TY - JOUR
T1 - Three-dimensional imaging in the context of minimally invasive and transcatheter cardiovascular interventions using multi-detector computed tomography
T2 - From pre-operative planning to intra-operative guidance
AU - Schoenhagen, Paul
AU - Numburi, Uma
AU - Halliburton, Sandra S.
AU - Aulbach, Peter
AU - Von Roden, Martin
AU - Desai, Milind Y.
AU - Rodriguez, Leonardo L.
AU - Kapadia, Samir R.
AU - Tuzcu, E. Murat
AU - Lytle, Bruce W.
PY - 2010/11
Y1 - 2010/11
N2 - The rapid expansion of less invasive surgical and transcatheter cardiovascular procedures for a wide range of cardiovascular conditions, including coronary, valvular, structural cardiac, and aortic disease has been paralleled by novel three-dimensional (3-D) approaches to imaging. Three-dimensional imaging allows acquisition of volumetric data sets and subsequent off-line reconstructions along unlimited 2-D planes and 3-D volumes. Pre-procedural 3-D imaging provides detailed understanding of the operative field for surgical/interventional planning. Integration of imaging modalities during the procedure allows real-time guidance. Because computed tomography routinely acquires 3-D data sets, it has been one of the early imaging modalities applied in the context of surgical and interventional planning. This review describes the continuum of applications from pre-operative planning to procedural integration, based on the emerging experience with computed tomography and rotational angiography, respectively. At the same time, the potential adverse effects of imaging with X-ray-based tomographic or angiographic modalities are discussed. It is emphasized that the role of imaging guidance in this context remains unclear and will need to be evaluated in clinical trials. This is in particular true, because data showing improved outcome or even non-inferiority for most of the emerging transcatheter procedures are still lacking.
AB - The rapid expansion of less invasive surgical and transcatheter cardiovascular procedures for a wide range of cardiovascular conditions, including coronary, valvular, structural cardiac, and aortic disease has been paralleled by novel three-dimensional (3-D) approaches to imaging. Three-dimensional imaging allows acquisition of volumetric data sets and subsequent off-line reconstructions along unlimited 2-D planes and 3-D volumes. Pre-procedural 3-D imaging provides detailed understanding of the operative field for surgical/interventional planning. Integration of imaging modalities during the procedure allows real-time guidance. Because computed tomography routinely acquires 3-D data sets, it has been one of the early imaging modalities applied in the context of surgical and interventional planning. This review describes the continuum of applications from pre-operative planning to procedural integration, based on the emerging experience with computed tomography and rotational angiography, respectively. At the same time, the potential adverse effects of imaging with X-ray-based tomographic or angiographic modalities are discussed. It is emphasized that the role of imaging guidance in this context remains unclear and will need to be evaluated in clinical trials. This is in particular true, because data showing improved outcome or even non-inferiority for most of the emerging transcatheter procedures are still lacking.
KW - 3-Dimensional imaging
KW - Computed tomography
KW - Minimally invasive surgery
KW - Transcatheter valve repair/ implantation
UR - http://www.scopus.com/inward/record.url?scp=78649380234&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78649380234&partnerID=8YFLogxK
U2 - 10.1093/eurheartj/ehq302
DO - 10.1093/eurheartj/ehq302
M3 - Article
C2 - 20797981
AN - SCOPUS:78649380234
SN - 0195-668X
VL - 31
SP - 2727
EP - 2741
JO - European Heart Journal
JF - European Heart Journal
IS - 22
ER -