Abstract
Neonates with complex congenital heart disease (CHD) are at risk of adverse events from anesthesia. CT angiography (CTA) performed free breathing and without sedation has not been reported for evaluation of complex CHD in neonates. The aim was to evaluate the image quality and risk of free breathing, non-sedated cardiac CTA for definition of CHD in the neonatal period and to determine accuracy compared with interventional findings. This is a combined retrospective-prospective single institution review of all non-sedated, free breathing cardiac CT angiograms performed in patients <1 month of age with complex CHD. Diagnosis, scan acquisition parameters, image quality (1- to 4-point scale), adverse events, radiation dose estimates, and accuracy compared with operative and interventional catheterization findings were recorded. Results are reported as median and interquartile range. Nineteen non-sedated, free breathing, neonatal cardiac CT angiograms were performed during the time of review. All studies were diagnostic with a mean image quality score of 1.1 ± 0.3. Median total procedural dose-length product was 11 (range, 10-14), CT dose index volume was 0.47 (range, 0.31-0.5). Median unadjusted radiation dose was 0.15 mSv (range, 0...Continue Reading
References
Feb 15, 1985·The American Journal of Cardiology·H P GutgesellD G McNamara
Jan 1, 1980·Radiology·R E AndersonS D Wing
Jan 1, 1996·Pediatric Cardiology·H FrankH Imhof
Oct 25, 2000·Journal of Computer Assisted Tomography·Y K HongK O Choe
Mar 8, 2006·Circulation·Jörg HausleiterAlbert Schömig
Mar 21, 2006·The International Journal of Cardiovascular Imaging·Pierluigi FestaBruno Murzi
Oct 13, 2006·Pediatric Radiology·Tain LeeMin-Chi Chen
Jan 20, 2007·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Christian J KellenbergerEmanuela R Valsangiacomo Büchel
Oct 30, 2007·Pediatric Radiology·Dong Hyun YangYoung Hwee Kim
Feb 9, 2008·Pediatric Radiology·I-Chen TsaiTain Lee
Apr 2, 2008·Congenital Heart Disease·Russel HirschJanet Strife
Dec 17, 2008·Journal of Cardiovascular Computed Tomography·Stephen C Cook, Subha V Raman
Apr 7, 2009·Journal of Computer Assisted Tomography·Michael GirshinMario A Inchiosa
Dec 4, 2009·Anesthesia and Analgesia·Catherine E Creeley, John W Olney
Dec 4, 2009·Journal of Neurosurgical Anesthesiology·Charles DiMaggioGuohua Li
Jun 10, 2010·European Radiology·Zhaoping ChengJiuhong Chen
Jan 7, 2011·Pediatric Cardiology·Faris Al-MousilyArun Chandran
Jan 12, 2011·Current Neurology and Neuroscience Reports·Stephen R Hays, Jayant K Deshpande
May 5, 2011·The American Journal of Cardiology·B Kelly HanJohn R Lesser
Aug 24, 2011·Pediatric Radiology·Thomas L Slovis
Sep 8, 2012·Pediatric Cardiology·Timotheus G WatsonAnthony M Hlavacek
Citations
Jun 17, 2014·The Journal of Thoracic and Cardiovascular Surgery·B Kelly HanDavid M Overman
Jul 16, 2014·Journal of Cardiovascular Computed Tomography·Marc SaakeWolfgang Wuest
Dec 19, 2015·Journal of Cardiovascular Computed Tomography·B Kelly HanUNKNOWN North American Society of Cardiac Imaging
Dec 15, 2015·Radiologic Clinics of North America·David SaulDavid M Biko
Jul 25, 2014·Cardiology in the Young·Swati DeshmukhStefan L Zimmerman
May 24, 2015·Seminars in Ultrasound, CT, and MR·Frandics P Chan, Kate Hanneman
Jan 24, 2015·AJR. American Journal of Roentgenology·Siddharth P JadhavRajesh Krishnamurthy
Oct 27, 2015·Artificial Organs·Ken CaiJianhong Dou
Jul 4, 2016·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Meryl S CohenLeo Lopez
Feb 11, 2015·Seminars in Cardiothoracic and Vascular Anesthesia·Richard J Ing, Mark D Twite
Jul 1, 2016·World Journal for Pediatric & Congenital Heart Surgery·Philip B DydynskiBrian Holland
Sep 14, 2017·World Journal for Pediatric & Congenital Heart Surgery·Aysel TürkvatanYakup Ergül
Jul 14, 2018·The British Journal of Radiology·Kristian H Mortensen, Oliver Tann
Jun 6, 2019·Pediatric Radiology·Carlos F Ugas CharcapeMonica Epelman
Aug 24, 2019·Pediatric Radiology·Aurelio SecinaroPaolo Ciliberti
Jan 30, 2015·Journal of Thoracic Imaging·Christopher M LongStefan L Zimmerman
Jan 3, 2018·Pediatric Radiology·Cynthia K RigsbyDonald P Frush
Sep 30, 2016·Journal of Magnetic Resonance Imaging : JMRI·Lillian M LaiShreyas S Vasanawala
May 4, 2017·Texas Heart Institute Journal·Aysel TurkvatanAlper Guzeltas
Aug 7, 2020·AJR. American Journal of Roentgenology·Tushar ChandraMonica Epelman
Jul 10, 2020·Annals of Pediatric Cardiology·Rajesh KrishnamurthyMatthew A Crystal
Dec 8, 2016·Pediatric Radiology·Archana MalikMonica Epelman
Oct 21, 2019·La Radiologia medica·Nicolò SchicchiAndrea Giovagnoni
Feb 24, 2019·European Radiology·Salvatore ZirpoliAndrea Righini
Dec 15, 2020·Clinical Radiology·W YeL Yang
Mar 24, 2021·Curēus·Gayathri SreedherShankar Srinivas Ganapathy
Jul 20, 2021·World Journal for Pediatric & Congenital Heart Surgery·Li XiongDilachew A Adebo
Nov 24, 2021·Pediatric Cardiology·Ari J GartenbergB Kelly Han
Dec 1, 2021·World Journal for Pediatric & Congenital Heart Surgery·Mariana De Oliveira NunesB Kelly Han