Transcatheter bidirectional Glenn shunt guided by real-time MRI
نویسندگان
چکیده
Methods Ten swine underwent transcatheter bidirectional Glenn procedures under MRI at 1.5T. An MRI antenna-needle was advanced from the superior vena cava (SVC) into the target pulmonary artery (PA) bifurcation using realtime MRI guidance. A caval-pulmonary sheath introduced endografts. Balloon-expansion secured a proximal end-to-end caval anastomosis that also occluded the azygos, and a distal end-to-side pulmonary anastomosis that preserved blood flow to both branch pulmonary arteries.
منابع مشابه
Magnetic Resonance Imaging-Guided Transcatheter Cavopulmonary Shunt.
OBJECTIVES The aim of this study was to test the hypothesis that real-time magnetic resonance imaging (MRI) would enable closed-chest percutaneous cavopulmonary anastomosis and shunt by facilitating needle guidance along a curvilinear trajectory, around critical structures, and between a superior vena cava "donor" vessel and a pulmonary artery "target." BACKGROUND Children with single-ventric...
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