Three-dimensional rotational angiography in children with an aortic coarctation
Background Children with aortic coarctations (CoA) are increasingly percutaneously treated. Good visualisation of the CoA is mandatory and can be obtained with three-dimensional rotational angiography (3DRA). This study aims to compare the diagnostic and therapeutic additional value of 3DRA with con...
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| Veröffentlicht in: | Netherlands heart journal 2016-11, Vol.24 (11), p.666-674 |
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| creator | Starmans, N. L. P. Krings, G. J. Molenschot, M. M. C. van der Stelt, F. Breur, J. M. P. J. |
| description | Background
Children with aortic coarctations (CoA) are increasingly percutaneously treated. Good visualisation of the CoA is mandatory and can be obtained with three-dimensional rotational angiography (3DRA). This study aims to compare the diagnostic and therapeutic additional value of 3DRA with conventional biplane angiography (CA) in children with a CoA.
Methods
Patients undergoing percutaneous treatment of CoA with balloon angioplasty (BA) or stent between 2003 and 2015, were retrospectively reviewed on success rate, complications, radiation and technical settings. Diagnostic quality of CA and 3DRA and additional value of 3DRA were scored.
Results
In total, 134 patients underwent 183 catheterisations, 121 CA and 62 3DRA-guided. Median age was 0.52 years in the BA group and 11.19 years in the stent group. 3DRA was superior to CA in displaying the left ventricle (
p
= 0.008), ascending aorta (
p
< 0.001), aortic arch (
p
= 0.005) and coronary arteries (
p
< 0.001). In the BA group, 3DRA had a significantly higher success rate than CA (100.0 % versus 68.9 %,
p
= 0.016). All stent interventions were successful. Complication rates did not differ significantly. The median total dose area product did not significantly differ between CA and 3DRA in the BA (27.88 μGym
2
/kg versus 15.81 μGym
2
/kg,
p
= 0.275) or stent group (37.34 μGym
2
/kg versus 45.24 μGym
2
/kg,
p
= 0.090). 3DRA was of additional value in 96.8 % of the interventions.
Conclusions
3DRA is superior to CA in diagnostic quality and not associated with increased radiation exposure. It provides high additional value in guiding CoA related interventions. |
| doi_str_mv | 10.1007/s12471-016-0899-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5065539</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835417510</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-7fed2eee7a5949b70a58370ded8a9681c5e1dc6bd8677cacc8e61a43c54f88993</originalsourceid><addsrcrecordid>eNp1kctKAzEUhoMoVqsP4EYG3LiJJpnJZTaCiDcouNF1SDOnnZRpUpOp4tubMt7BVQ78l-TkQ-iIkjNKiDxPlFWSYkIFJqquMdtCe1RJgQXjZDvPXCjMlVIjtJ_SghAuGZW7aMSk4LWs2R56eGwjAG7cEnxywZuuiKE3_TAaP3dhHs2qfSucL2zruiaCL15d32axMCH2zhY2mGiH0AHamZkuweHHOUZPN9ePV3d48nB7f3U5wZZXpMdyBg0DAGl4XdVTSQxXpSQNNMrUQlHLgTZWTBslpLTGWgWCmqrM6ZnKq5ZjdDH0rtbTJTQWfB9Np1fRLU1808E4_VvxrtXz8KI5EZyXm4LTj4IYnteQer10yULXGQ9hnTRVJa-o5JRk68kf6yKsY_6fpJlUlSoJrzaFdHDZGFKKMPt6DCV6g0sPuHTGpTe4NMuZ459bfCU--WQDGwwpS34O8fvq_1vfAWhuojk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2784830549</pqid></control><display><type>article</type><title>Three-dimensional rotational angiography in children with an aortic coarctation</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Springer Nature OA Free Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Starmans, N. L. P. ; Krings, G. J. ; Molenschot, M. M. C. ; van der Stelt, F. ; Breur, J. M. P. J.</creator><creatorcontrib>Starmans, N. L. P. ; Krings, G. J. ; Molenschot, M. M. C. ; van der Stelt, F. ; Breur, J. M. P. J.</creatorcontrib><description>Background
Children with aortic coarctations (CoA) are increasingly percutaneously treated. Good visualisation of the CoA is mandatory and can be obtained with three-dimensional rotational angiography (3DRA). This study aims to compare the diagnostic and therapeutic additional value of 3DRA with conventional biplane angiography (CA) in children with a CoA.
Methods
Patients undergoing percutaneous treatment of CoA with balloon angioplasty (BA) or stent between 2003 and 2015, were retrospectively reviewed on success rate, complications, radiation and technical settings. Diagnostic quality of CA and 3DRA and additional value of 3DRA were scored.
Results
In total, 134 patients underwent 183 catheterisations, 121 CA and 62 3DRA-guided. Median age was 0.52 years in the BA group and 11.19 years in the stent group. 3DRA was superior to CA in displaying the left ventricle (
p
= 0.008), ascending aorta (
p
< 0.001), aortic arch (
p
= 0.005) and coronary arteries (
p
< 0.001). In the BA group, 3DRA had a significantly higher success rate than CA (100.0 % versus 68.9 %,
p
= 0.016). All stent interventions were successful. Complication rates did not differ significantly. The median total dose area product did not significantly differ between CA and 3DRA in the BA (27.88 μGym
2
/kg versus 15.81 μGym
2
/kg,
p
= 0.275) or stent group (37.34 μGym
2
/kg versus 45.24 μGym
2
/kg,
p
= 0.090). 3DRA was of additional value in 96.8 % of the interventions.
Conclusions
3DRA is superior to CA in diagnostic quality and not associated with increased radiation exposure. It provides high additional value in guiding CoA related interventions.</description><identifier>ISSN: 1568-5888</identifier><identifier>EISSN: 1876-6250</identifier><identifier>DOI: 10.1007/s12471-016-0899-2</identifier><identifier>PMID: 27659792</identifier><language>eng</language><publisher>Houten: Bohn Stafleu van Loghum</publisher><subject>Angioplasty ; Blood pressure ; Cardiac catheterization ; Cardiology ; Catheters ; Coronary vessels ; General anesthesia ; Medical diagnosis ; Medical Education ; Medical imaging ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Patients ; Pediatrics ; Radiation ; Stents ; Success ; Veins & arteries ; Velocity</subject><ispartof>Netherlands heart journal, 2016-11, Vol.24 (11), p.666-674</ispartof><rights>The Author(s) 2016</rights><rights>The Author(s) 2016. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-7fed2eee7a5949b70a58370ded8a9681c5e1dc6bd8677cacc8e61a43c54f88993</citedby><cites>FETCH-LOGICAL-c540t-7fed2eee7a5949b70a58370ded8a9681c5e1dc6bd8677cacc8e61a43c54f88993</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/PMC5065539/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065539/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41120,42189,51576,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27659792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Starmans, N. L. P.</creatorcontrib><creatorcontrib>Krings, G. J.</creatorcontrib><creatorcontrib>Molenschot, M. M. C.</creatorcontrib><creatorcontrib>van der Stelt, F.</creatorcontrib><creatorcontrib>Breur, J. M. P. J.</creatorcontrib><title>Three-dimensional rotational angiography in children with an aortic coarctation</title><title>Netherlands heart journal</title><addtitle>Neth Heart J</addtitle><addtitle>Neth Heart J</addtitle><description>Background
Children with aortic coarctations (CoA) are increasingly percutaneously treated. Good visualisation of the CoA is mandatory and can be obtained with three-dimensional rotational angiography (3DRA). This study aims to compare the diagnostic and therapeutic additional value of 3DRA with conventional biplane angiography (CA) in children with a CoA.
Methods
Patients undergoing percutaneous treatment of CoA with balloon angioplasty (BA) or stent between 2003 and 2015, were retrospectively reviewed on success rate, complications, radiation and technical settings. Diagnostic quality of CA and 3DRA and additional value of 3DRA were scored.
Results
In total, 134 patients underwent 183 catheterisations, 121 CA and 62 3DRA-guided. Median age was 0.52 years in the BA group and 11.19 years in the stent group. 3DRA was superior to CA in displaying the left ventricle (
p
= 0.008), ascending aorta (
p
< 0.001), aortic arch (
p
= 0.005) and coronary arteries (
p
< 0.001). In the BA group, 3DRA had a significantly higher success rate than CA (100.0 % versus 68.9 %,
p
= 0.016). All stent interventions were successful. Complication rates did not differ significantly. The median total dose area product did not significantly differ between CA and 3DRA in the BA (27.88 μGym
2
/kg versus 15.81 μGym
2
/kg,
p
= 0.275) or stent group (37.34 μGym
2
/kg versus 45.24 μGym
2
/kg,
p
= 0.090). 3DRA was of additional value in 96.8 % of the interventions.
Conclusions
3DRA is superior to CA in diagnostic quality and not associated with increased radiation exposure. It provides high additional value in guiding CoA related interventions.</description><subject>Angioplasty</subject><subject>Blood pressure</subject><subject>Cardiac catheterization</subject><subject>Cardiology</subject><subject>Catheters</subject><subject>Coronary vessels</subject><subject>General anesthesia</subject><subject>Medical diagnosis</subject><subject>Medical Education</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Radiation</subject><subject>Stents</subject><subject>Success</subject><subject>Veins & arteries</subject><subject>Velocity</subject><issn>1568-5888</issn><issn>1876-6250</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kctKAzEUhoMoVqsP4EYG3LiJJpnJZTaCiDcouNF1SDOnnZRpUpOp4tubMt7BVQ78l-TkQ-iIkjNKiDxPlFWSYkIFJqquMdtCe1RJgQXjZDvPXCjMlVIjtJ_SghAuGZW7aMSk4LWs2R56eGwjAG7cEnxywZuuiKE3_TAaP3dhHs2qfSucL2zruiaCL15d32axMCH2zhY2mGiH0AHamZkuweHHOUZPN9ePV3d48nB7f3U5wZZXpMdyBg0DAGl4XdVTSQxXpSQNNMrUQlHLgTZWTBslpLTGWgWCmqrM6ZnKq5ZjdDH0rtbTJTQWfB9Np1fRLU1808E4_VvxrtXz8KI5EZyXm4LTj4IYnteQer10yULXGQ9hnTRVJa-o5JRk68kf6yKsY_6fpJlUlSoJrzaFdHDZGFKKMPt6DCV6g0sPuHTGpTe4NMuZ459bfCU--WQDGwwpS34O8fvq_1vfAWhuojk</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Starmans, N. L. P.</creator><creator>Krings, G. J.</creator><creator>Molenschot, M. M. C.</creator><creator>van der Stelt, F.</creator><creator>Breur, J. M. P. J.</creator><general>Bohn Stafleu van Loghum</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161101</creationdate><title>Three-dimensional rotational angiography in children with an aortic coarctation</title><author>Starmans, N. L. P. ; Krings, G. J. ; Molenschot, M. M. C. ; van der Stelt, F. ; Breur, J. M. P. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-7fed2eee7a5949b70a58370ded8a9681c5e1dc6bd8677cacc8e61a43c54f88993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Angioplasty</topic><topic>Blood pressure</topic><topic>Cardiac catheterization</topic><topic>Cardiology</topic><topic>Catheters</topic><topic>Coronary vessels</topic><topic>General anesthesia</topic><topic>Medical diagnosis</topic><topic>Medical Education</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Radiation</topic><topic>Stents</topic><topic>Success</topic><topic>Veins & arteries</topic><topic>Velocity</topic><toplevel>online_resources</toplevel><creatorcontrib>Starmans, N. L. P.</creatorcontrib><creatorcontrib>Krings, G. J.</creatorcontrib><creatorcontrib>Molenschot, M. M. C.</creatorcontrib><creatorcontrib>van der Stelt, F.</creatorcontrib><creatorcontrib>Breur, J. M. P. J.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Netherlands heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Starmans, N. L. P.</au><au>Krings, G. J.</au><au>Molenschot, M. M. C.</au><au>van der Stelt, F.</au><au>Breur, J. M. P. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-dimensional rotational angiography in children with an aortic coarctation</atitle><jtitle>Netherlands heart journal</jtitle><stitle>Neth Heart J</stitle><addtitle>Neth Heart J</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>24</volume><issue>11</issue><spage>666</spage><epage>674</epage><pages>666-674</pages><issn>1568-5888</issn><eissn>1876-6250</eissn><abstract>Background
Children with aortic coarctations (CoA) are increasingly percutaneously treated. Good visualisation of the CoA is mandatory and can be obtained with three-dimensional rotational angiography (3DRA). This study aims to compare the diagnostic and therapeutic additional value of 3DRA with conventional biplane angiography (CA) in children with a CoA.
Methods
Patients undergoing percutaneous treatment of CoA with balloon angioplasty (BA) or stent between 2003 and 2015, were retrospectively reviewed on success rate, complications, radiation and technical settings. Diagnostic quality of CA and 3DRA and additional value of 3DRA were scored.
Results
In total, 134 patients underwent 183 catheterisations, 121 CA and 62 3DRA-guided. Median age was 0.52 years in the BA group and 11.19 years in the stent group. 3DRA was superior to CA in displaying the left ventricle (
p
= 0.008), ascending aorta (
p
< 0.001), aortic arch (
p
= 0.005) and coronary arteries (
p
< 0.001). In the BA group, 3DRA had a significantly higher success rate than CA (100.0 % versus 68.9 %,
p
= 0.016). All stent interventions were successful. Complication rates did not differ significantly. The median total dose area product did not significantly differ between CA and 3DRA in the BA (27.88 μGym
2
/kg versus 15.81 μGym
2
/kg,
p
= 0.275) or stent group (37.34 μGym
2
/kg versus 45.24 μGym
2
/kg,
p
= 0.090). 3DRA was of additional value in 96.8 % of the interventions.
Conclusions
3DRA is superior to CA in diagnostic quality and not associated with increased radiation exposure. It provides high additional value in guiding CoA related interventions.</abstract><cop>Houten</cop><pub>Bohn Stafleu van Loghum</pub><pmid>27659792</pmid><doi>10.1007/s12471-016-0899-2</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Netherlands heart journal, 2016-11, Vol.24 (11), p.666-674 |
| issn | 1568-5888 1876-6250 |
| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Springer Nature OA Free Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Angioplasty Blood pressure Cardiac catheterization Cardiology Catheters Coronary vessels General anesthesia Medical diagnosis Medical Education Medical imaging Medicine Medicine & Public Health Original Original Article Patients Pediatrics Radiation Stents Success Veins & arteries Velocity |
| title | Three-dimensional rotational angiography in children with an aortic coarctation |
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