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

  • Francesco Fulvio FaletraEmail author
  • Giovanni Pedrazzini
  • Elena Pasotti
  • Marco Moccetti
  • Tiziano Moccetti
  • Mark J. Monaghan
Chapter

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

Keywords

Echo-navigator Fusion imaging X-ray-echocardiography fusion Three-dimensional echocardiography Two-dimensional echocardiography Fluoroscopy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Francesco Fulvio Faletra
    • 1
    Email author
  • Giovanni Pedrazzini
    • 1
  • Elena Pasotti
    • 1
  • Marco Moccetti
    • 1
  • Tiziano Moccetti
    • 1
  • Mark J. Monaghan
    • 2
  1. 1.Department of CardiologyFondazione Cardioicentro TicinoLuganoSwitzerland
  2. 2.King’s College HospitalLondonUK

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