Evidence map›Paper›PMID 30841903›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2019

A cardiovascular magnetic resonance (CMR) safe metal braided catheter design for interventional CMR at 1.5 T: freedom from radiofrequency induced heating and preserved mechanical performance.

Korel D Yildirim, Burcu Basar, A E Campbell-Washburn, Daniel A Herzka, Ozgur Kocaturk, Robert J Lederman

Abstract readComparative Study
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
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  4. Interventional cardiovascular magnetic resonance: state-of-the-art.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
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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

6 authors.

Korel D YildirimInstitute of Biomedical Engineering, Bogazici University, Istanbul, Turkey.
Burcu BasarCardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, Bethesda, MD, 20892-1538, USA.
A E Campbell-WashburnCardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, Bethesda, MD, 20892-1538, USA.
Daniel A HerzkaCardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, Bethesda, MD, 20892-1538, USA.
Ozgur KocaturkInstitute of Biomedical Engineering, Bogazici University, Istanbul, Turkey.
Robert J LedermanCardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, Bethesda, MD, 20892-1538, USA. lederman@nih.gov.

Funding

Novel catheter treatment of valve diseaseZIAHL006040 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEDERMAN, ROBERT J · 2010 to 2025
$23.6M
Real-time MRI guided cardiovascular interventionZIAHL005062 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEDERMAN, ROBERT J · 2009 to 2025
$21.6M
MRI catheter design and fabricationZIAHL006041 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEDERMAN, ROBERT J · 2014 to 2025
$12.2M
Real-time cardiovascular MRI and co-registration technical developmentZIAHL006039 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEDERMAN, ROBERT J · 2010 to 2024
$10.3M
Therapies enabled-cardiovascular interventional MRIZ01HL005062 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEDERMAN, ROBERT J · 2003 to 2008
$6.0M
Innovative Technology for MRI Guided ProceduresZIAHL006213 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI CAMPBELL-WASHBURN, ADRIENNE · 2016 to 2025
$5.4M
Intramural NIH HHS Z01 HL005062
6 · The paper itself

Abstract

backgroundCatheter designs incorporating metallic braiding have high torque control and kink resistance compared with unbraided alternatives. However, metallic segments longer than a quarter wavelength (~ 12 cm for 1.5 T scanner) are prone to radiofrequency (RF) induced heating during cardiovascular magnetic resonance (CMR) catheterization. We designed a braid-reinforced catheter with interrupted metallic segments to mitigate RF-induced heating yet retain expected mechanical properties for CMR catheterization.

methodsWe constructed metal wire braided 6 Fr catheter shaft subassemblies using electrically insulated stainless-steel wires and off-the-shelf biocompatible polymers. The braiding was segmented, in-situ, using lasers to create non-resonant wire lengths. We compared the heating and mechanical performance of segmented- with un-segmented- metal braided catheter shaft subassemblies.

resultsThe braiding segmentation procedure did not significantly alter the structural integrity of catheter subassemblies, torque response, push-ability, or kink resistance compared with non-segmented controls. Segmentation shortened the electrical length of individually insulated metallic braids, and therefore inhibited resonance during CMR RF excitation. RF-induced heating was reduced below 2 °C under expected use conditions in vitro.

conclusionWe describe a simple modification to the manufacture of metallic braided catheters that will allow CMR catheterization without RF-induced heating under contemporary scanning conditions at 1.5 T. The proposed segmentation pattern largely preserves braid structure and mechanical integrity while interrupting electrical resonance. This inexpensive design may be applicable to both diagnostic and interventional catheters and will help to enable a range of interventional procedures using real time CMR.

Indexed as

Biocompatible MaterialsCardiac CathetersHot TemperatureStainless SteelAnimalsCardiac CatheterizationEquipment DesignEquipment FailureMagnetic Resonance Imaging, InterventionalMaterials TestingModels, AnimalStress, MechanicalSwineSwine, MiniatureTorqueBiocompatible MaterialsStainless SteelCardiovascular magnetic resonanceCatheter engineeringCatheterization methodsCMR catheterizationEquipment designInterventional MRI

Identifiers

PMID30841903
PMCPMC6404324

What OpenQuestion holds

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LicenceCC BY
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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.