Echocardiographic–fluoroscopic fusion imaging to guide device occlusion of a complex left ventricle-to-right atrium shunt

Rodríguez‐Zanella, Hugo; Sandoval, Juan Pablo; García-Montes, José Antonio; Zabal-Cerdeira, Carlos; Arias-Godínez, José Antonio

doi:10.1093/ehjci/jez030

Cited by 4 publications

(3 citation statements)

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“…In the case of 3DRA, we still need to work to reduce radiation exposure. None of these modalities, with the exception of echocardiographic fusion, are real-time [4][5][6][7][8]. It's one point in time we generate these images, then we overlay them during the procedure.…”

Section: Sebastian Gorecznymentioning

confidence: 99%

“…Since then, two-dimensional (2D) imaging technology has certainly evolved but not jumped forward. All the time we have been conscious of the need to minimize exposure to ionizing radiation and ionic contrast whilst improving the accuracy of our data and integrating it with modern cross-sectional techniques such as computed tomography (CT), magnetic resonance imaging (MRI) and three-dimensional (3D) echocardiography [3][4][5][6][7][8]. Of all the routine imaging techniques used in cardiology, angiography has been the last modality to embrace the third dimension [5].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Sebastian Gorecznymentioning

confidence: 99%

Section: Introductionmentioning

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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“…I think that for shunt lesions, where there is a lot of movement and a lot of blood flow, perhaps the best tool will be 3D and 4D echo and echo fusion. 10,[39][40][41] People such as your centre (Colorado Children's Hospital) have really led the way on that, and I think there is something to that. Echo marking, image fusion, I can't help to think, that anything that makes us better and more precise is good.…”

mentioning

confidence: 99%

Giving up knowledge is almost never a good idea: an interview with Dr Evan Zahn

Góreczny¹,

Zahn

2019

Cardiol Young

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The history of congenital interventional cardiology has seen numerous groundbreaking innovations typically related to the introduction of a new device or a novel treatment technique. Similarly, imaging of cardiac defects has changed dramatically over the past decades, although some of the advancements have seemed to omit the catheterisation laboratories. Rotational angiography, one of the imaging techniques for guidance of cardiac catheterisation currently referred to as “advanced”, in fact was described already in 1960s.1 More recently its improved version, including three-dimensional reconstruction (3DRA), became a valuable intra-procedural imaging tool in interventional cardiology and neuroradiology.2 Dr Evan Zahn was one of the pioneers of 3DRA in the field of congenital cardiology, setting an example for many to follow. With his innovative publication and subsequent lecture at 2011 Pediatric and Adult Interventional Cardiac Symposium (PICS-AICS) on “The Emerging Use of 3-Dimensional Rotational Angiography in Congenital Heart Disease” he motivated many to explore benefits of this modality to strive for improved procedural outcomes and reduced patients’ burden of cardiac catheterisation3. I was one of those to take Dr Zahn’s thoughts and implement them into routine workflow.4–6 However, almost a decade after Dr Zahn shared his important work, despite tremendous efforts by teams from Utrecht, (Netherlands) and Columbus (Ohio, United States of America) to popularise 3D imaging in catheterisation laboratory during dedicated meetings, two-dimensional (2D) angiography does not seem to be threatened in many, otherwise-progressive, laboratories. During the recent 30th Japanese Pediatric Interventional Cardiology (JPIC) meeting I had the opportunity to ask Dr Zahn why giving up knowledge is almost never a good idea, what is technology’s natural order of things, and why the technology has to be more than just exciting, pretty, and new.

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Advanced imaging techniques to assist transcatheter congenital heart defects therapies

Bruckheimer¹,

Góreczny²

2021

Progress in Pediatric Cardiology

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Echocardiographic–fluoroscopic fusion imaging to guide device occlusion of a complex left ventricle-to-right atrium shunt

Cited by 4 publications

References 0 publications

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

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

Giving up knowledge is almost never a good idea: an interview with Dr Evan Zahn

Advanced imaging techniques to assist transcatheter congenital heart defects therapies

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