interventions in structural procedures. In a single-centre study, intervention for congenital heart diseases with rapid registration proved feasible, aided planning of angiographic angles, and offered precision in guidewire manipulations 24 .…”

Section: Computer Visionmentioning

confidence: 99%

Robotics, imaging, and artificial intelligence in the catheterisation laboratory

Davies¹,

Cook²,

Dudek³

et al. 2021

EuroIntervention

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3D three-dimensional 4D four-dimensional AI artificial intelligence CT computed tomography DICOM Digital Imaging and Communications in Medicine (medical imaging standard) EU European Union FDA Food and Drug Administration IVUS intravascular ultrasound MRI magnetic resonance imaging OCT optical coherence tomography PCI percutaneous coronary interventions SPECT single-photon emission computed tomography

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3D advanced imaging overlay with rapid registration in CHD to reduce radiation and assist cardiac catheterisation interventions

Cited by 17 publications

References 10 publications

Pre-procedural CT imaging aids neonatal PDA stenting for ductal-dependent pulmonary blood flow with reduction in overall procedural morbidity

Pre-procedural CT imaging aids neonatal PDA stenting for ductal-dependent pulmonary blood flow with reduction in overall procedural morbidity

Role of Cross-Sectional Imaging in Pediatric Interventional Cardiac Catheterization

Robotics, imaging, and artificial intelligence in the catheterisation laboratory

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