{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:19:11Z","timestamp":1771222751154,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:00:00Z","timestamp":1758067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:00:00Z","timestamp":1758067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Interventional cardiovascular magnetic resonance (iCMR) provides cardiovascular magnetic resonance (CMR) and cath\u2010derived hemodynamic assessment under the same anesthesia. In this study, we describe the role of iCMR in children with single\u2010ventricle lesions before Fontan palliation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>iCMR\u2010guided right and left heart catheterization were performed using balanced steady\u2010state free precession (bSSFP) or T1 overlay sequences to visualize the gadolinium\u2010filled balloon\u2010tipped catheter in the Phillips Ingenia 1.5\u2009T system scanner. iCMR procedure was defined as successful if all predefined MRI imaging and catheter\u2010based goals were met within the CMR scanner.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      iCMR pre\u2010Fontan evaluations were successfully performed in 56 patients between August 2017 to August 2022. 54 (96%) completed the study without complications. Of the 54, 11 (20%) completed the study in the MRI suite with no radiation exposure. The remaining 43 (80%) were transferred to the cardiac catheterization laboratory, mostly for fluoroscopy\u2010guided catheter\u2010based interventions (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200937 [69%]). Additionally, we performed T2\u2010weighted lymphatic evaluation in 54 (100%), MRI liver elastography in 16 (30%), selective pulmonary gadolinium angiogram in 20 (37%), and pressure\u2010volume loop analysis in 3 (6%) as relevant. During the same period, 68 pre\u2010Fontan evaluations were performed via the traditional \u201ccombined approach\u201d wherein children had an CMR study followed by fluoroscopy\u2010guided cardiac catheterization under the same anesthesia. Higher radiation dose was noted in these children via the \u201ccombined approach\u201d versus those iCMR studies that required fluoroscopy after iCMR, despite similar rates of cardiac interventions between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In children undergoing pre\u2010Fontan evaluation, iCMR is a safe and feasible method for comprehensive cardiovascular assessment under single anesthesia with reduced\/no radiation exposure, fewer anesthetic inductions, and minimal procedure\u2010related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70167","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T04:18:58Z","timestamp":1758169138000},"page":"3275-3285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Interventional Cardiovascular Magnetic Resonance in Children Undergoing Pre\u2010Operative Fontan Evaluation: One\u2010Stop Shop"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3195-294X","authenticated-orcid":false,"given":"Pezad","family":"Doctor","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Children's Health, Division of Pediatric Cardiology The University of Texas SouthWestern Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9462-9947","authenticated-orcid":false,"given":"Yousef","family":"Arar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Health, Division of Pediatric Cardiology The University of Texas SouthWestern Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roby","family":"Sebastian","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Health, Division of Pediatric Cardiac Anesthesia The University of Texas Southwestern Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Greil","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Health, Division of Pediatric Cardiology The University of Texas SouthWestern Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarique","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Health, Division of Pediatric Cardiology The University of Texas SouthWestern Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surendranath Veeram","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Health, Division of Pediatric Cardiology The University of Texas SouthWestern Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-004-0960-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12299"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.06.021"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.12.051"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-018-1825-8"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.03.032"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2011.11.040"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.015318"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12968-017-0374-2"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)14956-2"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12968-020-0605-9"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12968-022-00863-3"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl014"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2008.160309"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-006-0191-5"},{"key":"e_1_2_8_17_1","unstructured":"ACR Committee on MR Safety. 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