Real-time three dimensional CT and MRI to guide interventions for congenital heart disease and acquired pulmonary vein stenosis.

To validate the feasibility and spatial accuracy of pre-procedural 3D images to 3D rotational fluoroscopy registration to guide interventional procedures in patients with congenital heart disease and acquired pulmonary vein stenosis. Cardiac interventions in patients with congenital and structural heart disease require complex catheter manipulation. Current technology allows registration of the anatomy obtained from 3D CT and/or MRI to be overlaid onto fluoroscopy.

Results of coil closure of patent ductus arteriosus using a tapered tip catheter for enhanced control.

Objectives: This article describes the efficacy and embolization rates of coil delivery via modified vertebral catheter (MVC) for patent ductus arteriosus (PDA) closure.

Background: Various techniques have been devised to enhance coil control and prevent embolization during PDA closure. Since 1995, they have delivered coils via tapered vertebral catheters for improved coil control.

Complications related to transhepatic venous access in the catheterization laboratory--a single center 12-year experience of 124 procedures.

Objectives: To identify complications and measures that can be undertaken to prevent complications from transhepatic central venous access.

Background: Utility and safety data from a large experience of patients undergoing transhepatic venous access are lacking.

Methods: The records of patients who underwent transhepatic venous access between June 2000 and October 2012 at The Center for Pediatric and Congenital Heart Disease at The Cleveland Clinic were reviewed.