Non-sedated, free breathing cardiac CT for evaluation of complex congenital heart disease in neonates

Journal of Cardiovascular Computed Tomography
B Kelly HanJohn R Lesser

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, 1996·Pediatric Cardiology·H FrankH Imhof
Oct 25, 2000·Journal of Computer Assisted Tomography·Y K HongK O Choe
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
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
Jan 12, 2011·Current Neurology and Neuroscience Reports·Stephen R Hays, Jayant K Deshpande
Aug 24, 2011·Pediatric Radiology·Thomas L Slovis

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Citations

Jul 16, 2014·Journal of Cardiovascular Computed Tomography·Marc SaakeWolfgang Wuest
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
Feb 11, 2015·Seminars in Cardiothoracic and Vascular Anesthesia·Richard J Ing, Mark D Twite
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
Sep 30, 2016·Journal of Magnetic Resonance Imaging : JMRI·Lillian M LaiShreyas S Vasanawala
Aug 7, 2020·AJR. American Journal of Roentgenology·Tushar ChandraMonica Epelman
Mar 24, 2021·Curēus·Gayathri SreedherShankar Srinivas Ganapathy
Jul 20, 2021·World Journal for Pediatric & Congenital Heart Surgery·Li XiongDilachew A Adebo
Dec 1, 2021·World Journal for Pediatric & Congenital Heart Surgery·Mariana De Oliveira NunesB Kelly Han

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