Three-dimensional rotational angiography in the assessment of vascular and airway compression in children after a cavopulmonary anastomosis

Pediatric Cardiology
Sharon BorikLee N Benson

Abstract

The aim of the study was to examine the role of three-dimensional rotational angiography (3DRA) in assessing vascular and airway narrowing in children with a bidirectional cavopulmonary anastomosis (BCPA). The course of children with single ventricle physiology is often complicated by left pulmonary artery (LPA) and/or bronchial stenosis and may be related to aortic compression. 3DRA may be useful in evaluating this complex anatomy and possible mechanisms for the observed obstruction. Clinical data and imaging (2D angiography and 3DRA) of children with a BCPA were reviewed retrospectively. Measurements were taken at similar locations along the pulmonary arteries in both modalities and in the airways on 3DRA. Twenty-five children with a previous BCPA were assessed at mean age of 3.1 ± 2.0 years and weight of 13.6 ± 3.6 kg. Excellent correlation was found between 3DRA and 2D angiographic LPA measurements (r = 0.89, p < 0.0001). Twelve children had qualitative LPA stenosis on 3DRA, with a stenotic dimension of 6.6 ± 2.2 mm on 2D angiography and 6.8 ± 1.9 mm on 3DRA (r = 0.94, p < 0.0001). Ten cases with LPA stenosis also had bronchial stenosis (83 %). Qualitative airway assessment correlated with quantitative bronchial dimensions ...Continue Reading

References

Feb 14, 2002·Journal of Applied Physiology·Paul C M van den BergMichael R Pinsky
Jan 24, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Riad B M HoseinWilliam J Brawn
Nov 3, 2009·The Journal of Thoracic and Cardiovascular Surgery·Lakshmi P DasiAjit P Yoganathan
Nov 28, 2009·Seminars in Thoracic and Cardiovascular Surgery·Seth Kligerman, Amita Sharma
Nov 13, 2010·JACC. Cardiovascular Imaging·Andrew C GlatzJonathan J Rome
Jan 20, 2011·Current Opinion in Cardiology·Carlos A C PedraJohn P Cheatham
Jan 3, 2012·Paediatric Respiratory Reviews·F HealyR Zinman
Mar 16, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Darren P BermanEvan M Zahn
Sep 22, 2012·Circulation·Kenji BabaOsami Honjo
Sep 27, 2012·Intensive Care Medicine·P P NayakV B Sivarajan
Feb 13, 2013·The Journal of Thoracic and Cardiovascular Surgery·Katja M GistJames Jaggers
Mar 5, 2013·General Thoracic and Cardiovascular Surgery·Andrea BillèTom Routledge
Oct 1, 2013·The Journal of Thoracic and Cardiovascular Surgery·Steven M SchwartzUNKNOWN Pediatric Heart Network Investigators
Nov 28, 2013·The Journal of Thoracic and Cardiovascular Surgery·Ryan R DaviesChristian Pizarro
Dec 11, 2013·The International Journal of Cardiovascular Imaging·S Bruce Greenberg, Umesh Dyamenahalli

❮ Previous
Next ❯

Citations

Sep 30, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·J GrohmannR Höhn
Jun 15, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Femke van der SteltJohannes M Breur
Oct 31, 2019·Cardiology in the Young·Sebastian Góreczny, Evan M Zahn
Mar 6, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gregor J KringsJohannes M P J Breur
Apr 11, 2018·F1000Research·Sok-Leng Kang, Lee Benson
Oct 6, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Kenneth A FetterlyNathaniel W Taggart

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.