Three-Dimensional Rotational Angiography in Pediatric Patients with Congenital Heart Disease: A Literature Review

Femke Van Der Stelt,Mirella M C Molenschot,Gregor J Krings,Sebastiaan N Siegerink,Johannes M P J Breur

doi:10.1007/s00246-019-02052-z

Femke Van Der Stelt, Mirella M C Molenschot + Show 3 more

Open Access

https://doi.org/10.1007/s00246-019-02052-z

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Abstract

Cardiac catheterization is a commonly used form of imaging and treatment in pediatric patients with congenital heart disease. Traditionally, two-dimensional conventional angiography was the method used, but since 2000 three-dimensional rotational angiography (3DRA) is increasingly used in the field of cardiology in both adult and pediatric patients. To investigate the use and applications of 3DRA in pediatric congenital cardiology, literature was systematically reviewed and 29 eligible articles were found. Those showed that 3DRA is already a greatly valued diagnostic and therapeutic technique in pediatric cardiology. However, the literature misses well-designed clinical, homogeneous, multicenter, prospective studies recording data in a standardized manner. These studies are necessary to ensure proper data analysis and to investigate the true advantages of 3DRA and how it exactly benefits the patients.

Highlights

Two-dimensional conventional angiography (CA) is the method used to visualize and percutaneously treat congenital heart diseases (CHD)
The following keywords were used in combination: 3DRA, threedimensional rotational angiography, cardiology, cardiac, and heart
Studies were excluded in case of phantom data, animal data, ablation or cardiac resynchronization therapy, coronary angiography, 3DRA used for non-cardiac purposes, imaging other than 3DRA, congress abstracts, general reviews on 3DRA, and editorial comments

Summary

Introduction

Two-dimensional conventional angiography (CA) is the method used to visualize and percutaneously treat congenital heart diseases (CHD). While three-dimensional rotational angiography (3DRA) was already a wellestablished technique in neurology [1], it was only in 2001 that Boccalandro and colleagues reported the first application of 3DRA in an adult patient with congenital heart disease [2]. In this patient, computed tomography showed a thoracic aneurysm after coarctectomy with side-to-side graft placement for aortic coarctation. The patient was discharged without intervention [2]

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