{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T10:35:18Z","timestamp":1777545318079,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015696","name":"Siemens Medical Solutions USA","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015696","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JRSM Cardiovascular Disease"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n                    Cardiac catheterization for congenital heart disease (CHD) performed under fluoroscopic guidance still lacks definition and requires exposure to ionizing radiation and contrast agents, with most patients needing multiple procedures through their lifetime, leading to cumulative radiation risks. While fusion overlay techniques have been employed in the past to aid, these have been limited to a single plane, while interventions are traditionally performed under biplane fluoroscopy. We describe our initial experience performing cardiac catheterizations guided by an enhanced biplane GuideCCI system\n                    <jats:sup>\u00a9<\/jats:sup>\n                    (Siemens Healthcare, Germany) augmented by 3D magnetic resonance imaging and computed tomography modeling. Twenty-one children and young adults with CHD undergoing catheterization procedures between October 2019 and May 2021 were chosen based on their degree of complexity of cardiac anatomy. 3D stereolithography models were generated, overlayed, and displayed in real time, alongside angiographs in both planes on the screen during these procedures. We report successful implementation of this novel technology for performance of 26 interventions including stent placements, balloon dilations, vessel occlusion and percutaneous valve and transvenous pacemaker implantation all in patients with various complex cardiac anatomies. A statistically significant reduction in radiation and contrast use was noted for coarctation of the aorta stent angioplasty and transcatheter pulmonary valve replacement when compared with national benchmarks and local institutional metrics (with and without single plane overlay). No complications were encountered with the use of this technology. Use of a tracheal registration technique provided very good correlation in most cases. Operators preferred using biplane augmented catheterization over traditional fluoroscopy in patients with complex cardiac anatomy undergoing interventions.\n                  <\/jats:p>","DOI":"10.1177\/20480040241274521","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T03:03:18Z","timestamp":1726714998000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Biplane 3D overlay guidance for congenital heart disease to assist cardiac catheterization interventions\u2014A pilot study"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3645-5325","authenticated-orcid":false,"given":"Ravi V","family":"Vegulla","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Pediatric Cardiology, UT Southwestern Children's Medical Center, Dallas, TX, USA"},{"name":"Pediatric Cardiology, Children\u2019s National Medical Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Greil","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Cardiology, UT Southwestern Children's Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surendranath V.","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Cardiology, UT Southwestern Children's Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Zabala","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Cardiac Anaesthesia, UT Southwestern Children's Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian","family":"Dimas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Cardiology, UT Southwestern Children's Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yousef","family":"Arar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Cardiology, UT Southwestern Children's Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonia","family":"Pontiki","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kawal","family":"Rhode","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarique","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Cardiology, UT Southwestern Children's Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"bibr1-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl014"},{"key":"bibr2-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-006-0191-5"},{"key":"bibr3-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2006.098731"},{"key":"bibr4-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.10.074"},{"key":"bibr5-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00396-9"},{"key":"bibr6-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2010.02940.x"},{"key":"bibr7-20480040241274521","first-page":"25","volume":"15","author":"Housden RJ","year":"2012","journal-title":"Med Image Comput Comput Assist Interv"},{"key":"bibr8-20480040241274521","doi-asserted-by":"crossref","unstructured":"Cevallos, PC., Aimee KA, Andrew CG, et al. Radiation dose benchmarks in pediatric cardiac catheterization: a prospective multi-center C3PO-QI study.\n                      Catheter Cardiovasc Interv\n                      2017; 90(2): 269\u2013280.","DOI":"10.1002\/ccd.26911"},{"key":"bibr9-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117002840"},{"key":"bibr10-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2018.03.001"},{"key":"bibr11-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24646"},{"key":"bibr12-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1627-4"},{"key":"bibr13-20480040241274521","first-page":"269","volume":"13","author":"Goreczny S","year":"2017","journal-title":"Postepy Kardiol Interwencyjnej"},{"key":"bibr14-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27647"},{"key":"bibr15-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951120000712"},{"key":"bibr16-20480040241274521","doi-asserted-by":"publisher","DOI":"10.1109\/TBME.2011.2168393"},{"key":"bibr17-20480040241274521","doi-asserted-by":"publisher","DOI":"10.14797\/mdcj-10-2-68"}],"container-title":["JRSM Cardiovascular Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20480040241274521","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20480040241274521","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20480040241274521","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:32:55Z","timestamp":1777397575000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20480040241274521"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":17,"alternative-id":["10.1177\/20480040241274521"],"URL":"https:\/\/doi.org\/10.1177\/20480040241274521","relation":{},"ISSN":["2048-0040","2048-0040"],"issn-type":[{"value":"2048-0040","type":"print"},{"value":"2048-0040","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"20480040241274521"}}