Aortic Stent Implantation Using Live 3-dimensional Image Fusion Guidance

Sandoval, Juan Pablo; Aristizábal, Guillermo; Zabal-Cerdeira, Carlos

doi:10.1016/j.rec.2017.10.012

Cited by 4 publications

(4 citation statements)

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“…This study adds to the growing body of literature which shows that 3D CT or MRI overlay for CHD transcatheter intervention with rapid registration is feasible and aids decisions regarding access and planned angiographic angles. [1][2][3][7][8][9] Novel applications of imaging overlay technology in this study include thoracic duct interventions (Fig 4) as well as a right coronary artery fistula occlusion. This information is further outlined in Tables 2 and 3.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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Novel commercially available software has enabled registration of both CT and MRI images to rapidly fuse with X-ray fluoroscopic imaging. We describe our initial experience performing cardiac catheterisations with the guidance of 3D imaging overlay using the VesselNavigator system (Philips Healthcare, Best, NL). A total of 33 patients with CHD were included in our study. Demographic, advanced imaging, and catheterisation data were collected between 1 December, 2016 and 31 January, 2019. We report successful use of this technology in both diagnostic and interventional cases such as placing stents and percutaneous valves, performing angioplasties, occlusion of collaterals, and guidance for lymphatic interventions. In addition, radiation exposure was markedly decreased when comparing our 10–15-year-old coarctation of the aorta stent angioplasty cohort to cases without the use of overlay technology and the most recently published national radiation dose benchmarks. No complications were encountered due to the application of overlay technology. 3D CT or MRI overlay for CHD intervention with rapid registration is feasible and aids decisions regarding access and planned angiographic angles. Operators found intraprocedural overlay fusion registration using placed vessel guidewires to be more accurate than attempts using bony structures.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…There is a growing body of literature evaluating the use of fusion imaging with CT or MRI datasets for congenital and structural interventions [28–32]. Most of the protocols rely on 3D–3D registration, which requires two sets of 3D data including the pre-intervention scan and a rotational spin.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance and computed tomography imaging fusion for live guidance of percutaneous pulmonary valve implantation

Góreczny

Dryżek

Moszura

et al. 2018

pwki

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IntroductionUntil recently, two-dimensional (2D) angiography was the mainstay of guidance for percutaneous pulmonary valve implantation (PPVI). Recent advances in fusion software have enabled direct fusion of pre-intervention imaging, magnetic resonance imaging (MRI) or computed tomography (CT) scans, to create a reliable three-dimensional (3D) roadmap for procedural guidance.AimTo report initial two-center experience with direct 2D–3D image fusion for live guidance of PPVI with MRI- and CT-derived 3D roadmaps.Material and methodsWe performed a prospective study on PPVIs guided with the new fusion imaging platform introduced in the last quarter of 2015.Results3D guidance with an MRI- (n = 14) or CT- (n = 8) derived roadmap was utilized during 22 catheterizations for right ventricular outflow tract balloon sizing (n = 7) or PPVI (n = 15). Successful 2D–3D registration was performed in all but 1 patient. Six (27%) patients required intra-procedural readjustment of the 3D roadmap due to distortion of the anatomy after introduction of a stiff wire. Twenty-one (95%) interventions were successful in the application of 3D imaging. Patients in the CT group received less contrast volume and had a shorter procedural time, though the differences were not statistically significant. Those in the MRI group had significantly lower weight adjusted radiation exposure.ConclusionsWith intuitive segmentation and direct 2D–3D fusion of MRI or CT datasets, VesselNavigator facilitates PPVI. Our initial data show that utilization of CT-derived roadmaps may lead to less contrast exposure and shorter procedural time, whereas application of MRI datasets may lead to lower radiation exposure.

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“…The systems are much more simple, especially for 3DRA. There are newer technologies for use of other modalities such as MRI, CT and transesophageal echo fusion that have been developed, and especially the Siemens system and the Philips VesselNavigator are quite user friendly [45][46][47][48][49][50][51][52][53][54]. Hopefully as we continue to develop programs utilizing these technologies it will make our procedures much simpler for the operator.…”

Section: Sebastian Gorecznymentioning

confidence: 99%

Pros, cons and future perspectives – three questions on three dimensional guidance for cardiac catheterization in congenital heart disease

Góreczny

Krings

Hijazi

et al. 2019

pwki

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Step changes in angiographic imaging are not commonplace. Since the move from analogue to digital and flat detector plates, two-dimensional imaging technology has certainly evolved but not jumped forward. Of all the routine imaging techniques used in cardiology, angiography has been the last modality to embrace the third dimension. Although the development of rotational angiography was initially for the benefit of neuroimaging and fusion of cross sectional datasets was aimed at the treatment of descending aortic pathology, interventional physicians in congenital and structural cardiology have immersed themselves in this technology over the last 10 years. Like many disruptive technologies, its introduction has divided opinion. We aimed to explore the mindset of those in the field of interventional cardiology who are driving imaging forward. These structured interviews recorded during the 21 st Pediatric and Adult Interventional Cardiac Symposium illustrate the challenges and sticking points as well as giving an insight into the direction of travel for three-dimensional imaging and fusion techniques. Covering a wide range of career development, seniority and experience, the interviewees in this article are probably responsible for the majority of the published literature on invasive three-dimensional imaging in congenital heart disease.

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Aortic Stent Implantation Using Live 3-dimensional Image Fusion Guidance

Cited by 4 publications

References 0 publications

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

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

Magnetic resonance and computed tomography imaging fusion for live guidance of percutaneous pulmonary valve implantation

Pros, cons and future perspectives – three questions on three dimensional guidance for cardiac catheterization in congenital heart disease

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