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MR Guided Cardiac Catheterization

  • Vivek Muthurangu
  • Andrew M. Taylor
Part of the Medical Radiology book series (MEDRAD)

Abstract

This chapter will address recent developments in MR guided cardiac catheterization and give the reader a better understanding of this novel technique. The rationale behind the development of MR guided cardiac catheterization will be explained with respect to improved anatomical information, increased physiological information and reduced x-ray exposure. In addition, the technical requirements and MR guided cardiac catheterisation will be discussed. Finally, animal and human studies using MR guided cardiac catheterisation will be discussed.

Keywords

Cardiac Catheterization Pulmonary Vascular Resistance Guide Wire Structural Heart Disease Versus Loop 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Bakker CJ, Hoogeveen RM, Hurtak WF, Van Vaals JJ, Viergever MA, Mali WP (1997) MR-guided endovascular interventions: susceptibility-based catheter and near-real-time imaging technique. Radiology 202:273–276PubMedGoogle Scholar
  2. Dharmakumar R, Koktzoglou I, Li D (2006) Generating positive contrast from off-resonant spins with steady-state free precession magnetic resonance imaging: theory and proof-of-principle experiments. Phys Med Biol 51:4201–4215PubMedCrossRefGoogle Scholar
  3. Dhingra VK, Fenwick JC, Walley KR, Chittock DR, Ronco JJ (2002) Lack of agreement between thermodilution and fick cardiac output in critically ill patients. Chest 122:990–997PubMedCrossRefGoogle Scholar
  4. Dick AJ, Guttman MA, Raman VK, Peters DC, Pessanha BS, Hill JM, Smith S, Scott G, Mcveigh ER, Lederman RJ (2003) Magnetic resonance fluoroscopy allows targeted delivery of mesenchymal stem cells to infarct borders in Swine. Circulation 108:2899–2904PubMedCrossRefGoogle Scholar
  5. Hansen MS, Baltes C, Tsao J, Kozerke S, Pruessmann KP, Eggers H (2006) k-t BLAST reconstruction from non-Cartesian k-t space sampling. Magn reson medicine : official j Soc Magn Reson Medicine/Soc Magn Reson Medicine 55:85–91Google Scholar
  6. Hundley WG, Li HF, Hillis LD, Meshack BM, Lange RA, Willard JE, Landau C, Peshock RM (1995) Quantitation of cardiac output with velocity-encoded, phase-difference magnetic resonance imaging. Am J Cardiol 75:1250–1255PubMedCrossRefGoogle Scholar
  7. Kozerke S, Hegde S, Schaeffter T, Lamerichs R, Razavi R, Hill DL (2004) Catheter tracking and visualization using 19F nuclear magnetic resonance. Magn Reson Med 52:693–697PubMedCrossRefGoogle Scholar
  8. Kuehne T, Yilmaz S, Meinus C, Moore P, Saeed M, Weber O, Higgins CB, Blank T, Elsaesser E, Schnackenburg B, Ewert P, Lange PE, Nagel E (2004a) Magnetic resonance imaging-guided transcatheter implantation of a prosthetic valve in aortic valve position: Feasibility study in swine. J Am Coll Cardiol 44:2247–2249PubMedCrossRefGoogle Scholar
  9. Kuehne T, Yilmaz S, Steendijk P, Moore P, Groenink M, Saaed M, Weber O, Higgins CB, Ewert P, Fleck E, Nagel E, Schulze-Neick I, Lange P (2004b) Magnetic resonance imaging analysis of right ventricular pressure-volume loops: in vivo validation and clinical application in patients with pulmonary hypertension. Circulation 110:2010–2016PubMedCrossRefGoogle Scholar
  10. Kuehne T, Yilmaz S, Schulze-Neick I, Wellnhofer E, Ewert P, Nagel E, Lange P (2005) Magnetic resonance imaging guided catheterisation for assessment of pulmonary vascular resistance: in vivo validation and clinical application in patients with pulmonary hypertension. Heart 91:1064–1069PubMedCrossRefGoogle Scholar
  11. Lederman RJ (2005) Cardiovascular interventional magnetic resonance imaging. Circulation 112:3009–3017PubMedGoogle Scholar
  12. Lurz P, Nordmeyer J, Muthurangu V, Khambadkone S, Derrick G, Yates R, Sury M, Bonhoeffer P, Taylor AM (2009) Comparison of bare metal stenting and percutaneous pulmonary valve implantation for treatment of right ventricular outflow tract obstruction: use of an X-ray/magnetic resonance hybrid laboratory for acute physiological assessment. Circulation 119:2995–3001PubMedCrossRefGoogle Scholar
  13. Mcveigh ER, Guttman MA, Kellman P, Raval AN, Lederman RJ (2005) Real-time, Interactive MRI for cardiovascular interventions. Acad Radiol 12:1121–1127PubMedCrossRefGoogle Scholar
  14. Mekle R, Hofmann E, Scheffler K, Bilecen D (2006) A polymer-based MR-compatible guidewire: a study to explore new prospects for interventional peripheral magnetic resonance angiography (ipMRA). J Magn Reson Imaging 23:145–155PubMedCrossRefGoogle Scholar
  15. Miquel ME, Hegde S, Muthurangu V, Corcoran BJ, Keevil SF, Hill DL, Razavi RS (2004) Visualization and tracking of an inflatable balloon catheter using SSFP in a flow phantom and in the heart and great vessels of patients. Magn Reson Med 51:988–995PubMedCrossRefGoogle Scholar
  16. Muthurangu V, Taylor A, Andriantsimiavona R, Hegde S, Miquel ME, Tulloh R, Baker E, Hill DL, Razavi RS (2004) Novel method of quantifying pulmonary vascular resistance by use of simultaneous invasive pressure monitoring and phase-contrast magnetic resonance flow. Circulation 110:826–834PubMedCrossRefGoogle Scholar
  17. Muthurangu V, Atkinson D, Sermesant M, Miquel ME, Hegde S, Johnson R, Andriantsimiavona R, Taylor AM, Baker E, Tulloh R, Hill DL, Razavi RS (2005a) Measurement of total pulmonary arterial compliance using invasive pressure monitoring and MR flow quantification during MR guided cardiac catheterization. Am J Physiol Hear Circ Physiol 289(3):1301–1306CrossRefGoogle Scholar
  18. Muthurangu V, Semesant M, Atkinson D, Hill D, Razavi R (2005b) A non-invasive method of calculating pulmonary vascular resistance using MR flow data. J Cardiovasc Magn Reson 7:104Google Scholar
  19. NRPB (1999) Guidelines on patient dose to promote the optimisation of protection for diagnostic medical exposures. National Radiation Protection Board.Google Scholar
  20. Olsson LE, Chai CM, Axelsson O, Karlsson M, Golman K, Petersson JS (2006) MR coronary angiography in pigs with intraarterial injections of a hyperpolarized 13C substance. Magn Reson Med 55:731–737PubMedCrossRefGoogle Scholar
  21. Ratnayaka K, Raman VK, Faranesh AZ, Sonmez M, Kim JH, Gutierrez LF, Ozturk C, Mcveigh ER, Slack MC, Lederman RJ (2009) Antegrade percutaneous closure of membranous ventricular septal defect using X-ray fused with magnetic resonance imaging. JACC Cardiovasc interv 2:224–230Google Scholar
  22. Razavi R, Hill DL, Keevil SF, Miquel ME, Muthurangu V, Hegde S, Rhode K, Barnett M, Van Vaals J, Hawkes DJ, Baker E (2003) Cardiac catheterisation guided by MRI in children and adults with congenital heart disease. Lancet 362:1877–1882PubMedCrossRefGoogle Scholar
  23. Rhode KS, Hill DL, Edwards PJ, Hipwell J, Rueckert D, Sanchez-Ortiz G, Hegde S, Rahunathan V, Razavi R (2003) Registration and tracking to integrate X-ray and MR images in an XMR facility. IEEE Trans Med Imaging 22:1369–1378PubMedCrossRefGoogle Scholar
  24. Schalla S, Saeed M, Higgins CB, Martin A, Weber O, Moore P (2003) Magnetic resonance–guided cardiac catheterization in a swine model of atrial septal defect. Circulation 108:1865–1870PubMedCrossRefGoogle Scholar
  25. Schalla S, Saeed M, Higgins CB, Weber O, Martin A, Moore P (2005) Balloon sizing and transcatheter closure of acute atrial septal defects guided by magnetic resonance fluoroscopy: assessment and validation in a large animal model. J Magn Reson Imaging 21:204–211PubMedCrossRefGoogle Scholar
  26. Seppenwoolde JH, Viergever MA, Bakker CJ (2003) Passive tracking exploiting local signal conservation: the white marker phenomenon. Magn Reson Med 50:784–790PubMedCrossRefGoogle Scholar
  27. Sorensen TS, Atkinson D, Schaeffter T, Hansen MS (2009) Real-time reconstruction of sensitivity encoded radial magnetic resonance imaging using a graphics processing unit. IEEE Trans Med Imaging 28:1974–1985PubMedCrossRefGoogle Scholar
  28. Tzifa A, Krombach GA, Kramer N, Kruger S, Schutte A, Von Walter M, Schaeffter T, Qureshi S, Krasemann T, Rosenthal E, Schwartz CA, Varma G, Buhl A, Kohlmeier A, Bucker A, Gunther RW, Razavi R (2010) Magnetic resonance-guided cardiac interventions using magnetic resonance-compatible devices: a preclinical study and first-in-man congenital interventions. Circ Cardiovasc Interv 3(6):585–592PubMedCrossRefGoogle Scholar
  29. Weiss S, Wirtz D, David B, Krueger S, Lips O, Caulfield D, Pedersen SF, Bostock J, Razavi R, Schaeffter T (2010) In vivo evaluation and proof of radiofrequency safety of a novel diagnostic MR-electrophysiology catheter. Magn Reson Med 65:770–777PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.UCL Centre for Cardiovascular Imaging and Great Ormond Street Hospital for ChildrenLondonUK

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