Evidence map›Paper›PMID 27966187›Full record

ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2017

Three-dimensional image fusion guidance of percutaneous pulmonary valve implantation to reduce radiation exposure and contrast dose: A comparison with traditional two-dimensional and three-dimensional rotational angiographic guidance.

S Goreczny, T Moszura, P Dryzek, M Lukaszewski, A Krawczuk, J Moll, G J Morgan

Abstract read
In one paragraph

Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Off-protocol Melody™ valve implantation using a balloon-in-balloon™ catheter after Ensemble™ delivery system failure.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  5. A single vein approach for percutaneous self-expanding valve implantation: report of two cases.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  6. Percutaneous pulmonary valve implantation guided by three-dimensional rotational angiography.International journal of cardiology. Congenital heart disease · 2024
    Article
  7. Article
  8. Contrast-free percutaneous pulmonary valve replacement: a safe approach for valve-in-valve procedures.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2021
    Article
  9. Article
  10. Preprocedural three-dimensional planning aids in transcatheter ductal stent placement: A single-center experience.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2020
    Article
  11. Percutaneous Pulmonary Valve Implantation.Korean circulation journal · 2020
    Review
  12. Review
  13. Review
  14. Review
  15. Multi-modality imaging for percutaneous pulmonary valve implantation - getting serious about radiation and contrast reduction.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2019
    Article
  16. Review
  17. Review
  18. Review
  19. Magnetic resonance and computed tomography imaging fusion for live guidance of percutaneous pulmonary valve implantation.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

S GorecznyDepartment of Cardiology, Polish Mother's Memorial Hospital, Lodz, Poland. sebastiangoreczny@yahoo.pl.
T MoszuraDepartment of Cardiology, Polish Mother's Memorial Hospital, Lodz, Poland.
P DryzekDepartment of Cardiology, Polish Mother's Memorial Hospital, Lodz, Poland.
M LukaszewskiDepartment of Radiology, Polish Mother's Memorial Hospital, Lodz, Poland.
A KrawczukMedical University of Lodz, Lodz, Poland.
J MollDepartment of Cardiology, Polish Mother's Memorial Hospital, Lodz, Poland.
G J MorganDepartment of Cardiology, Colorado Children's Hospital & Department of Adult Congenital Cardiology, University of Colorado Hospital, Denver, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThree-dimensional rotational angiography (3DRA) has been used in the guidance of various transcatheter therapies including percutaneous pulmonary valve implantation (PPVI). The most recently available 3D image fusion software (VesselNavigator, Philips) extends this technology to use pre-registered computed tomography or magnetic resonance imaging datasets, promising reductions in contrast and radiation exposure along with shorter procedural times.

methodsIn this retrospective review, patients were assigned to three groups according to the mode of imaging guidance: two-dimensional angiography (2DA), 3DRA and VesselNavigator (VN) assisted valve implantation. Patient characteristics and catheterisation data were reviewed with a focus on contrast and radiation exposure, fluoroscopy, and procedural times.

resultsBetween July 2012 and June 2016, 21 patients underwent PPVI: 8 with 2D guidance, 6 patients with 3DRA and most recently 7 patients with VN assistance. Patents in the VN group received significantly less absolute and weight indexed contrast when compared with those with 2DA or 3DRA guided PPVI. Patients in the 2DA group received a significantly higher total dose area product radiation dose and air kerma in comparison with patients with 3DRA and VN guided intervention. Application of VN resulted in the shortest fluoroscopy time, although not statistically significant, and a significantly shorter study time when compared with 2DA.

conclusionsUtilisation of pre-intervention image manipulation with VesselNavigator for 3D guidance of PPVI results in a reduction in contrast and radiation exposure and study time as compared with traditional 2D guidance, and contrast usage as compared with 3DRA.

Indexed as

3D guidance3DRAPPVIVesselNavigator

Identifiers

PMID27966187
PMCPMC5260627

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.