Three-dimensional and four-dimensional flow assessment in congenital heart disease
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| Název: | Three-dimensional and four-dimensional flow assessment in congenital heart disease |
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| Autoři: | Evangeline Warmerdam, Gregor J Krings, Tim Leiner, Heynric B Grotenhuis |
| Přispěvatelé: | Cardiologie onderzoek 1, Cardiologie, Cardiologie patientenzorg, Cluster A, Circulatory Health, Researchgr. Cardiovasculaire Radiologie, Child Health |
| Zdroj: | Heart. 106:421-426 |
| Informace o vydavateli: | BMJ, 2019. |
| Rok vydání: | 2019 |
| Témata: | Heart Defects, Congenital, 2. Zero hunger, Heart Defects, Congenital/diagnostic imaging, Cardiac Imaging Techniques/methods, Hemodynamics, Review, Magnetic Resonance Imaging, 3. Good health, Cardiac Imaging Techniques, 03 medical and health sciences, Imaging, Three-Dimensional, 0302 clinical medicine, Regional Blood Flow, Journal Article, Hydrodynamics, Humans, Cardiology and Cardiovascular Medicine |
| Popis: | Congenital heart disease (CHD) is the most common form of congenital defects, with an incidence of 8 per 1000 births. Due to major advances in diagnostics, perioperative care and surgical techniques, the survival rate of patients with CHD has improved dramatically. Conversely, although 70%–95% of infants with CHD survive into adulthood, the rate of long-term morbidity, which often requires (repeat) intervention, has increased. Recently, the role of altered haemodynamics in cardiac development and CHD has become a subject of interest. Patients with CHD often have abnormal blood flow patterns, either due to the primary cardiac defect or as a consequence of the surgical intervention(s). Research suggests that these abnormal blood flow patterns may contribute to diminished cardiac and vascular function. Serial assessment of haemodynamic parameters in patients with CHD may allow for improved understanding of the often complex haemodynamics in these patients and thereby potentially guide the timing and nature of interventions with the aim of preventing progression of cardiovascular deterioration. In this article we will discuss two novel non-invasive four-dimensional (4D) techniques to evaluate cardiovascular haemodynamics: 4D-flow cardiac magnetic resonance and computational fluid dynamics. This review focuses on the additional value of these two modalities in the evaluation of patients with CHD with abnormal flow patterns, who could benefit from advanced haemodynamic evaluation: patients with coarctation of the aorta, bicuspid aortic valve, tetralogy of Fallot and patients after Fontan palliation. |
| Druh dokumentu: | Article |
| Popis souboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 1468-201X 1355-6037 |
| DOI: | 10.1136/heartjnl-2019-315797 |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/31857355 https://www.narcis.nl/publication/RecordID/oai%3Adspace.library.uu.nl%3A1874%2F394920 https://pubmed.ncbi.nlm.nih.gov/31857355/ https://heart.bmj.com/content/heartjnl/early/2019/12/19/heartjnl-2019-315797.full.pdf https://heart.bmj.com/content/early/2019/12/19/heartjnl-2019-315797 https://heart.bmj.com/content/106/6/421 http://dspace.library.uu.nl/handle/1874/394920 https://dspace.library.uu.nl/handle/1874/394920 |
| Přístupové číslo: | edsair.doi.dedup.....9a79a650b0175d4e9170636a6f0d7f31 |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Congenital heart disease (CHD) is the most common form of congenital defects, with an incidence of 8 per 1000 births. Due to major advances in diagnostics, perioperative care and surgical techniques, the survival rate of patients with CHD has improved dramatically. Conversely, although 70%–95% of infants with CHD survive into adulthood, the rate of long-term morbidity, which often requires (repeat) intervention, has increased. Recently, the role of altered haemodynamics in cardiac development and CHD has become a subject of interest. Patients with CHD often have abnormal blood flow patterns, either due to the primary cardiac defect or as a consequence of the surgical intervention(s). Research suggests that these abnormal blood flow patterns may contribute to diminished cardiac and vascular function. Serial assessment of haemodynamic parameters in patients with CHD may allow for improved understanding of the often complex haemodynamics in these patients and thereby potentially guide the timing and nature of interventions with the aim of preventing progression of cardiovascular deterioration. In this article we will discuss two novel non-invasive four-dimensional (4D) techniques to evaluate cardiovascular haemodynamics: 4D-flow cardiac magnetic resonance and computational fluid dynamics. This review focuses on the additional value of these two modalities in the evaluation of patients with CHD with abnormal flow patterns, who could benefit from advanced haemodynamic evaluation: patients with coarctation of the aorta, bicuspid aortic valve, tetralogy of Fallot and patients after Fontan palliation. |
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| ISSN: | 1468201X 13556037 |
| DOI: | 10.1136/heartjnl-2019-315797 |