{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T22:06:59Z","timestamp":1763417219598,"version":"3.45.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012330","name":"Okayama University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012330","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Cardiovasc Imaging"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Accurate sizing of the patent ductus arteriosus (PDA) is essential for successful transcatheter closure. While aortography is the standard imaging modality, computed tomography (CT) may offer superior anatomical visualization. This study aimed to compare the accuracy and procedural outcomes of preprocedural CT versus aortography alone in adult patients undergoing transcatheter PDA closure. We retrospectively analyzed 54 adult patients who underwent PDA closure using the Amplatzer\u2122 Duct Occluder between 2009 and 2024. Nineteen patients were treated based on aortography alone and 35 based on preprocedural CT. We compared procedural characteristics and outcomes, including device size exchange and procedure time. A simulation study was also conducted in which two blinded implanters independently predicted occluder size based on CT and aortography, with actual implanted device size used as the reference. The CT group had significantly larger PDA sizes and implanted device sizes. Device replacement was required in three patients in the aortography group but none in the CT group. Procedure time was shorter in the CT group (60\u2009\u00b1\u20099 vs. 70\u2009\u00b1\u200914\u00a0min,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.003). Simulation results showed that CT more accurately predicted the actual implanted device size (85% vs. 63%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.008). PDA size at the pulmonary artery end was significantly underestimated by aortography. Preprocedural CT improved procedural efficiency and device selection accuracy in adult PDA closure. These findings suggest that CT imaging may enhance planning and safety in transcatheter PDA interventions.\n                  <\/jats:p>","DOI":"10.1007\/s10554-025-03515-6","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T11:18:40Z","timestamp":1759144720000},"page":"2131-2137","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Computed tomography versus aortography for transcatheter patent ductus arteriosus closure in adults"],"prefix":"10.1007","volume":"41","author":[{"given":"Takashi","family":"Miki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Miyoshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teiji","family":"Akagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsutaka","family":"Nakashima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rie","family":"Nakayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Takaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Nakagawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihisa","family":"Toh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Yuasa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"issue":"17","key":"3515_CR1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.122.025784","volume":"11","author":"CH Backes","year":"2022","unstructured":"Backes CH, Hill KD, Shelton EL, Slaughter JL, Lewis TR, Weisz DE, Mah ML, Bhombal S, Smith CV, McNamara PJ, Benitz WE, Garg V (2022) Patent ductus arteriosus: a contemporary perspective for the pediatric and adult cardiac care provider. J Am Heart Assoc 11(17):e025784. https:\/\/doi.org\/10.1161\/JAHA.122.025784","journal-title":"J Am Heart Assoc"},{"issue":"17","key":"3515_CR2","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1161\/CIRCULATIONAHA.105.592063","volume":"114","author":"DJ Schneider","year":"2006","unstructured":"Schneider DJ, Moore JW (2006) Patent ductus arteriosus. Circulation 114(17):1873\u20131882. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.105.592063","journal-title":"Circulation"},{"issue":"3","key":"3515_CR3","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.jacc.2004.03.074","volume":"44","author":"RH Pass","year":"2004","unstructured":"Pass RH, Hijazi Z, Hsu DT, Lewis V, Hellenbrand WE (2004) Multicenter USA amplatzer patent ductus arteriosus occlusion device trial: initial and one-year results. J Am Coll Cardiol 44(3):513\u2013519. https:\/\/doi.org\/10.1016\/j.jacc.2004.03.074","journal-title":"J Am Coll Cardiol"},{"issue":"3","key":"3515_CR4","doi-asserted-by":"publisher","first-page":"749","DOI":"10.2214\/ajr.181.3.1810749","volume":"181","author":"GJ Morgan-Hughes","year":"2003","unstructured":"Morgan-Hughes GJ, Marshall AJ, Roobottom C (2003) Morphologic assessment of patent ductus arteriosus in adults using retrospectively ECG-gated multidetector CT. AJR Am J Roentgenol 181(3):749\u2013754. https:\/\/doi.org\/10.2214\/ajr.181.3.1810749","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"3515_CR5","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1536\/ihj.17-742","volume":"60","author":"D Matsubara","year":"2019","unstructured":"Matsubara D, Kataoka K, Takahashi H, Minami T, Yamagata T (2019) A patient-specific hollow three-dimensional model for simulating percutaneous occlusion of patent ductus arteriosus. 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