2007
DOI: 10.1002/ccd.21271
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Three‐dimensional rotational digital angiography in a complicated case of patent ductus arteriosus transcatheter closure

Abstract: There has been no report so far as to the usefulness of 3D rotational angiography in congenital heart disease interventions. We present a case of a difficult patent ductus arteriosus in which 3D rotational angiography was the key to successful closure. A 64-year-old woman who had been operated on many years previously for a patent ductus arteriosus came to our attention for a heart murmur on the left upper sternal border. Echocardiography revealed a still patent duct with moderate shunt. The patient underwent … Show more

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Cited by 11 publications
(5 citation statements)
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“…CT 3‐dimensional reconstruction can be used for intraprocedural real‐time overlays during complex transcatheter interventions, such as closure of para‐valvular leaks. Rotational angiography is increasingly used in the management of patients with CHDz [73, 74]. While the acquisition usually takes up to 4–5 sec, the gained information obtained through 3D reconstructions may eliminate the need for several biplane cine acquisitions and is particularly useful in patients requiring complex pulmonary artery rehabilitation, where it allows to exactly determine the best angles that profile individual lesions that require transcatheter interventions.…”
Section: Specific Radiation Safety Considerationsmentioning
confidence: 99%
“…CT 3‐dimensional reconstruction can be used for intraprocedural real‐time overlays during complex transcatheter interventions, such as closure of para‐valvular leaks. Rotational angiography is increasingly used in the management of patients with CHDz [73, 74]. While the acquisition usually takes up to 4–5 sec, the gained information obtained through 3D reconstructions may eliminate the need for several biplane cine acquisitions and is particularly useful in patients requiring complex pulmonary artery rehabilitation, where it allows to exactly determine the best angles that profile individual lesions that require transcatheter interventions.…”
Section: Specific Radiation Safety Considerationsmentioning
confidence: 99%
“…4,5 Despite several reports describing echocardiography for guidance of ductal closure, two-dimensional angiography remains the mainstay imaging tool; 6,7 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. 8,9 This modality has been successfully evaluated in various settings including pulmonary artery stenosis, coarctation, and percutaneous valve implantation; however, experience regarding the application of three-dimensional rotational angiography in smaller patients is limited. We describe arterial duct closure solely from venous approach guided with live threedimensional image overlay.…”
Section: A Dvances In Device Design Imaging Andmentioning
confidence: 99%
“…The use of 3D-RA to assess patients with congenital heart diseases appears to be a promising technique despite the scarce literature available 5-7 . Notwithstanding the potential benefits of 3D-RA images in comparison to those of 2D-SA, the radiation dose must be evaluated carefully to ensure that the long-term deleterious effects of radiation to both patients and the medical team are not increased.…”
Section: Introductionmentioning
confidence: 99%