The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

First use of 3D-TEE Model based Fully Automatic Fusion of 3D-MSCT and Fluoroscopy during Transcatheter Aortic Valve Implantation

EuroIntervention 2019; just accepted article published in May 2019. DOI: 10.4244/EIJ-D-19-00261

1. Department of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands, NETHERLANDS; 2. Department of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands; 3. Department of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands; 4. Department of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands
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Several tools are developed in order to optimize TAVI procedures and decrease risk of procedural complications such as acute kidney injury. Real-time fusion of 3D-MSCT (multi-slice computer tomography) images with X-ray fluoroscopy may help physicians during procedure(1). However, these still MSCT images cannot be matched with X-ray fluoroscopy without the use of contrast injection(1). We describe the first use of a new, fully automatic, 3D-TEE-based fusion technique of 3D-MSCT on live fluoroscopy during TAVI.

An 85-year old woman, with severe symptomatic aortic valve stenosis and renal impairment (eGFR 44 ml/min/1,73m2) underwent TAVI with an auto-expandable ...

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