Evidence map›Paper›PMID 41951142›Full record

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

Combined CMR and catheterization for pre-Fontan evaluation: comparing metrics and clinical correlations.

Ashish Shrivastava, Russel Hirsch, Shabana Shahanavaz, Cara E Morin, Todd Jenkins, Zhiqian Gao, Sean M Lang

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Ashish ShrivastavaThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. Electronic address: ashish.shrivastava@cchmc.org.
Russel HirschThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Shabana ShahanavazThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Cara E MorinDepartment of Radiology, Cincinnati Children's Hospital and University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Todd JenkinsThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA; Division of Biostatistics & Epidemiology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Zhiqian GaoThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA; Heart Institute Research Core, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Sean M LangThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular magnetic resonance imaging (CMR) is increasingly used in combination with cardiac catheterization (Cath) for the pre-Fontan evaluation of children with single-ventricle physiology. The aim of this study was to describe our institutional experience of this combined assessment.

methodsWe conducted a retrospective, single-center study of 57 single-ventricle patients who underwent CMR and Cath under the same anesthesia prior to Fontan completion. CMR and Cath-based pulmonary and systemic blood flow ratio (Qp/Qs) and aortopulmonary collateral (APC) assessments were compared. In addition, we analyzed the association between significant APC burden (>30% of aortic flow) and preoperative hemodynamics, as well as postoperative outcomes, including chest tube duration and hospital length of stay.

resultsCMR consistently yielded higher Qp/Qs values compared to Cath, with a mean underestimation of 0.41 by the latter. This difference was strongly correlated with CMR-derived APC burden (p<0.0001). In comparison, Cath-based qualitative assessment of the APC had a poor correlation with the CMR APC burden and Qp/Qs. The CMR APC burden was also associated with increased indexed ventricular volumes and lower ejection fraction.

conclusionCombined CMR and Cath provide a comprehensive pre-Fontan assessment, with CMR offering superior quantification of aortopulmonary collateral burden and demonstrating larger Qp/Qs than calculated by Cath methods. These findings support the continued use of integrated imaging modalities for individualized care.

Indexed as

Cardiac CatheterizationFontan ProcedureHeart Defects, CongenitalHeart VentriclesMagnetic Resonance ImagingMagnetic Resonance Imaging, CineAdolescentChildChild, PreschoolCollateral CirculationFemaleHemodynamicsHumansInfantLength of StayMaleAortopulmonary collateralCardiac magnetic resonanceCathEjection fractionSingle ventricle

Identifiers

PMID41951142
PMCPMC13241636

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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.