Magnetically guided left ventricular lead implantation based on a virtual three-dimensional reconstructed image of the coronary sinus
Aims Left ventricular (LV) lead implantation is feasible using remote magnetic navigation of a guidewire (Stereotaxis, St Louis, MO, USA). A novel software that performs a three-dimensional (3D) reconstruction of vessels based on two or more angiographic views has been developed recently (CardiOp-B...
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| Veröffentlicht in: | Europace (London, England) England), 2008-09, Vol.10 (9), p.1042-1047 |
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| creator | Rivero-Ayerza, Máximo Jessurun, Emil Ramcharitar, Steve van Belle, Yves Serruys, Patrick W. Jordaens, Luc |
| description | Aims
Left ventricular (LV) lead implantation is feasible using remote magnetic navigation of a guidewire (Stereotaxis, St Louis, MO, USA). A novel software that performs a three-dimensional (3D) reconstruction of vessels based on two or more angiographic views has been developed recently (CardiOp-B system™, Paeion Inc., Haifa, Israel). The objective of this paper is to evaluate: (i) the performance of the 3D reconstruction software which reproduce the anatomy of the coronary sinus (CS) and (ii) the efficacy of remotely navigating a magnetic guidewire within the CS based on this reconstruction.
Methods and results
In patients undergoing cardiac resynchronization therapy implantation, a 3D reconstruction of the CS was performed using the CardiOp-B™ system. Accuracy of the reconstruction was evaluated by comparing with the CS angiogram. This reconstruction was imported into the Stereotaxis system. On the basis of the reconstruction, magnetic vectors were automatically selected to navigate within the CS and manually adjusted if required. Feasibility of deploying the guidewire and LV lead into the selected side branch (SB), fluoroscopy time (FT) required for cannulation of the target SB, and total FT were also evaluated. Sixteen patients were included. In one case, the software could not reconstruct the CS. The quality of the reconstruction was graded as good in 13 and poor in 2. In 10 cases, manual adjustments to the traced edges of the CS were required to perform the 3D reconstruction, and in 5, no adjustments were required. In 13 patients, the target SB was engaged on the basis of the automatically selected vectors. In two cases, manual modification of the vector was required. Mean total FT was 23 ± 14 min and the FT required to cannulate the target SB was 1.7 ± 1.3 min.
Conclusion
A 3D reconstruction of the CS can be accurately performed using two angiographic views. This reconstruction allows precise magnetic navigation of a guidewire within the CS. |
| doi_str_mv | 10.1093/europace/eun173 |
| format | Article |
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Left ventricular (LV) lead implantation is feasible using remote magnetic navigation of a guidewire (Stereotaxis, St Louis, MO, USA). A novel software that performs a three-dimensional (3D) reconstruction of vessels based on two or more angiographic views has been developed recently (CardiOp-B system™, Paeion Inc., Haifa, Israel). The objective of this paper is to evaluate: (i) the performance of the 3D reconstruction software which reproduce the anatomy of the coronary sinus (CS) and (ii) the efficacy of remotely navigating a magnetic guidewire within the CS based on this reconstruction.
Methods and results
In patients undergoing cardiac resynchronization therapy implantation, a 3D reconstruction of the CS was performed using the CardiOp-B™ system. Accuracy of the reconstruction was evaluated by comparing with the CS angiogram. This reconstruction was imported into the Stereotaxis system. On the basis of the reconstruction, magnetic vectors were automatically selected to navigate within the CS and manually adjusted if required. Feasibility of deploying the guidewire and LV lead into the selected side branch (SB), fluoroscopy time (FT) required for cannulation of the target SB, and total FT were also evaluated. Sixteen patients were included. In one case, the software could not reconstruct the CS. The quality of the reconstruction was graded as good in 13 and poor in 2. In 10 cases, manual adjustments to the traced edges of the CS were required to perform the 3D reconstruction, and in 5, no adjustments were required. In 13 patients, the target SB was engaged on the basis of the automatically selected vectors. In two cases, manual modification of the vector was required. Mean total FT was 23 ± 14 min and the FT required to cannulate the target SB was 1.7 ± 1.3 min.
Conclusion
A 3D reconstruction of the CS can be accurately performed using two angiographic views. This reconstruction allows precise magnetic navigation of a guidewire within the CS.</description><identifier>ISSN: 1099-5129</identifier><identifier>EISSN: 1532-2092</identifier><identifier>DOI: 10.1093/europace/eun173</identifier><identifier>PMID: 18587136</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Clinical Investigations ; Coronary Sinus - pathology ; Coronary Sinus - surgery ; Electrodes, Implanted ; Female ; Heart Failure - prevention & control ; Heart Ventricles - surgery ; Humans ; Imaging, Three-Dimensional - methods ; Magnetics - instrumentation ; Male ; Pacemaker, Artificial ; Prosthesis Implantation - methods ; Treatment Outcome</subject><ispartof>Europace (London, England), 2008-09, Vol.10 (9), p.1042-1047</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org 2008</rights><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-dd9abe0b72fdb51693f274d2f6becae92060d25f64a4d8b3c8bfebf7a0f97ee33</citedby><cites>FETCH-LOGICAL-c484t-dd9abe0b72fdb51693f274d2f6becae92060d25f64a4d8b3c8bfebf7a0f97ee33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517161/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517161/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1604,27924,27925,53791,53793</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/europace/eun173$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18587136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rivero-Ayerza, Máximo</creatorcontrib><creatorcontrib>Jessurun, Emil</creatorcontrib><creatorcontrib>Ramcharitar, Steve</creatorcontrib><creatorcontrib>van Belle, Yves</creatorcontrib><creatorcontrib>Serruys, Patrick W.</creatorcontrib><creatorcontrib>Jordaens, Luc</creatorcontrib><title>Magnetically guided left ventricular lead implantation based on a virtual three-dimensional reconstructed image of the coronary sinus</title><title>Europace (London, England)</title><addtitle>Europace</addtitle><description>Aims
Left ventricular (LV) lead implantation is feasible using remote magnetic navigation of a guidewire (Stereotaxis, St Louis, MO, USA). A novel software that performs a three-dimensional (3D) reconstruction of vessels based on two or more angiographic views has been developed recently (CardiOp-B system™, Paeion Inc., Haifa, Israel). The objective of this paper is to evaluate: (i) the performance of the 3D reconstruction software which reproduce the anatomy of the coronary sinus (CS) and (ii) the efficacy of remotely navigating a magnetic guidewire within the CS based on this reconstruction.
Methods and results
In patients undergoing cardiac resynchronization therapy implantation, a 3D reconstruction of the CS was performed using the CardiOp-B™ system. Accuracy of the reconstruction was evaluated by comparing with the CS angiogram. This reconstruction was imported into the Stereotaxis system. On the basis of the reconstruction, magnetic vectors were automatically selected to navigate within the CS and manually adjusted if required. Feasibility of deploying the guidewire and LV lead into the selected side branch (SB), fluoroscopy time (FT) required for cannulation of the target SB, and total FT were also evaluated. Sixteen patients were included. In one case, the software could not reconstruct the CS. The quality of the reconstruction was graded as good in 13 and poor in 2. In 10 cases, manual adjustments to the traced edges of the CS were required to perform the 3D reconstruction, and in 5, no adjustments were required. In 13 patients, the target SB was engaged on the basis of the automatically selected vectors. In two cases, manual modification of the vector was required. Mean total FT was 23 ± 14 min and the FT required to cannulate the target SB was 1.7 ± 1.3 min.
Conclusion
A 3D reconstruction of the CS can be accurately performed using two angiographic views. This reconstruction allows precise magnetic navigation of a guidewire within the CS.</description><subject>Clinical Investigations</subject><subject>Coronary Sinus - pathology</subject><subject>Coronary Sinus - surgery</subject><subject>Electrodes, Implanted</subject><subject>Female</subject><subject>Heart Failure - prevention & control</subject><subject>Heart Ventricles - surgery</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Magnetics - instrumentation</subject><subject>Male</subject><subject>Pacemaker, Artificial</subject><subject>Prosthesis Implantation - methods</subject><subject>Treatment Outcome</subject><issn>1099-5129</issn><issn>1532-2092</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkstq3DAUhk1paZJp190V0UUXATe62bI2hRB6g5Ru2rWQpaOJgsdydRmYB-h7V2am101W-jn6zs-5Nc0Lgt8QLNkVlBgWbaCKmQj2qDknHaMtxZI-rhpL2XaEyrPmIqV7jLGgsnvanJGhGwRh_Xnz47PezpC90dN0QNviLVg0gctoD3OO3pRJxxrQFvndMuk56-zDjEadKliFRnsfc9ETyncRoLV-B3OqSI1EMGFOORaTYc3XW0DBVRCQCbEi8YCSn0t61jxxekrw_PRumm_v3329-djefvnw6eb6tjV84Lm1VuoR8Cios2NHeskcFdxS149gNEiKe2xp53quuR1GZobRweiExk4KAMY2zduj71LGHViztqgntcRaWzyooL3692f2d2ob9op2RJCeVIPXJ4MYvhdIWe18MjDVwUAoSfWSc8ZE_yBIJB96KWQFX_0H3ocS6_RWZqCcr3veNFdHyMSQUgT3u2SC1QqoX4egjodQM17-3ekf_rT5ClwegVCWB91-Aj_ZxkQ</recordid><startdate>20080901</startdate><enddate>20080901</enddate><creator>Rivero-Ayerza, Máximo</creator><creator>Jessurun, Emil</creator><creator>Ramcharitar, Steve</creator><creator>van Belle, Yves</creator><creator>Serruys, Patrick W.</creator><creator>Jordaens, Luc</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080901</creationdate><title>Magnetically guided left ventricular lead implantation based on a virtual three-dimensional reconstructed image of the coronary sinus</title><author>Rivero-Ayerza, Máximo ; Jessurun, Emil ; Ramcharitar, Steve ; van Belle, Yves ; Serruys, Patrick W. ; Jordaens, Luc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-dd9abe0b72fdb51693f274d2f6becae92060d25f64a4d8b3c8bfebf7a0f97ee33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Clinical Investigations</topic><topic>Coronary Sinus - pathology</topic><topic>Coronary Sinus - surgery</topic><topic>Electrodes, Implanted</topic><topic>Female</topic><topic>Heart Failure - prevention & control</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Magnetics - instrumentation</topic><topic>Male</topic><topic>Pacemaker, Artificial</topic><topic>Prosthesis Implantation - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rivero-Ayerza, Máximo</creatorcontrib><creatorcontrib>Jessurun, Emil</creatorcontrib><creatorcontrib>Ramcharitar, Steve</creatorcontrib><creatorcontrib>van Belle, Yves</creatorcontrib><creatorcontrib>Serruys, Patrick W.</creatorcontrib><creatorcontrib>Jordaens, Luc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Europace (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Rivero-Ayerza, Máximo</au><au>Jessurun, Emil</au><au>Ramcharitar, Steve</au><au>van Belle, Yves</au><au>Serruys, Patrick W.</au><au>Jordaens, Luc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnetically guided left ventricular lead implantation based on a virtual three-dimensional reconstructed image of the coronary sinus</atitle><jtitle>Europace (London, England)</jtitle><addtitle>Europace</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>10</volume><issue>9</issue><spage>1042</spage><epage>1047</epage><pages>1042-1047</pages><issn>1099-5129</issn><eissn>1532-2092</eissn><abstract>Aims
Left ventricular (LV) lead implantation is feasible using remote magnetic navigation of a guidewire (Stereotaxis, St Louis, MO, USA). A novel software that performs a three-dimensional (3D) reconstruction of vessels based on two or more angiographic views has been developed recently (CardiOp-B system™, Paeion Inc., Haifa, Israel). The objective of this paper is to evaluate: (i) the performance of the 3D reconstruction software which reproduce the anatomy of the coronary sinus (CS) and (ii) the efficacy of remotely navigating a magnetic guidewire within the CS based on this reconstruction.
Methods and results
In patients undergoing cardiac resynchronization therapy implantation, a 3D reconstruction of the CS was performed using the CardiOp-B™ system. Accuracy of the reconstruction was evaluated by comparing with the CS angiogram. This reconstruction was imported into the Stereotaxis system. On the basis of the reconstruction, magnetic vectors were automatically selected to navigate within the CS and manually adjusted if required. Feasibility of deploying the guidewire and LV lead into the selected side branch (SB), fluoroscopy time (FT) required for cannulation of the target SB, and total FT were also evaluated. Sixteen patients were included. In one case, the software could not reconstruct the CS. The quality of the reconstruction was graded as good in 13 and poor in 2. In 10 cases, manual adjustments to the traced edges of the CS were required to perform the 3D reconstruction, and in 5, no adjustments were required. In 13 patients, the target SB was engaged on the basis of the automatically selected vectors. In two cases, manual modification of the vector was required. Mean total FT was 23 ± 14 min and the FT required to cannulate the target SB was 1.7 ± 1.3 min.
Conclusion
A 3D reconstruction of the CS can be accurately performed using two angiographic views. This reconstruction allows precise magnetic navigation of a guidewire within the CS.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>18587136</pmid><doi>10.1093/europace/eun173</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1099-5129 |
| ispartof | Europace (London, England), 2008-09, Vol.10 (9), p.1042-1047 |
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| source | Oxford Journals Open Access Collection |
| subjects | Clinical Investigations Coronary Sinus - pathology Coronary Sinus - surgery Electrodes, Implanted Female Heart Failure - prevention & control Heart Ventricles - surgery Humans Imaging, Three-Dimensional - methods Magnetics - instrumentation Male Pacemaker, Artificial Prosthesis Implantation - methods Treatment Outcome |
| title | Magnetically guided left ventricular lead implantation based on a virtual three-dimensional reconstructed image of the coronary sinus |
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