Potential Role of Three-Dimensional Rotational Angiography and C-Arm CT for Valvular Repair and Implantation

Imaging modalities utilized in the interventional cardiology suite have seen an impressive evolution and expansion recently, particularly with regard to the recent interest in three-dimensional (3D) imaging. Despite this, the backbone of visualization in the catheterization laboratory remains two-dimensional (2D) X-ray fluoroscopy and cine-angiography.New imaging techniques under development, referred to as three-dimensional rotational angiography (RA) and C-arm

CT, hold great promise for improving current device implantation and understanding of cardiovascular anatomy. This paper reviews the evolution of rotational angiography and advanced 3D X-ray imaging applications to interventional cardiology.

PMID: 21394614

Posted in Invasive Imaging and tagged , , , .

One Comment

  1. This is an emerging technology, which appears very interesting in the context of transcatheter treatment approaches to valvular and structural heart disease, e.g. transcatheter aortic valve implantation (TAVI).
    Also see some other papers in this series:

    1. Changing demographics of valvular heart disease and impact on surgical and transcatheter valve therapies.
    Vahanian A, Iung B, Himbert D, Nataf P.
    Int J Cardiovasc Imaging. 2011 Feb 24.
    PMID: 21347599

    2. Transcatheter treatment approaches for aortic valve disease.
    Willson A, Webb J.
    Int J Cardiovasc Imaging. 2011 Feb 24.
    PMID: 21347600

    3. Clinical trial experience with transcatheter aortic valve insertion.
    Helton TJ, Kapadia SR, Tuzcu EM.
    Int J Cardiovasc Imaging. 2011 Feb 20.
    PMID: 21337022

    4. Clinical trial experience with the MitraClip catheter based mitral valve repair system.
    Maisano F, Godino C, Giacomini A, Denti P, Arendar I, Buzzatti N, Canna GL, Alfieri O, Colombo A.
    Int J Cardiovasc Imaging. 2011 Apr 19. [Epub ahead of print]
    PMID: 21503702

    5. Transcatheter approaches to non-valvar structural heart disease.
    Kenny D, Hijazi ZM.
    Int J Cardiovasc Imaging. 2011 Feb 18.
    PMID: 21331612

    6. Transcatheter valve repair/implantation (and echocardiography).
    Siegel RJ, Luo H, Biner S.
    Int J Cardiovasc Imaging. 2011 Feb 23.
    PMID: 21344247

    7. Role of computed tomography imaging for transcatheter valvular repair/insertion.
    Ewe SH, Klautz RJ, Schalij MJ, Delgado V.
    Int J Cardiovasc Imaging. 2011 Feb 26.
    PMID: 21359516

    8. Aortic root dimension changes during systole and diastole: evaluation with ECG-gated multidetector row computed tomography.
    de Heer LM, Budde RP, Mali WP, de Vos AM, van Herwerden LA, Kluin J.
    Int J Cardiovasc Imaging. 2011 Feb 27. [Epub ahead of print]
    PMID: 21359833

    9. MR fluoroscopy in vascular and cardiac interventions (review).
    Saeed M, Hetts SW, English J, Wilson M.
    Int J Cardiovasc Imaging. 2011 Feb 26. [Epub ahead of print]
    PMID: 21359519

    10. Potential role of three-dimensional rotational angiography and C-arm CT for valvular repair and implantation.
    Schwartz JG, Neubauer AM, Fagan TE, Noordhoek NJ, Grass M, Carroll JD.
    Int J Cardiovasc Imaging. 2011 Mar 11. [Epub ahead of print]
    PMID: 21394614

    11. Transcatheter repair of valvular heart disease and periprocedural imaging.
    Schoenhagen P, Bax J.
    Int J Cardiovasc Imaging. 2011 Feb 26. [Epub ahead of print] No abstract available.
    PMID: 21359515

    12. Comparative imaging of cardiac structures and function for the optimization of transcatheter approaches for valvular and structural heart disease.
    Bateman MG, Iaizzo PA.
    Int J Cardiovasc Imaging. 2011 May 4. [Epub ahead of print]
    PMID: 21541775 [PubMed - as supplied by publisher]

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