{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:24:50Z","timestamp":1760239490970,"version":"build-2065373602"},"reference-count":16,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T00:00:00Z","timestamp":1606176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The interventional cardiac magnetic resonance imaging (iCMR) catheterization procedure is feasible and safe for children and adults with pulmonary hypertension and congenital heart defects (CHD). With iCMR, the calculation of pulmonary vascular resistance (PVR) in children with complex CHD with multilevel shunt lesions is accurate. In this paper, we describe the role of the MRI-guided right-sided cardiac catheterization procedure to accurately estimate PVR in the setting of multiple shunt lesions (ventricular septal defect and patent ductus arteriosus) and to address the clinical question of operability in an adolescent with trisomy 21 and severe pulmonary hypertension.<\/jats:p>","DOI":"10.3390\/medicina56120636","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T09:06:28Z","timestamp":1606208788000},"page":"636","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Interventional Cardiovascular Magnetic Resonance Imaging (iCMR) in an Adolescent with Pulmonary Hypertension"],"prefix":"10.3390","volume":"56","author":[{"given":"Surendranath R. Veeram","family":"Reddy","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Children\u2019s Medical Center Dallas, UTSW Medical Center, Dallas, TX 75235, 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":"Division of Cardiology, Department of Pediatrics, Children\u2019s Medical Center Dallas, UTSW Medical Center, Dallas, TX 75235, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarique","family":"Hussain","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Children\u2019s Medical Center Dallas, UTSW Medical Center, Dallas, TX 75235, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Greil","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Children\u2019s Medical Center Dallas, UTSW Medical Center, Dallas, TX 75235, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Zabala","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Children\u2019s Medical Center Dallas, UTSW Medical Center, Dallas, TX 75235, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9530-8785","authenticated-orcid":false,"given":"Bibhuti B.","family":"Das","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Baylor College of Medicine, Texas Children\u2019s Hospital, Austin Specialty Care, Austin, TX 78759, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"D117","DOI":"10.1016\/j.jacc.2013.10.028","article-title":"Pediatric Pulmonary Hypertension","volume":"62","author":"Ivy","year":"2013","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e578","DOI":"10.1161\/CIR.0000000000000560","article-title":"American Heart Association Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; and Council on Cardiovascular Surgery and Anesthesia: Evaluation and management of right-sided heart failure: A scientific statement from the American Heart Association","volume":"137","author":"Konstam","year":"2018","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.healun.2019.06.022","article-title":"2019 updated consensus statement on the diagnosis and treatment of pediatric pulmonary hypertension: The European Pediatric Pulmonary Vascular Disease Network (EPPVDN), endorsed by AEPC, ESPR and ISHLT","volume":"38","author":"Hansmann","year":"2019","journal-title":"J. Heart Lung Transpl."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s12968-020-0605-9","article-title":"Invasive cardiovascular magnetic resonance (iCMR) for diagnostic right and left heart catheterization using an MR-conditional guidewire and passive visualization in congenital heart disease","volume":"22","author":"Reddy","year":"2020","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"3256","DOI":"10.1161\/CIRCULATIONAHA.105.543686","article-title":"Cardiac Magnetic Resonance Imaging After Stage I Norwood Operation for Hypoplastic Left Heart Syndrome","volume":"112","author":"Muthurangu","year":"2005","journal-title":"Circulation"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12968-015-0130-4","article-title":"Cardiovascular Magnetic Resonance catheterization derived pulmonary vascular resistance and medium-term outcomes in congenital heart disease","volume":"17","author":"Pushparajah","year":"2015","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1161\/CIRCIMAGING.112.000082","article-title":"Prognostic Significance of Cardiac Magnetic Resonance Imaging in Children With Pulmonary Hypertension","volume":"6","author":"Moledina","year":"2013","journal-title":"Circ. Cardiovasc. Imaging"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12968-019-0569-9","article-title":"Cardiovascular magnetic resonance-guided right heart catheterization in a conventional CMR environment\u2014Predictors of procedure success and duration in pulmonary artery hypertension","volume":"21","author":"Knight","year":"2019","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/1532-429X-15-51","article-title":"Guidelines and protocols for cardiovascular magnetic resonance in children and adults with congenital heart disease: SCMR expert consensus group on congenital heart disease","volume":"15","author":"Fratz","year":"2013","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1002\/jmri.22402","article-title":"Automatic segmentation propagation of the aorta in real-time phase-contrast MRI using non-rigid registration","volume":"33","author":"Odille","year":"2011","journal-title":"J. Magn. Reason. Imaging"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12968-020-00607-1","article-title":"Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update","volume":"22","author":"Kramer","year":"2020","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.mric.2011.08.011","article-title":"MR Imaging-Guided Cardiovascular Interventions in Young Children","volume":"20","author":"Tzifa","year":"2012","journal-title":"Magn. Reson. Imaging Clin. North Am."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1007\/s00246-020-02301-6","article-title":"MRI Catheterization: Ready for Broad Adoption","volume":"41","author":"Nageotte","year":"2020","journal-title":"Pediatr. Cardiol."},{"key":"ref_14","first-page":"1","article-title":"Radiation-free CMR diagnostic heart catheterization in children","volume":"19","author":"Ratnayaka","year":"2017","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1161\/CIRCULATIONAHA.113.005425","article-title":"Cumulative Radiation Exposure and Cancer Risk Estimation in Children With Heart Disease","volume":"130","author":"Johnson","year":"2014","journal-title":"Circulation"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1111\/pan.13512","article-title":"Anesthetic considerations for magnetic resonance imaging-guided right-heart catheterization in pediatric patients: A single institution experience","volume":"29","author":"Deutsch","year":"2019","journal-title":"Pediatr. Anesth."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/56\/12\/636\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:36:36Z","timestamp":1760178996000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/56\/12\/636"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,24]]},"references-count":16,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12]]}},"alternative-id":["medicina56120636"],"URL":"https:\/\/doi.org\/10.3390\/medicina56120636","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2020,11,24]]}}}