The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new Algorithm
<p>Abstract</p> <p>Background</p> <p>To propose a new diagnostic algorithm for candidates for Fontan and identify those who can skip cardiac catheterization (CC).</p> <p>Methods</p> <p>Forty-four candidates for Fontan (median age 4.8 years, range...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2011-11-01
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| Series: | Journal of Cardiovascular Magnetic Resonance |
| Subjects: | |
| Online Access: | http://www.jcmr-online.com/content/13/1/69 |
| _version_ | 1797203548968058880 |
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| author | Ait-Ali Lamia De Marchi Daniele Lombardi Massimo Scebba Luigi Picano Eugenio Murzi Bruno Festa Pierluigi |
| author_facet | Ait-Ali Lamia De Marchi Daniele Lombardi Massimo Scebba Luigi Picano Eugenio Murzi Bruno Festa Pierluigi |
| author_sort | Ait-Ali Lamia |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>To propose a new diagnostic algorithm for candidates for Fontan and identify those who can skip cardiac catheterization (CC).</p> <p>Methods</p> <p>Forty-four candidates for Fontan (median age 4.8 years, range: 2-29 years) were prospectively evaluated by trans-thoracic echocardiography (TTE), Cardiovascular magnetic resonance (CMR) and CC. Before CC, according to clinical, echo and CMR findings, patients were divided in two groups: Group I comprised 18 patients deemed suitable for Fontan without requiring CC; group II comprised 26 patients indicated for CC either in order to detect more details, or for interventional procedures.</p> <p>Results</p> <p>In Group I ("CC not required") no unexpected new information affecting surgical planning was provided by CC. Conversely, in Group II new information was provided by CC in three patients (0 vs 11.5%, p = 0.35) and in six an interventional procedure was performed. During CC, minor complications occurred in one patient from Group I and in three from Group II (6 vs 14%, p = 0.7). Radiation Dose-Area product was similar in the two groups (Median 20 Gycm<sup>2</sup>, range: 5-40 vs 26.5 Gycm<sup>2</sup>, range: 9-270 p = 0.37). All 18 Group I patients and 19 Group II patients underwent a total cavo-pulmonary anastomosis; in the remaining seven group II patients, four were excluded from Fontan; two are awaiting Fontan; one refused the intervention.</p> <p>Conclusion</p> <p>In this paper we propose a new diagnostic algorithm in a pre-Fontan setting. An accurate non-invasive evaluation comprising TTE and CMR could select patients who can skip CC.</p> |
| first_indexed | 2024-04-24T08:21:05Z |
| format | Article |
| id | doaj.art-1515760aff1046cea5da2912f4b35b7f |
| institution | Directory Open Access Journal |
| issn | 1097-6647 1532-429X |
| language | English |
| last_indexed | 2024-04-24T08:21:05Z |
| publishDate | 2011-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Cardiovascular Magnetic Resonance |
| spelling | doaj.art-1515760aff1046cea5da2912f4b35b7f2024-04-17T00:56:16ZengElsevierJournal of Cardiovascular Magnetic Resonance1097-66471532-429X2011-11-011316910.1186/1532-429X-13-69The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new AlgorithmAit-Ali LamiaDe Marchi DanieleLombardi MassimoScebba LuigiPicano EugenioMurzi BrunoFesta Pierluigi<p>Abstract</p> <p>Background</p> <p>To propose a new diagnostic algorithm for candidates for Fontan and identify those who can skip cardiac catheterization (CC).</p> <p>Methods</p> <p>Forty-four candidates for Fontan (median age 4.8 years, range: 2-29 years) were prospectively evaluated by trans-thoracic echocardiography (TTE), Cardiovascular magnetic resonance (CMR) and CC. Before CC, according to clinical, echo and CMR findings, patients were divided in two groups: Group I comprised 18 patients deemed suitable for Fontan without requiring CC; group II comprised 26 patients indicated for CC either in order to detect more details, or for interventional procedures.</p> <p>Results</p> <p>In Group I ("CC not required") no unexpected new information affecting surgical planning was provided by CC. Conversely, in Group II new information was provided by CC in three patients (0 vs 11.5%, p = 0.35) and in six an interventional procedure was performed. During CC, minor complications occurred in one patient from Group I and in three from Group II (6 vs 14%, p = 0.7). Radiation Dose-Area product was similar in the two groups (Median 20 Gycm<sup>2</sup>, range: 5-40 vs 26.5 Gycm<sup>2</sup>, range: 9-270 p = 0.37). All 18 Group I patients and 19 Group II patients underwent a total cavo-pulmonary anastomosis; in the remaining seven group II patients, four were excluded from Fontan; two are awaiting Fontan; one refused the intervention.</p> <p>Conclusion</p> <p>In this paper we propose a new diagnostic algorithm in a pre-Fontan setting. An accurate non-invasive evaluation comprising TTE and CMR could select patients who can skip CC.</p>http://www.jcmr-online.com/content/13/1/69FontanCardiac CMRUniventricular heartCardiac catheterization |
| spellingShingle | Ait-Ali Lamia De Marchi Daniele Lombardi Massimo Scebba Luigi Picano Eugenio Murzi Bruno Festa Pierluigi The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new Algorithm Journal of Cardiovascular Magnetic Resonance Fontan Cardiac CMR Univentricular heart Cardiac catheterization |
| title | The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new Algorithm |
| title_full | The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new Algorithm |
| title_fullStr | The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new Algorithm |
| title_full_unstemmed | The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new Algorithm |
| title_short | The role of cardiovascular magnetic resonance in candidates for Fontan operation: Proposal of a new Algorithm |
| title_sort | role of cardiovascular magnetic resonance in candidates for fontan operation proposal of a new algorithm |
| topic | Fontan Cardiac CMR Univentricular heart Cardiac catheterization |
| url | http://www.jcmr-online.com/content/13/1/69 |
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