First report of image integration of cine-angiography with 3D electro-anatomical mapping of the right ventricle in postoperative Tetralogy of Fallot View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-01

AUTHORS

Mario Salvatore Russo, Daniela Righi, Corrado Di Mambro, Valentina Ruoppolo, Massimo Stefano Silvetti, Fabrizio Drago

ABSTRACT

Ventricular tachycardia and, more rarely, sudden cardiac death are potential complications affecting the long-term outcome after Tetralogy of Fallot (ToF) repair. Intraventricular septal scar, fibro-fatty substitution around infundibular resection and patchy myocardial fibrosis may provide anatomical substrates of abnormal depolarization and repolarization causing reentrant ventricular arrhythmias. Recently, three-dimensional electro-anatomical mapping (3D EAM) has allowed to investigate the electro-anatomical status of the right ventricle. Radiation exposure during cardiac electrophysiological procedures is still a major concern. We report the first case of 3D mapping of the right ventricle in a postoperative ToF patient performed with a new module of the CARTO® 3 System-the CARTOUnivu™ Module-that combines, simultaneously, fluoroscopic images or cine-angiographic sequences with 3D cardiac mapping to allow real-time visualization of the electrocatheter during the 3D EAM reconstruction. The same volume, previously evaluated with cardiac MRI, was mapped. A perfect match of the diastolic edges of the RV obtained either by cine-loop acquisition during contrast fluoroscopy and by the 3D EAM, was observed. The fluoroscopy time for 3D EAM was 10 s. In conclusion, CARTOUnivu™ Module can integrate, in real time, fluoroscopic images/cine-angiography in virtual biplane view and the 3D EAM allowing a contextual visualization of position and movement of all electrocatheters. This can further increase the accuracy of the 3D EAM in very complex-operated congenital heart diseases, even decreasing radiation exposure. More... »

PAGES

7-9

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10554-014-0512-y

DOI

http://dx.doi.org/10.1007/s10554-014-0512-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1014210183

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25156690


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