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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

Published online by Cambridge University Press:  22 June 2016

Sebastian Goreczny ,
Pawel Dryzek  and
Tomasz Moszura
Sebastian Goreczny*
Affiliation:
Department of Cardiology, Polish Mother’s Memorial Hospital, Research Institute, Lodz, Poland
Pawel Dryzek
Affiliation:
Department of Cardiology, Polish Mother’s Memorial Hospital, Research Institute, Lodz, Poland
Tomasz Moszura
Affiliation:
Department of Cardiology, Polish Mother’s Memorial Hospital, Research Institute, Lodz, Poland
*
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
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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.

Keywords

Image fusion3D roadmapVesselNavigator
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 7 , October 2016 , pp. 1438 - 1440
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Copyright
© Cambridge University Press 2016 

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References

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: 505–507.Google ScholarPubMed
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: 18–26.Google Scholar
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: 49–53.Google Scholar
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: 1–4.Google Scholar
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: 448–455.Google Scholar

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