{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:46:02Z","timestamp":1784735162308,"version":"3.55.0"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hereditary haemorrhagic telangiectasia is an inherited disorder characterised by vascular dysplasia that leads to the development of arteriovenous malformations. Pulmonary arteriovenous malformations occur in approximately 30% of patients with haemorrhagic telangiectasia. Given the complex characteristics of haemorrhagic telangiectasia lesions, the application of three-dimensional fusion imaging holds significant promise for procedural guidance and decrease in contrast and radiation dosing. We reviewed all patients who underwent transcatheter approach for pulmonary arteriovenous malformation occlusion with fusion image guidance from June 2018 to September 2023 from a single centre. A total of nine cases with haemorrhagic telangiectasia and transcatheter occlusion of pulmonary arteriovenous malformations using fusion imaging were identified. Five (56%) were male, mean age at procedure was 15.7 years (10\u201328 years) and mean number of pulmonary arteriovenous malformations intervened was three per patient (1\u20137). Two of the cases were complex repeat embolisations. The mean fluoroscopy time was 40.6 min (10.7\u201368.8 min), with mean contrast dose of 28.8 mL (11\u201360 mL; mean of 0.51 mL\/kg) and mean radiation dose of 66.3 mGy (25.6\u2013140 mGy; mean of 40.5 mGy\/m<jats:sup>2<\/jats:sup>). There were no complications reported during the procedures, with no additional interventions necessary. Fusion imaging in pulmonary arteriovenous malformations embolisation for patients with haemorrhagic telangiectasia is feasible and has the potential to reduce contrast and radiation doses. To our knowledge, we describe the lowest radiation and contrast doses per patient using fusion imaging technology reported in the literature to date.<\/jats:p>","DOI":"10.1017\/s1047951124000349","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T08:33:54Z","timestamp":1709282034000},"page":"1451-1455","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Fusion imaging for guidance of pulmonary arteriovenous malformation embolisation with minimal radiation and contrast exposure"],"prefix":"10.1017","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0326-2180","authenticated-orcid":false,"given":"Catalina","family":"Vargas-Acevedo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernesto","family":"Mejia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny E.","family":"Zablah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1500-9334","authenticated-orcid":false,"given":"Gareth J.","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"key":"S1047951124000349_ref4","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1007\/s00270-016-1357-7","article-title":"Amplatzer vascular plugs versus coils for embolization of pulmonary arteriovenous malformations in patients with hereditary hemorrhagic telangiectasia","volume":"39","author":"Tau","year":"2016","journal-title":"Cardiovasc Intervent Radiol"},{"key":"S1047951124000349_ref10","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1017\/S1047951117002840","article-title":"A new approach of three-dimensional guidance in paediatric cath lab: segmented and tessellated heart models for cardiovascular interventions in CHD","volume":"28","author":"Ehret","year":"2018","journal-title":"Cardiol Young"},{"key":"S1047951124000349_ref12","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/j.pcl.2020.06.012","article-title":"Innovations in congenital interventional cardiology","volume":"67","author":"Zablah","year":"2020","journal-title":"Pediatr Clin North Am"},{"key":"S1047951124000349_ref2","article-title":"Pulmonary arteriovenous malformation in a rare case of hereditary hemorrhagic telangiectasia","volume":"14","author":"Azad","year":"2022","journal-title":"Cureus"},{"key":"S1047951124000349_ref11","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s12471-016-0941-4","article-title":"Three-dimensional image fusion guidance of percutaneous pulmonary valve implantation to reduce radiation exposure and contrast dose: a comparison with traditional two-dimensional and three-dimensional rotational angiographic 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