Recommendations for cardiovascular magnetic resonance and computed tomography in congenital heart disease: a consensus paper from the CMR/CCT Working Group of the Italian Society of Pediatric Cardiology and the Italian College of Cardiac Radiology endorsed by the Italian Society of Medical and Interventional Radiology (Part II)

Author:

Festa Pierluigi1,Lovato Luigi2,Bianco Francesco34,Alaimo Annalisa45,Angeli Emanuela6,Baccano Giovanna7,Barbi Egidio89,Bennati Elena410,Bonhoeffer Philipp11,Bucciarelli Valentina34,Curione Davide12,Ciliberti Paolo413,Clemente Alberto14,Di Salvo Giovanni415,Esposito Antonio16,Ferroni Francesca17,Gaeta Alberto18,Giovagnoni Andrea19,Inserra Maria Cristina420,Leonardi Benedetta413,Marcora Simona421,Marrone Chiara1,Peritore Giuseppe22,Pergola Valeria23,Pluchinotta Francesca24,Puppini Giovanni25,Stagnaro Nicola26,Raimondi Francesca10,Sandrini Camilla27,Spaziani Gaia10,Tchana Bertrand28,Trocchio Gianluca29,Ait-Ali Lamia30,Secinaro Aurelio13

Affiliation:

1. Pediatric Cardiology and GUCH Unit, Fondazione ‘G. Monasterio’ CNR-Regione Toscana, Massa-Pisa

2. IRCCS Azienda Ospedaliero-Universitaria di Bologna, Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, Bologna

3. Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona ‘Umberto I, G. M. Lancisi, G. Salesi’, Ancona

4. Congenital Heart Diseases Working Group of the Italian Society of Cardiology, Rome

5. U.O.C. di Cardiologia Pediatrica, ARNAS Civico-Di Cristina-Benfratelli, Palermo

6. Pediatric & Grown-up Congenital Cardiac Surgery Unit, Cardiothoracic-Vascular Department, University Hospital S. Orsola-Malpighi, Bologna

7. Department of Pediatric Cardiology – Centro Cardiologico Pediatrico Mediterraneo, Taormina

8. Institute for Maternal and Child Health, IRCCS ‘Burlo Garofolo’

9. Department of Pediatrics, University of Trieste, Trieste

10. Department of Pediatric Cardiology, IRCCS Meyer Children's Hospital, Florence

11. Science & Music – Il Poggio Montecastelli, Pisa

12. Advanced Cardiovascular Imaging Unit – Department of Imaging, Bambino Gesù Children's Hospital

13. Cardiology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome

14. UOC Imaging Multimodale Cardiovascolare e Neuroradiologico – Dipartimento Immagini, Fondazione Toscana ‘Gabriele Monasterio’/CNR – Pisa

15. Department of Women's and Children's Health, University of Padua, Padua

16. Clinical and Experimental Radiology Unit, Experimental Imaging Center IRCCS Ospedale San Raffaele, Milan

17. Dipartimento di Cardiologia Pediatrica ‘Regina Margherita’, Turin

18. Radiology Unit, Pediatric Hospital Giovanni XXIII, Bari

19. Radiology department, Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona ‘Umberto I, G. M. Lancisi, G. Salesi’, Ancona

20. Radiologia 2 – Centro Alta Specialità e Trapianti (C.A.S.T.), Azienda Ospedaliero Universitaria Policlinico San Marco. Catania

21. USSD Cardiologia Pediatrica, ASST Grande Ospedale Metropolitano Niguarda, Milan

22. U.O.C. di Radiodiagnostica, ARNAS Civico-Di Cristina-Benfratelli, Palermo

23. Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua

24. Department of Pediatric Cardiology and Adult Congenital Heart Disease, IRCCS Policlinico San Donato, Milan

25. Department of Radiology, University of Verona, Verona

26. Radiology Unit, IRCCS Giannina Gaslini, Genoa

27. Division of Cardiology, Department of Medicine, University of Verona, Verona

28. Department of Pediatrics, Ospedale dei Bambini Barilla, University of Parma, Parma

29. Pediatric Cardiology Department, Giannina Gaslini Institute, Genova

30. Institute of Clinical Physiology, National Research Institute, Pisa, Italy

Abstract

Cardiovascular magnetic resonance (CMR) and computed tomography (CCT) are advanced imaging modalities that recently revolutionized the conventional diagnostic approach to congenital heart diseases (CHD), supporting echocardiography and often replacing cardiac catheterization. This is the second of two complementary documents, endorsed by experts from the Working Group of the Italian Society of Pediatric Cardiology and the Italian College of Cardiac Radiology of the Italian Society of Medical and Interventional Radiology, aimed at giving updated indications on the appropriate use of CMR and CCT in different clinical CHD settings, in both pediatrics and adults. In this article, support is also given to radiologists, pediatricians, cardiologists, and cardiac surgeons for indications and appropriateness criteria for CMR and CCT in the most referred CHD, following the proposed new criteria presented and discussed in the first document. This second document also examines the impact of devices and prostheses for CMR and CCT in CHD and additionally presents some indications for CMR and CCT exams when sedation or narcosis is needed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference98 articles.

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