Technical Recommendations for Computed Tomography Guidance of Intervention in the Right Ventricular Outflow Tract: Native RVOT, Conduits, and Bioprosthetic Valves

Author:

Han B. Kelly1,Garcia Santiago2,Aboulhosn Jamil3,Blanke Phillip4,Martin Mary Hunt1,Zahn Evan5,Crean Andrew6,Overman David7,Hamilton Craig C.8,Hanneman Kate9,Semple Thomas10,Armstrong Aimee11

Affiliation:

1. University of Utah, Intermountain Primary Children’s Hospital, Salt Lake City, UT, USA

2. The Carl and Edyth Lindner Center for Research and Education and The Christ Hospital, Cincinnati, OH, USA

3. University of California Los Angeles (UCLA) Health, Los Angeles, CA, USA

4. St. Paul's Hospital & University of British Columbia, Vancouver, British Columbia, Canada

5. Cedars-Sinai, Smidt Heart Institute, Los Angeles, CA, USA

6. University of Ottawa Heart Institute, Ottawa, Ontario, Canada

7. The Children’s Heart Clinic, Children’s Minnesota, Mayo Clinic-Children’s Minnesota Cardiovascular Collaborative, Minneapolis, MN, USA

8. University of Queensland and Griffith University, Queensland, Australia

9. University of Toronto, Toronto, Ontario, Canada

10. The Royal Brompton Hospital, London, England

11. Nationwide Children’s Hospital, The Ohio State University College of Medicine, Columbus, OH, USA

Abstract

This consensus document for the performance of cardiovascular computed tomography (CCT) to guide intervention in the right ventricular outflow tract (RVOT) in patients with congenital heart disease (CHD) was developed collaboratively by pediatric and adult interventionalists, surgeons, and cardiac imagers with expertise specific to this patient subset. The document summarizes definitions of RVOT dysfunction as assessed by multimodality imaging techniques and reviews existing consensus statements and guideline documents pertaining to indications for intervention. In the context of this background information, recommendations for CCT scan acquisition and a standardized approach for reporting prior to surgical or transcatheter pulmonary valve replacement are proposed and presented. It is the first Imaging for Intervention collaboration for CHD patients and encompasses imaging and reporting recommendations prior to both surgical and percutaneous pulmonary valve replacement.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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