nach oben

Erschienen in:

19.12.2019 | Original Article

Different CMR Imaging Modalities for Native and Patch-Repaired Right Ventricular Outflow Tract Sizing: Impact on Percutaneous Pulmonary Valve Replacement Planning

verfasst von: Irene Ferrari, Nerejda Shehu, Naira Mkrtchyan, Stefan Martinoff, Andreas Eicken, Heiko Stern, Peter Ewert, Christian Meierhofer

Erschienen in: Pediatric Cardiology | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Abstract

Percutaneous pulmonary valve replacement (PPVI) in native or patched right ventricular outflow tract (RVOT) has proven to be feasible. The procedure is highly dependent on the size of the RVOT. Several methods exist to evaluate the size of the RVOT by cardiovascular magnetic resonance (CMR). We evaluated different CMR modalities for measuring RVOT diameters. Thirty-one consecutive patients with native or patched RVOT were retrospectively evaluated. CMR was part of follow-up of patients with corrected Tetralogy of Fallot or pulmonary stenosis with significant pulmonary regurgitation (PR). CMR included 3D-SSFP whole-heart in systole, diastole, and contrast-enhanced MR angiography (ceMRA). Diameters of the RVOT were assessed by the three sequences. Additionally, in patients who underwent cardiac catheterization (n = 11) for PPVI, vessel diameters assessed by cine-angiography were compared to CMR. Systolic diameters of RVOT were significantly larger compared to the diameters taken in diastole and ceMRA (median difference 5.0 mm and 3.8 mm). Diastolic and ceMRA diameters did not differ significantly. CMR diameters taken in systole showed no statistical difference to systolic diameters taken by cine-angiography, while diastolic and ceMRA diameters were significantly smaller. PPVI was feasible to a maximal CMR diameter of 31 mm measured by SSFP whole-heart sequence in systole. Absolute diameters of native RVOT differ depending on the CMR sequence and timing of acquisition (systolic vs diastolic gating). Diameters taken during heart catheterization by cine-angiography best correlate to systolic CMR values. Data may help to select RVOTs suitable for PPVI.

Baumgartner H, Bonhoeffer P, De Groot NM, de Haan F, Deanfield JE, Galie N, Gatzoulis MA, Gohlke-Baerwolf C, Kaemmerer H, Kilner P, Meijboom F, Mulder BJ, Oechslin E, Oliver JM, Serraf A, Szatmari A, Thaulow E, Vouhe PR, Walma E, Task Force on the Management of Grown-up Congenital Heart Disease of the European Society of C, Association for European Paediatric C, Guidelines ESCCfP (2010) ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 31(23):2915–2957. https://doi.org/10.1093/eurheartj/ehq249 CrossRef

Qureshi AM, Prieto LR (2015) Percutaneous pulmonary valve placement. Tex Heart Inst J 42(3):195–201. https://doi.org/10.14503/THIJ-14-4276 CrossRefPubMedPubMedCentral

Khambadkone S, Nordmeyer J, Bonhoeffer P (2007) Percutaneous implantation of the pulmonary and aortic valves: indications and limitations. J Cardiovasc Med (Hagerstown) 8(1):57–61. https://doi.org/10.2459/01.JCM.0000247437.05194.8e CrossRef

Momenah TS, El Oakley R, Al Najashi K, Khoshhal S, Al Qethamy H, Bonhoeffer P (2009) Extended application of percutaneous pulmonary valve implantation. J Am Coll Cardiol 53(20):1859–1863. https://doi.org/10.1016/j.jacc.2008.08.061 CrossRefPubMed

Boudjemline Y, Brugada G, Van-Aerschot I, Patel M, Basquin A, Bonnet C, Legendre A, Bonnet D, Iserin L (2012) Outcomes and safety of transcatheter pulmonary valve replacement in patients with large patched right ventricular outflow tracts. Arch Cardiovasc Dis 105(8–9):404–413. https://doi.org/10.1016/j.acvd.2012.05.002 CrossRefPubMed

Malekzadeh-Milani S, Ladouceur M, Cohen S, Iserin L, Boudjemline Y (2014) Results of transcatheter pulmonary valvulation in native or patched right ventricular outflow tracts. Arch Cardiovasc Dis 107(11):592–598. https://doi.org/10.1016/j.acvd.2014.07.045 CrossRefPubMed

Meadows JJ, Moore PM, Berman DP, Cheatham JP, Cheatham SL, Porras D, Gillespie MJ, Rome JJ, Zahn EM, McElhinney DB (2014) Use and performance of the Melody transcatheter pulmonary valve in native and postsurgical, nonconduit right ventricular outflow tracts. Circ Cardiovasc Interv 7(3):374–380. https://doi.org/10.1161/CIRCINTERVENTIONS.114.001225 CrossRefPubMed

Bertels RA, Blom NA, Schalij MJ (2010) Edwards SAPIEN transcatheter heart valve in native pulmonary valve position. Heart 96(9):661. https://doi.org/10.1136/hrt.2009.189944 CrossRefPubMed

Guccione P, Milanesi O, Hijazi ZM, Pongiglione G (2012) Transcatheter pulmonary valve implantation in native pulmonary outflow tract using the Edwards SAPIEN transcatheter heart valve. Eur J Cardiothorac Surg 41(5):1192–1194. https://doi.org/10.1093/ejcts/ezr130 CrossRefPubMed

10.

Cools B, Brown SC, Heying R, Jansen K, Boshoff DE, Budts W, Gewillig M (2015) Percutaneous pulmonary valve implantation for free pulmonary regurgitation following conduit-free surgery of the right ventricular outflow tract. Int J Cardiol 186:129–135. https://doi.org/10.1016/j.ijcard.2015.03.108 CrossRefPubMed

11.

Rockefeller T, Shahanavaz S, Zajarias A, Balzer D (2016) Transcatheter implantation of SAPIEN 3 valve in native right ventricular outflow tract for severe pulmonary regurgitation following tetralogy of fallot repair. Catheter Cardiovasc Interv 88(1):E28–33. https://doi.org/10.1002/ccd.26480 CrossRefPubMed

12.

Haas NA, Carere RG, Kretschmar O, Horlick E, Rodes-Cabau J, de Wolf D, Gewillig M, Mullen M, Lehner A, Deutsch C, Bramlage P, Ewert P (2018) Early outcomes of percutaneous pulmonary valve implantation using the Edwards SAPIEN XT transcatheter heart valve system. Int J Cardiol 250:86–91. https://doi.org/10.1016/j.ijcard.2017.10.015 CrossRefPubMed

13.

Esmaeili A, Bollmann S, Khalil M, De Rosa R, Fichtlscherer S, Akintuerk H, Schranz D (2018) Percutaneous pulmonary valve implantation for reconstruction of a patch-repaired right ventricular outflow tract. J Interv Cardiol 31(1):106–111. https://doi.org/10.1111/joic.12443 CrossRefPubMed

14.

Boshoff DE, Cools BL, Heying R, Troost E, Kefer J, Budts W, Gewillig M (2013) Off-label use of percutaneous pulmonary valved stents in the right ventricular outflow tract: time to rewrite the label? Catheter Cardiovasc Interv 81(6):987–995. https://doi.org/10.1002/ccd.24594 CrossRefPubMed

15.

Georgiev S, Tanase D, Ewert P, Meierhofer C, Hager A, von Ohain JP, Eicken A (2018) Percutaneous pulmonary valve implantation in patients with dysfunction of a "native" right ventricular outflow tract—mid-term results. Int J Cardiol 258:31–35. https://doi.org/10.1016/j.ijcard.2017.11.091 CrossRefPubMed

16.

Schievano S, Coats L, Migliavacca F, Norman W, Frigiola A, Deanfield J, Bonhoeffer P, Taylor AM (2007) Variations in right ventricular outflow tract morphology following repair of congenital heart disease: implications for percutaneous pulmonary valve implantation. J Cardiovasc Magn Reson 9(4):687–695. https://doi.org/10.1080/10976640601187596 CrossRefPubMed

17.

Schievano S, Migliavacca F, Coats L, Khambadkone S, Carminati M, Wilson N, Deanfield JE, Bonhoeffer P, Taylor AM (2007) Percutaneous pulmonary valve implantation based on rapid prototyping of right ventricular outflow tract and pulmonary trunk from MR data. Radiology 242(2):490–497. https://doi.org/10.1148/radiol.2422051994 CrossRefPubMed

18.

Fratz S, Chung T, Greil GF, Samyn MM, Taylor AM, Valsangiacomo Buechel ER, Yoo SJ, Powell AJ (2013) Guidelines and protocols for cardiovascular magnetic resonance in children and adults with congenital heart disease: SCMR expert consensus group on congenital heart disease. J Cardiovasc Magn Reson 15:51. https://doi.org/10.1186/1532-429X-15-51 CrossRefPubMedPubMedCentral

19.

Fratz S, Schuhbaeck A, Buchner C, Busch R, Meierhofer C, Martinoff S, Hess J, Stern H (2009) Comparison of accuracy of axial slices versus short-axis slices for measuring ventricular volumes by cardiac magnetic resonance in patients with corrected tetralogy of fallot. Am J Cardiol 103(12):1764–1769. https://doi.org/10.1016/j.amjcard.2009.02.030 CrossRefPubMed

20.

Martirosian P, Greil GF, Fenchel M, Kramer U, Miller S, Greiser A, Claussen CD, Schick F, Sieverding L (2007) Optimization of blood-myocardial contrast in 3D true FISP cardiac imaging at 1.5 T. Magn Reson Med 57(1):213–219. https://doi.org/10.1002/mrm.21099 CrossRefPubMed

21.

Kondo C, Takada K, Yokoyama U, Nakajima Y, Momma K, Sakai F (2001) Comparison of three-dimensional contrast-enhanced magnetic resonance angiography and axial radiographic angiography for diagnosing congenital stenoses in small pulmonary arteries. Am J Cardiol 87(4):420–424. https://doi.org/10.1016/s0002-9149(00)01394-1 CrossRefPubMed

22.

Francois CJ, Tuite D, Deshpande V, Jerecic R, Weale P, Carr JC (2008) Unenhanced MR angiography of the thoracic aorta: initial clinical evaluation. AJR Am J Roentgenol 190(4):902–906. https://doi.org/10.2214/AJR.07.2997 CrossRefPubMed

23.

Potthast S, Mitsumori L, Stanescu LA, Richardson ML, Branch K, Dubinsky TJ, Maki JH (2010) Measuring aortic diameter with different MR techniques: comparison of three-dimensional (3D) navigated steady-state free-precession (SSFP), 3D contrast-enhanced magnetic resonance angiography (CE-MRA), 2D T2 black blood, and 2D cine SSFP. J Magn Reson Imaging 31(1):177–184. https://doi.org/10.1002/jmri.22016 CrossRefPubMed

24.

Ruile P, Blanke P, Krauss T, Dorfs S, Jung B, Jander N, Leipsic J, Langer M, Neumann FJ, Pache G (2016) Pre-procedural assessment of aortic annulus dimensions for transcatheter aortic valve replacement: comparison of a non-contrast 3D MRA protocol with contrast-enhanced cardiac dual-source CT angiography. Eur Heart J Cardiovasc Imaging 17(4):458–466. https://doi.org/10.1093/ehjci/jev188 CrossRefPubMed

25.

Gulani V, Calamante F, Shellock FG, Kanal E, Reeder SB, International Society for Magnetic Resonance in M (2017) Gadolinium deposition in the brain: summary of evidence and recommendations. Lancet Neurol 16(7):564–570. https://doi.org/10.1016/S1474-4422(17)30158-8 CrossRef

Titel: Different CMR Imaging Modalities for Native and Patch-Repaired Right Ventricular Outflow Tract Sizing: Impact on Percutaneous Pulmonary Valve Replacement Planning
verfasst von: Irene Ferrari
Nerejda Shehu
Naira Mkrtchyan
Stefan Martinoff
Andreas Eicken
Heiko Stern
Peter Ewert
Christian Meierhofer
Publikationsdatum: 19.12.2019
Verlag: Springer US
Erschienen in: Pediatric Cardiology / Ausgabe 2/2020
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-019-02270-5

Neu im Fachgebiet Kardiologie

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Vorhofflimmern bei Jüngeren gefährlicher als gedacht

06.05.2024 Vorhofflimmern Nachrichten

Immer mehr jüngere Menschen leiden unter Vorhofflimmern. Betroffene unter 65 Jahren haben viele Risikofaktoren und ein signifikant erhöhtes Sterberisiko verglichen mit Gleichaltrigen ohne die Erkrankung.

Chronisches Koronarsyndrom: Gefahr von Hospitalisierung wegen Herzinsuffizienz

06.05.2024 Herzinsuffizienz Nachrichten

Obwohl ein rezidivierender Herzinfarkt bei chronischem Koronarsyndrom wahrscheinlich die Hauptsorge sowohl der Patienten als auch der Ärzte ist, sind andere Ereignisse womöglich gefährlicher. Laut einer französischen Studie stellt eine Hospitalisation wegen Herzinsuffizienz eine größere Gefahr dar.

Das Risiko für Vorhofflimmern in der Bevölkerung steigt

02.05.2024 Vorhofflimmern Nachrichten

Das Risiko, im Lauf des Lebens an Vorhofflimmern zu erkranken, ist in den vergangenen 20 Jahren gestiegen: Laut dänischen Zahlen wird es drei von zehn Personen treffen. Das hat Folgen weit über die Schlaganfallgefährdung hinaus.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2020

Prenatally Diagnosed Congenital Ventricular Outpouchings: An Institutional Experience and Review of the Literature

Prenatal Identification of Restrictive and Non-restrictive Ventricular Septal Defects Based on End-Systolic Flow Patterns in the Fetal Aortic Isthmus

Implantation of a HeartMate 3 in a 13-Year-Old Child with Dilated Cardiomyopathy

Pediatric Myocarditis Protocol: An Algorithm for Early Identification and Management with Retrospective Analysis for Validation

Invasive Cardiac Procedures in Interstage Single Ventricle Patients in Emergent Hospitalizations