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X-Ray-Echo Fusion Imaging in Catheter-Based Structural Heart Disease Interventions

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Abstract

Currently, procedural guidance of catheter-based structural heart disease interventions depends on visual information obtained by fluoroscopy and echocardiography, which have their own projections and separate screens. The main disadvantage of this approach is the lack of precise temporal and spatial integration between catheter/devices, visualized in one screen, and the soft tissues of cardiac structures, visualized in a second screen. Therefore, during each catheter manipulation, interventional cardiologists have the need of interrogating repetitively and sequentially the two monitors. A novel imaging technique, called by the manufactures Echo-navigator©, merges soft tissue information from two- and three-dimensional echocardiography with the excellent catheters and devices visualization of X-ray fluoroscopy, introducing a new concept: all (images) in one (screen). In this chapter, we will describe some basic concepts about the X-ray/echocardiography fusion, potential role of the Echo-navigator© during SHD percutaneous interventions and current limitations

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Correspondence to Francesco Fulvio Faletra .

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Faletra, F.F., Pedrazzini, G., Pasotti, E., Moccetti, M., Moccetti, T., Monaghan, M.J. (2019). X-Ray-Echo Fusion Imaging in Catheter-Based Structural Heart Disease Interventions. In: Badano, L., Lang, R., Muraru, D. (eds) Textbook of Three-Dimensional Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-14032-8_25

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  • DOI: https://doi.org/10.1007/978-3-030-14032-8_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14030-4

  • Online ISBN: 978-3-030-14032-8

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