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• W2261031141 abstract "Cardiac catheterization has contributed to the progress made in the management of patients with congenital heart disease (CHD). First, it allowed clarification of the diagnostic assessment of CHD, by offering a better understanding of normal cardiac physiology and the pathophysiology and anatomy of complex malformations. Then, it became an alternative to surgery and a major component of the therapeutic approach for some CHD lesions. Nowadays, techniques have evolved and cardiac catheterization is widely used to percutaneously close intracardiac shunts, to relieve obstructive valvar or vessel lesions, and for transcatheter valve replacement. Accurate imaging is mandatory to guide these procedures. Cardiac imaging during catheterization of CHD must provide accurate images of lesions, surrounding cardiac structures, medical devices and tools used to deliver them. Cardiac imaging has to be ‘real-time’ with an excellent temporal resolution to ensure ‘eyes–hands’ synchronization and ‘device–target area’ accurate positioning. In this comprehensive review, we provide an overview of conventional cardiac imaging tools used in the catheterization laboratory in daily practice, as well as the effect of recent evolution and future imaging modalities. Le cathétérisme cardiaque a contribué aux progrès réalisés dans la prise en charge des cardiopathies congénitales. Il a tout d’abord permis de mieux appréhender l’anatomie et la physiologie des malformations complexes. Le cathétérisme est de nos jours de plus en plus interventionnel, suppléant ou complétant la chirurgie cardiaque. Il permet entre autres l’occlusion de shunt, la dilatation de valves, vaisseaux ou conduits sténosés et le remplacement valvulaire percutané. Une imagerie de précision est nécessaire en salle de cathétérisme pour guider ces interventions. Cette imagerie doit permettre de bien visualiser les lésions à traiter, les structures avoisinantes, les dispositifs médicaux et les systèmes permettant de les acheminer. Cette imagerie doit être temps-réel pour permettre à l’opérateur une bonne coordination « main–œil » et « prothèse–zone cible ». Dans cette revue générale, nous abordons les avantages et les inconvénients des outils d’imagerie actuellement utilisés en salle de cathétérisme, l’impact des évolutions récentes ainsi que les perspectives futures." @default.
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• W2261031141 date "2016-02-01" @default.
• W2261031141 modified "2023-10-10" @default.
• W2261031141 title "Cardiac imaging of congenital heart diseases during interventional procedures continues to evolve: Pros and cons of the main techniques" @default.
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• W2261031141 doi "https://doi.org/10.1016/j.acvd.2015.11.011" @default.
• W2261031141 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26858142" @default.
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