Live 3D image overlay for arterial duct closure with Amplatzer Duct Occluder II additional size

Abstract

Despite several reports describing echocardiography for the guidance of ductal closure, two-dimensional angiography remains the mainstay imaging tool; three-dimensional rotational angiography has the potential to overcome some of the drawbacks of standard angiography, and reconstructed image overlay provides reliable guidance for device placement. We describe arterial duct closure solely from venous approach guided by live three-dimensional image overlay.

Three-Dimensional Rotational Angiography in Pediatric Patients with Congenital Heart Disease: A Literature Review

“…airway) [ 9 , 11 , 15 , 31 ] and it has the ability to view the anatomy from unlimited angulations [ 8 , 15 , 32 ]. In addition, interventions were performed in a faster and safer way [ 14 ], as the obtained 3D images were used as a roadmap for intervention guidance [ 4 , 7 , 13 , 16 , 17 , 19 , 20 , 23 , 24 ].…”

“…Seven studies mentioned whether or not complications occurred during catheterization. In six of these, no complications or serious adverse events occurred [11, 16, 21, 23, 29]. Starmans et al .…”

Stent implantation to ductus arteriosus in a patient with interrupted aortic arch guided by CT image overlay

“…Our previous experiences with three-dimensional rotational angiography for ductal interventions in neonates have shown reliable guidance with no additional contrast injections 3 . Despite the benefits, this method requires specific set-up of the C-arm for rotational angiography, and more importantly the three-dimensional reconstruction may only be prepared after the angiography, adding to the total procedural time.…”

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

“…Of all the routine imaging techniques used in cardiology, angiography has been the last modality to embrace the third dimension [5]. Although the development of rotational angiography (Figure 1) was initially for the benefit of neuroimaging and fusion of cross sectional datasets ( Figure 2) was aimed at the treatment of peripheral vascular pathology, interventional physicians in congenital cardiology have immersed themselves in this technology over the last 10 years [9][10][11][12][13][14][15][16][17][18]. Like many disruptive technologies, its introduction has divided opinion.…”