Use of Angiographic CT Imaging in the Cardiac Catheterization Laboratory for Congenital Heart Disease

Glatz, Andrew C.; Zhu, Xiaowei; Gillespie, Matthew J.; Hanna, Brian D.; Rome, Jonathan J.

doi:10.1016/j.jcmg.2010.09.011

Cited by 86 publications

(80 citation statements)

References 46 publications

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“…After intra-atrial baffle procedures, however, orientation and spatial relationships are often difficult to understand; distortion, cardiac dilatation, and progressive fibrosis can result from growth and advancing age. Accurate 3D image information is key to understanding the complex nature of the underlying cardiac morphology, 23,24 and careful preprocedure planning should include not only details of cardiac anatomy but also the potential sites of vascular access (Figures 2 and 3). Potential limitations such as baffle obstruction, the location of key structures such as the ostium of the coronary sinus, and sites of baffle leaks can easily be understood.…”

Section: The Role Of Image Integration In Complex Ablation In Adult Cmentioning

confidence: 99%

Remote-Controlled Magnetic Navigation and Ablation With 3D Image Integration as an Alternative Approach in Patients With Intra-Atrial Baffle Anatomy

Ernst

Babu‐Narayan

Keegan

et al. 2012

Circ: Arrhythmia and Electrophysiology

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Background-Improvement in outcome of infants born with congenital heart defects has been accompanied by an increasing frequency of late arrhythmias. Ablation is difficult because of multiple tachycardias in the presence of complex anatomy with limited accessibility. We report on remote-controlled ablation using magnetic navigation in conjunction with 3D image integration in patients with previous intra-atrial baffle procedures. Methods and Results-Thirteen patients (8 male; age, 30.5Ϯ8 years) with supraventricular tachycardia (SVT) underwent catheter ablation. Group A had a medical history of a Mustard or Senning operation, whereas group B had undergone total cavopulmonary connection. A total of 26 tachycardias were treated in 17 procedures (median cycle length of 280 ms). Group A patients had more inducible SVTs than group B, and all index SVTs were located in the remainder of the morphological right atrium in all but 1 patient. Retrograde access through the aorta was performed and led to successful ablation, using magnetic navigation with a very low total radiation exposure (median of 3.8 minutes in group A versus 5.9 minutes in group B). Only 1 of 13 patients continued to have short-lasting SVTs despite 3 ablation procedures during a median follow-up time of Ͼ200 days. Conclusions-Remote-controlled catheter ablation by magnetic navigation in combination with accurate 3D image integration allowed safe and successful elimination of SVTs, using an exclusively retrograde approach, resulting in low radiation exposure for patients after intra-atrial baffle procedures (Mustard, Senning, or total cavopulmonary connection). (Circ Arrhythm Electrophysiol. 2012;5:131-139.)

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Section: The Role Of Image Integration In Complex Ablation In Adult Cmentioning

confidence: 99%

Remote-Controlled Magnetic Navigation and Ablation With 3D Image Integration as an Alternative Approach in Patients With Intra-Atrial Baffle Anatomy

Ernst

Babu‐Narayan

Keegan

et al. 2012

Circ: Arrhythmia and Electrophysiology

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“…This technique has been optimised for interventional neuroradiology but is also used for other interventional procedures such as tumour embolisation, image integration into fluoroscopy for ablation therapy of atrial fibrillation and transcatheter valve implantations [2][3][4][5][6][7][8]. Integration into the interventional suite for congenital heart disease is novel and clinical experience as well as systematic evaluations of diagnostic gain are scarce [9].…”

Section: Introductionmentioning

confidence: 99%

The value of flat-detector computed tomography during catheterisation of congenital heart disease

et al. 2011

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“…Flat panel detectors and advances in imaging consist of rotational angiography and 3D imaging that in certain complex cases supports anatomical gratitude (9,10). Imaging for interventions will probably lead to more modalities than ionizing radiation, such as ultrasound and MRI (11,12).…”

Section: Imagingmentioning

confidence: 96%

Cardiac Catheterization and Intervention in Pediatric Cardiac Disease: A Narrative Review of Current Indications, Techniques, and Complications

2017

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Context: In the past 20 to 30 years, the area of pediatric interventional cardiology has had noteworthy development. Technological revolutions have significantly progressed management of cardiovascular disease in both children and adults with congenital heart disease (CHD). This article reviews the current indications, techniques and complications of interventional therapy for CHD. Evidence Acquisition: Training and publications in this field are rare. Overall, 64 article from January 1953 to February 2014 were studied. A total of 26 articles were involved in pediatric evaluation. Results: There have been several catheter-based interventions for congenital heart disease. Percutaneous intervention in pediatric cardiac disease has been established in the past 2 to 3 decades. There are currently devices accepted for percutaneous closure of ASDs, patent ductus arteriosus (PDAs), and muscular ventricular septal defects (VSDs). The period of percutaneous valve implantation is just beginning, and the next few years may bring about advances in miniaturized valve distribution methods to allow insertion in smaller children. Conclusions: Completely prepared catheterization laboratory, surgical holdup, and extracorporeal membrane oxygenation support capabilities must be accessible at any center to achieve interventional cardiac catheterization. Additional understanding of normal history of interventions more than 2 decade post process, novel strategies and methods will certainly lead to an increase in the methods for managing of congenital heart disease.

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Use of Angiographic CT Imaging in the Cardiac Catheterization Laboratory for Congenital Heart Disease

Cited by 86 publications

References 46 publications

Remote-Controlled Magnetic Navigation and Ablation With 3D Image Integration as an Alternative Approach in Patients With Intra-Atrial Baffle Anatomy

Remote-Controlled Magnetic Navigation and Ablation With 3D Image Integration as an Alternative Approach in Patients With Intra-Atrial Baffle Anatomy

The value of flat-detector computed tomography during catheterisation of congenital heart disease

Cardiac Catheterization and Intervention in Pediatric Cardiac Disease: A Narrative Review of Current Indications, Techniques, and Complications

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