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

  • Yousef Arar (a1), Surendranath R. Veeram Reddy (a1), Heidi Kim (a1), V. Vivian Dimas (a1), Thomas M. Zellers (a1), Riad Abou Zahr (a1), Ravi Vamsee (a1), Joshua S. Greer (a1), Animesh Tandon (a1) (a2), Antonia Pontiki (a1), Jeanne Dillenbeck (a1), Luis Zabala (a1), Gerald Greil (a1) (a2), Alan W. Nugent (a1) and Tarique Hussain (a1) (a2)...

Abstract

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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Corresponding author

Author for correspondence: Y. Arar, Pediatric Cardiology, Department of Pediatrics, UT Southwestern Children’s Medical Center, 1935 Medical District Drive, Dallas, TX75235-7701, USA. Tel: +1 214 456 7311; Fax: +1 214 456 6154. E-mail: Yousef.Arar@UTSouthwestern.edu

References

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1.Fresse-Warin, K, Plessis, J, Benelhadj, H, et al.Impact of fused computed tomography and fluoroscopy in the catheterization laboratory. Arch Cardiovasc Dis 2018; 111: 449455.
2.Goreczny, S, Dryzek, P, Morgan, GJ, et al.Novel three-dimensional image fusion software to facilitate guidance of complex cardiac catheterization. Pediatr Cardiol 2017; 38: 11331142.
3.Glöckler, M, Halbfaß, J, Koch, A, et al.Multimodality 3D-roadmap for cardiovascular interventions in congenital heart disease a single-center, retrospective analysis of 78 cases. Catheter Cardiovasc Interv 2013; 82: 436442.
4.Nicole, E, Alkassar, M, Dittrich, S, et al.A new approach of three-dimensional guidance in paediatric cath lab: segmented and tessellated heart models for cardiovascular interventions in CHD. Cardiol Young 2018; 28: 661667. doi:10.1017/S1047951117002840.
5.Cohen, S, Liu, M, Gurvitz, M, et al.Exposure to low-dose ionizing radiation from cardiac procedures and malignancy risk in adults with congenital heart disease. Circulation 2018; 137: 13341345.
6.Cevallos, P, Armstrong, A, Glatz, AC, et al.Radiation dose benchmarks in pediatric cardiac catheterization: a prospective multi-center C3PO-QI. Catheter Cardiovasc Interv 2017; 90: 269280.
7.Goreczny, S, Dryzek, P, Moszura, T, Kühne, T, Berger, F, Schubert, S.3D image fusion for live guidance of stent implantation in aortic coarctation – magnetic resonance imaging and computed tomography image overlay enhances interventional technique. Postepy Kardiol Interwencyjnej 2017; 13: 269272.
8.Sandoval, JP, Aristizabal, G, Zabal-Cerdeira, C.Aortic stent implantation using live 3-dimensional image fusion guidance. Rev Esp Cardiol (Engl Ed) 2018; 71: 750.
9.Nordmeyer, J, Kramer, P, Berger, F, Schubert, S.Successful exclusion of an aortic aneurysm with a novel PTFE-tube covered cobalt-chromium stent in a pediatric patient with native coarctation of the aorta. Catheter Cardiovasc Interv 2018; 92: 930934.

Keywords

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

  • Yousef Arar (a1), Surendranath R. Veeram Reddy (a1), Heidi Kim (a1), V. Vivian Dimas (a1), Thomas M. Zellers (a1), Riad Abou Zahr (a1), Ravi Vamsee (a1), Joshua S. Greer (a1), Animesh Tandon (a1) (a2), Antonia Pontiki (a1), Jeanne Dillenbeck (a1), Luis Zabala (a1), Gerald Greil (a1) (a2), Alan W. Nugent (a1) and Tarique Hussain (a1) (a2)...

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