Noninvasive imaging prior to percutaneous pulmonary valve implantation
The majority of patients with congenital heart disease (CHD) who have undergone open heart surgery during childhood are possible candidates for additional transcatheter or surgical interventions. One fifth of these conditions usually involve the right ventricular outflow tract (RVOT). Percutaneous p...
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Format: | Article |
Language: | English |
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Elsevier
2022-09-01
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Series: | Hellenic Journal of Cardiology |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1109966622000926 |
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author | Maria Boutsikou Aphrodite Tzifa |
author_facet | Maria Boutsikou Aphrodite Tzifa |
author_sort | Maria Boutsikou |
collection | DOAJ |
description | The majority of patients with congenital heart disease (CHD) who have undergone open heart surgery during childhood are possible candidates for additional transcatheter or surgical interventions. One fifth of these conditions usually involve the right ventricular outflow tract (RVOT). Percutaneous pulmonary valve replacement (PPVR) has been widely established as an alternative, less invasive option to surgical pulmonary valve replacement (SPVR). The variability of RVOT anatomy and size, the relative course of the coronary arteries, and the anatomy of the pulmonary artery branches are factors that determine the success of the intervention and the complication rates. Careful and reliable pre-interventional imaging warrants the selection of suitable candidates and minimizes the risk of complications. 2D and 3D fluoroscopy have been extensively used during pre- and peri-interventional assessment. Established imaging techniques such as cardiovascular magnetic resonance (CMR) and computed tomography (CT) and newer techniques such as fusion imaging have proved to be efficient and reliable tools during pre-procedural planning in patients assessed for PPVR. |
first_indexed | 2024-04-12T20:15:16Z |
format | Article |
id | doaj.art-e24b3b2e230a4771a3235db41da87ba6 |
institution | Directory Open Access Journal |
issn | 1109-9666 |
language | English |
last_indexed | 2024-04-12T20:15:16Z |
publishDate | 2022-09-01 |
publisher | Elsevier |
record_format | Article |
series | Hellenic Journal of Cardiology |
spelling | doaj.art-e24b3b2e230a4771a3235db41da87ba62022-12-22T03:18:09ZengElsevierHellenic Journal of Cardiology1109-96662022-09-01675965Noninvasive imaging prior to percutaneous pulmonary valve implantationMaria Boutsikou0Aphrodite Tzifa1Cardiac MRI Dpt, Mediterraneo Hospital, Ilias 8-12, Glyfada, 16674, Athens, Greece; Corresponding author. Cardiac MRI Dpt, Mediterraneo Hospital, Ilias 8-12, Glyfada, 16674, Athens, GreeceDepartment of Paediatric Cardiology and Adult Congenital Heart Disease, Mitera Hospital, 6 Erythrou Stavrou Street, 15123, Marousi, Athens, Greece; School of Biomedical Engineering & Imaging Sciences. King's College London, United KingdomThe majority of patients with congenital heart disease (CHD) who have undergone open heart surgery during childhood are possible candidates for additional transcatheter or surgical interventions. One fifth of these conditions usually involve the right ventricular outflow tract (RVOT). Percutaneous pulmonary valve replacement (PPVR) has been widely established as an alternative, less invasive option to surgical pulmonary valve replacement (SPVR). The variability of RVOT anatomy and size, the relative course of the coronary arteries, and the anatomy of the pulmonary artery branches are factors that determine the success of the intervention and the complication rates. Careful and reliable pre-interventional imaging warrants the selection of suitable candidates and minimizes the risk of complications. 2D and 3D fluoroscopy have been extensively used during pre- and peri-interventional assessment. Established imaging techniques such as cardiovascular magnetic resonance (CMR) and computed tomography (CT) and newer techniques such as fusion imaging have proved to be efficient and reliable tools during pre-procedural planning in patients assessed for PPVR.http://www.sciencedirect.com/science/article/pii/S1109966622000926pulmonary valve (PV)cardiac imagingCMRCTRVOT |
spellingShingle | Maria Boutsikou Aphrodite Tzifa Noninvasive imaging prior to percutaneous pulmonary valve implantation Hellenic Journal of Cardiology pulmonary valve (PV) cardiac imaging CMR CT RVOT |
title | Noninvasive imaging prior to percutaneous pulmonary valve implantation |
title_full | Noninvasive imaging prior to percutaneous pulmonary valve implantation |
title_fullStr | Noninvasive imaging prior to percutaneous pulmonary valve implantation |
title_full_unstemmed | Noninvasive imaging prior to percutaneous pulmonary valve implantation |
title_short | Noninvasive imaging prior to percutaneous pulmonary valve implantation |
title_sort | noninvasive imaging prior to percutaneous pulmonary valve implantation |
topic | pulmonary valve (PV) cardiac imaging CMR CT RVOT |
url | http://www.sciencedirect.com/science/article/pii/S1109966622000926 |
work_keys_str_mv | AT mariaboutsikou noninvasiveimagingpriortopercutaneouspulmonaryvalveimplantation AT aphroditetzifa noninvasiveimagingpriortopercutaneouspulmonaryvalveimplantation |