How to improve navigation during cardioband transcatheter tricuspid annuloplasty

Bertsche, Dagmar; Keßler, Mirjam; Buckert, Dominik; Schneider, L.; Rottbauer, Wolfgang; Rasche, Volker; Markovic, Sinisa; Vernikouskaya, Ina

doi:10.1093/ehjci/jeab002

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…The benefits of fusion imaging have been shown for some structural transcatheter procedures, such as a reduced procedure time for transeptal puncture for either MitraClip or left atrial appendage closure [66], a decreased fluoroscopy time and radiation dose for atrial septum defect closure [67], and a reduced radiation dose for left atrial appendage closure [68], but there are currently no data evaluating the procedural outcomes of transcatheter tricuspid repair or replacement procedures assisted by fusion imaging, beyond individual case experience [40,[69][70][71][72][73][74].…”

Section: Fusion Imagingmentioning

confidence: 99%

Advances in Imaging for Tricuspid Transcatheter Edge-to-Edge Repair: Lessons Learned and Future Perspectives

Prandi

Belli

Illuminato

et al. 2023

JCM

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Severe tricuspid valve (TV) regurgitation (TR) has been associated with adverse long-term outcomes in several natural history studies, but isolated TV surgery presents high mortality and morbidity rates. Transcatheter tricuspid valve interventions (TTVI) therefore represent a promising field and may currently be considered in patients with severe secondary TR that have a prohibitive surgical risk. Tricuspid transcatheter edge-to-edge repair (T-TEER) represents one of the most frequently used TTVI options. Accurate imaging of the tricuspid valve (TV) apparatus is crucial for T-TEER preprocedural planning, in order to select the right candidates, and is also fundamental for intraprocedural guidance and post-procedural follow-up. Although transesophageal echocardiography represents the main imaging modality, we describe the utility and additional value of other imaging modalities such as cardiac CT and MRI, intracardiac echocardiography, fluoroscopy, and fusion imaging to assist T-TEER. Developments in the field of 3D printing, computational models, and artificial intelligence hold great promise in improving the assessment and management of patients with valvular heart disease.

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Section: Fusion Imagingmentioning

confidence: 99%

Advances in Imaging for Tricuspid Transcatheter Edge-to-Edge Repair: Lessons Learned and Future Perspectives

Prandi

Belli

Illuminato

et al. 2023

JCM

View full text Add to dashboard Cite

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“…39,40) Another trend is that catheter-based intervention is becoming much easier since it combines the advantages and disadvantages of various images using fusion imaging of fluoroscopy and echocardiography or fusion imaging of CT and echocardiography. 41,42) The concept of fusion imaging, which fuses two different modalities in real time on a single monitor, aims to overcome the shortcomings of individual imaging. Examples include echocardiographic-fluoroscopic fusion imaging, three-dimensional fusion of coronary CT angiography and CT myocardial perfusion imaging, and fusion of a three-dimensional CT dataset to routine fluoroscopic images.…”

Section: Introduction Of Fusion Imaging Technologymentioning

confidence: 99%

Environmental changes surrounding congenital heart disease

Choi¹

2023

Clin Exp Pediatr

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As the outcomes of patients with congenital heart disease (CHD) improve, the number of patients is accumulating and the proportion of adult CHD patients is gradually increasing.Accordingly, the proportion of typical adult diseases such as coronary arterial disease, diabetes, dyslipidemia, and hypertension among patients with CHD is increasing, as is the medical burden due to residual cardiac problems, heart failure, and arrhythmias. Due to increasing genetic knowledge, efforts are being made to provide active medical support through risk stratification. Surgical techniques and prostheses are also developing, the instruments used for transcatheter intervention are diversifying, and the range of therapeutic options is expanding. In addition, owing to the development of electronic devices, heart rhythm and blood pressure monitoring instruments have been miniaturized and diversified. In this process, a vast amount of information is collected; therefore, the current systematic review examined their clinical usefulness. A team approach consisting of experts from various fields is essential for the treatment of patients with CHD and advanced heart failure.

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“…A reduction in procedural time and required contrast agent by periprocedural image fusion has also been reported for a variety of pre- and periprocedural imaging modalities ( 23 , 24 ). Overlay of specific target locations in addition to the volumetric overlay of anatomical structures is effective ( 25 ), particularly regarding the fusion of echocardiography and fluoroscopy ( 26 , 27 ).…”

Section: Introductionmentioning

confidence: 99%

Computed tomography angiography/magnetic resonance imaging-based preprocedural planning and guidance in the interventional treatment of structural heart disease

Bertsche

Rottbauer

Rasche

et al. 2022

Front. Cardiovasc. Med.

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Preprocedural planning and periprocedural guidance based on image fusion are widely established techniques supporting the interventional treatment of structural heart disease. However, these two techniques are typically used independently. Previous works have already demonstrated the benefits of integrating planning details into image fusion but are limited to a few applications and the availability of the proprietary tools used. We propose a vendor-independent approach to integrate planning details into periprocedural image fusion facilitating guidance during interventional treatment. In this work, we demonstrate the feasibility of integrating planning details derived from computer tomography and magnetic resonance imaging into periprocedural image fusion with open-source and commercially established tools. The integration of preprocedural planning details into periprocedural image fusion has the potential to support safe and efficient interventional treatment of structural heart disease.

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How to improve navigation during cardioband transcatheter tricuspid annuloplasty

Cited by 5 publications

References 4 publications

Advances in Imaging for Tricuspid Transcatheter Edge-to-Edge Repair: Lessons Learned and Future Perspectives

Advances in Imaging for Tricuspid Transcatheter Edge-to-Edge Repair: Lessons Learned and Future Perspectives

Environmental changes surrounding congenital heart disease

Computed tomography angiography/magnetic resonance imaging-based preprocedural planning and guidance in the interventional treatment of structural heart disease

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