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Use of pre-intervention imaging with a novel image fusion software for guidance of cardiac catheterisation in a patient with pulmonary atresia and major aortopulmonary collaterals

  • Sebastian Goreczny (a1), Pawel Dryzek (a1) and Tomasz Moszura (a1)

Abstract

We present a 3.5-year-old patient with tetralogy of Fallot, pulmonary atresia, and major aortopulmonary collaterals, after repeat implantation of a central shunt, in whom we successfully re-purposed previous imaging scans with a novel image fusion software to guide diagnostic heart catheterisation. The pre-registered CT scan was segmented before the procedure and subsequently manually fused with two-dimensional fluoroscopy images. The overlaid roadmap enhanced selective cannulation of all major vessels originating from the aorta, making aortography unnecessary.

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Corresponding author

Correspondence to: S. Goreczny, MD, PhD, Department of Cardiology, Polish Mother’s Memorial Hospital, Research Institute, Rzgowska Street 281/289, 93-347 Lodz, Poland. Tel: +48 42 271 14 78; Fax: +48 42 271 14 70; E-mail: sebastiangoreczny@yahoo.pl

References

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1. Goreczny, S, Dryzek, P, Moszura, T, et al. Rotational angiography in monitoring of covered CP stent implantation in patient with critical aortic coarctation and patent ductus arteriosus. Kardiol Pol 2012; 70: 505507.
2. Glöckler, M, Koch, A, Halbfaß, J, et al. Assessment of cavopulmonary connections by advanced imaging: value of flat-detector computed tomography. Cardiol Young 2013; 23: 1826.
3. Goreczny, S, Dryzek, P, Moll, JA, Moszura, T. Left pulmonary artery stent implantation guided with three-dimensional rotational angiography (3DRA). Folia Cardiol 2015; 10: 4953.
4. Goreczny, S, Morgan, GJ, Dryzek, P. Live 3D image overlay for arterial duct closure with Amplatzer Duct Occluder II additional size. Cardiol Young 2015; 11: 14.
5. Stangenberg, L, Shuja, F, Carelsen, B, et al. A novel tool for three-dimensional roadmapping reduces radiation exposure and contrast agent dose in complex endovascular interventions. J Vasc Surg 2015; 2: 448455.

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Use of pre-intervention imaging with a novel image fusion software for guidance of cardiac catheterisation in a patient with pulmonary atresia and major aortopulmonary collaterals

  • Sebastian Goreczny (a1), Pawel Dryzek (a1) and Tomasz Moszura (a1)

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