scholarly journals Contrast enhanced computed tomography findings of persistent truncus arteriosus; A rare congenital heart disease

2020 ◽  
Vol 15 (6) ◽  
pp. 795-798
Author(s):  
Saim Turkoglu ◽  
Abdussamet Batur ◽  
Adem Yokuş ◽  
İlyas Dündar ◽  
Muhammed Bilal Akinci
ESC CardioMed ◽  
2018 ◽  
pp. 565-572
Author(s):  
Mohamed Marwan ◽  
Stephan Achenbach

Pre-procedural imaging is essential for successful planning and performance of several cardiac interventions. For this purpose, contrast-enhanced computed tomography (CT) imaging—owing to its high and isotropic spatial resolution as well as fast volume coverage—is gaining increasing importance. Cardiac CT offers high-resolution morphological and functional imaging of cardiac structures which is valuable for a variety of structural heart disease interventions, electrophysiology procedures, and coronary interventions. Over the last decade, the widened spectrum of transcatheter cardiac interventions has been associated with widespread acknowledgment that CT is particularly useful for pre-interventional imaging and increasing implementation in clinical routine. In this chapter, the role of cardiac CT for the guidance of coronary as well as non-coronary cardiac interventions is described.


ESC CardioMed ◽  
2018 ◽  
pp. 565-572
Author(s):  
Mohamed Marwan ◽  
Stephan Achenbach

Pre-procedural imaging is essential for successful planning and performance of several cardiac interventions. For this purpose, contrast-enhanced computed tomography (CT) imaging—owing to its high and isotropic spatial resolution as well as fast volume coverage—is gaining increasing importance. Cardiac CT offers high-resolution morphological and functional imaging of cardiac structures which is valuable for a variety of structural heart disease interventions, electrophysiology procedures, and coronary interventions. Over the last decade, the widened spectrum of transcatheter cardiac interventions has been associated with widespread acknowledgment that CT is particularly useful for pre-interventional imaging and increasing implementation in clinical routine. In this chapter, the role of cardiac CT for the guidance of coronary as well as non-coronary cardiac interventions is described.


2011 ◽  
Vol 46 (9) ◽  
pp. 586-593 ◽  
Author(s):  
Scott M. Thompson ◽  
Juan C. Ramirez-Giraldo ◽  
Bruce Knudsen ◽  
Joseph P. Grande ◽  
Jodie A. Christner ◽  
...  

Author(s):  
Frederik Pauwels ◽  
Angela Hartmann ◽  
John Al-Alawneh ◽  
Paul Wightman ◽  
Jimmy Saunders

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
P Poskaite ◽  
M Pamminger ◽  
C Kranewitter ◽  
C Kremser ◽  
M Reindl ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Background The natural history of thoracic aortic aneurysm (TAA) is one of progressive expansion. Asymptomatic patients who do not meet criteria for repair require conservative management including ongoing aneurysm surveillance, mostly carried out by contrast-enhanced computed tomography angiography (CTA). Purpose To prospectively compare image quality and reliability of a prototype non-contrast, self-navigated 3D whole-heart magnetic resonance angiography (MRA) with contrast-enhanced computed tomography angiography (CTA) for sizing of thoracic aortic aneurysm (TAA). Methods Self-navigated 3D whole-heart 1.5 T MRA was performed in 20 patients (aged 67 ± 8.6 years, 75% male) for sizing of TAA; a subgroup of 18 (90%) patients underwent additional contrast-enhanced CTA on the same day. Subjective image quality was scored according to a 4-point Likert scale and ratings between observers were compared by Cohen’s Kappa statistics. Continuous MRA and CTA measurements were analyzed with regression and Bland-Altman analysis. Results Overall subjective image quality as rated by two observers was 1 [interquartile range (IQR) 1-2] for self-navigated MRA and 1.5 [IQR 1-2] for CTA (p = 0.717). For MRA a perfect inter-observer agreement was found for presence of artefacts and subjective image sharpness (κ=1). Subjective signal inhomogeneity correlated highly with objectively quantified inhomogeneity of the blood pool signal (r = 0.78-0.824, all p <0.0001). Maximum diameters of TAA as measured by self-navigated MRA and CTA showed excellent correlation (r = 0.997, p < 0.0001) without significant inter-method bias (bias -0.0278, lower and upper limit of agreement -0.74 and 0.68, p = 0.749). Inter- and intraobserver correlation of aortic aneurysm as measured by MRA was excellent (r = 0.963 and 0.967, respectively) without significant bias (all p ≤ 0.05). Conclusion Self-navigated 3D whole-heart MRA enables reliable contrast- and radiation free aortic dilation surveillance without significant difference to standardized CTA while providing predictable acquisition time and by offering excellent image quality. Abstract Figure.


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