Real-time 3D-3D image fusion of CTA/CBCT roadmap fluoroscopy in the transcatheter mitral intervention

Fuyu Cheng; Zhiqing Qiao; Liang Zhao; Jun Pu

doi:10.1002/ccd.30826

Real-time 3D-3D image fusion of CTA/CBCT roadmap fluoroscopy in the transcatheter mitral intervention

Catheter Cardiovasc Interv. 2024 Jan;103(1):230-233. doi: 10.1002/ccd.30826. Epub 2023 Sep 5.

Authors

Fuyu Cheng¹, Zhiqing Qiao¹, Liang Zhao², Jun Pu¹

Affiliations

¹ Department of Cardiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
² Department of Radiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

PMID: 37668044
DOI: 10.1002/ccd.30826

Abstract

Absence of periprocedural visualization of three-dimensional (3D) left heart anatomy and its surrounding structures in fluoroscopy may reduce the rate of successful transcatheter mitral valve repair. We proposed a multimodal imaging strategy based on 3D computed tomography (CT) angiography and 3D cone beam CT fusion images, which enabled real-time visual inspection of 3D cardiac structures on fluoroscopy, to optimize transcatheter mitral intervention. This new image fusion technology, together with standard transesophageal echocardiography guidance, improved the efficiency and safety of the procedure, and could be considered as a new workflow for transcatheter mitral valve intervention.

Keywords: MitraClip; computed tomographic angiography; cone-beam computed tomography; image fusion; transcatheter mitral intervention.

Publication types

Case Reports

MeSH terms

Angiography
Cardiac Catheterization / adverse effects
Cardiac Catheterization / methods
Fluoroscopy
Humans
Mitral Valve Insufficiency*
Spiral Cone-Beam Computed Tomography*
Tomography, X-Ray Computed
Treatment Outcome