Abstract
Successful treatment of congenital heart diseases (CHD) in many respects depends on accuracy of diagnostics and visualization of heart and vessels. Three-dimensional images provide more exact anatomic picture of structures of heart and great vessels, their spatial interposition. Using two-dimensional angiocardiography (AKG) not always is possible to reveal all anatomic picture of pulmonary arteries that quite often demands application of additional projections for good visualization of interest area. Wider use of three-dimensional rotational angiocardiography in diagnostic and endovascular interventions for pulmonary arteries can resolve this problem.
The purpose of this message is to present the first experience of 3D rotational angiocardiography of pulmonary arteries use during stenting of the right pulmonary artery on the basis of which the anatomy of the vessel stenosis was correctly estimated and treated.
References
1. Butera G., Carminati M., Pome G. Use of cutting-balloon angioplasty in a hybrid setting: a new application of the hybrid approach. J.
Invasive Cardiol. 2008; 20: E327–8.
2. Lock J.E. Catheter intervention. In: Lock J.E, Keane J.F., Fellows K.E. Diagnostic and Interventional Catheterization in Congenital Heart
Disease. Boston: Martinus Nijhotf; 1987: 104–7.
3. Пурсанов М.Г. Транслюминальная баллонная ангиопластика и стентирование при обструктивной патологии легочных артерий у
больных с врожденными пороками сердца: автореф. … д-ра мед. наук. М.; 2002.
4. Aldoss O., Fagan T., Darst J., Truong U., Fonsecaet B. Diagnostic utility of three-dimensional rotational angiography in pediatric cardiac
catheterization. Abstracts: Pediatric & Adult Interventional Cardiac Symposium (PICS/AICS 2013). Catheter. Cardiovasc. Interv. 2013; 81:
180.
5. Kapins C.E.B., Coutinho R.B., Barbosa F.B., Silva C.M.C., Lima V.C., Carvalho A.C. Uso da angiografia rotacional 3D (3D-RA) em portadores
de cardiopatias congeˆnitas: experieˆncia de 53 casos. Rev. Bras. Cardiol. Invasiva. 2010; 18: 199–203.
6. Hagen G., Wadstrom J., Eriksson L.G., Magnusson P., Magnussom M., Magnussom A. Three-dimensional rotational angiography of transplanted
renal arteries: influence of an extended angle of rotation on beam-hardening artifacts. Acta Radiol. 2005; 46: 170–6.
7. Molenschot M., Freund M., Breur H., Krings G. Vizualization of post-surgical right ventricular outflow tract aneurism by
3-dimensional rotational angiography (3D RA). Abstracts: Pediatric & Adult Interventional Cardiac Symposium (PICS/AICS 2013).
Catheter. Cardiovasc. Interv. 2013; 81: 200–1.
8. Panzer J., Taeymans Y., De Wolf D. Three-dimensional rotational angiography of a patient with pulmonary atresia intact septum and coronary
fistulas. Pediatr. Cardiol. 2008; 29: 686–7.
9. Rigatelli G., Zamboni A., Cardaioli P. Three-dimensional rotational digital angiography in a complicated case of patent ductus arteriosus
transcatheter closure. Catheter. Cardiovasc. Interv. 2007; 70: 900–3.
10. Van Rooij W.J., Sprengers M.E., Gast A.N., Peluso J.P., Sluzewski M. 3D rotational angiography: the new gold standard in the detection of
additional intracranial aneurysms. Am. J. Neuroradiol. 2008; 29: 976–9.
