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Open Access 01-04-2022 | Magnetic Resonance Imaging | Congenital Heart Disease (RA Krasuski and G Fleming, Section Editors)

MRI-Guided Cardiac Catheterization in Congenital Heart Disease: How to Get Started

Authors: Elena K. Amin, Adrienne Campbell-Washburn, Kanishka Ratnayaka

Published in: Current Cardiology Reports | Issue 4/2022

Abstract

Purpose of Review

Cardiac magnetic resonance imaging provides radiation-free, 3-dimensional soft tissue visualization with adjunct hemodynamic data, making it a promising candidate for image-guided transcatheter interventions. This review focuses on the benefits and background of real-time magnetic resonance imaging (MRI)-guided cardiac catheterization, guidance on starting a clinical program, and recent research developments.

Recent Findings

Interventional cardiac magnetic resonance (iCMR) has an established track record with the first entirely MRI-guided cardiac catheterization for congenital heart disease reported nearly 20 years ago. Since then, many centers have embarked upon clinical iCMR programs primarily performing diagnostic MRI-guided cardiac catheterization. There have also been limited reports of successful real-time MRI-guided transcatheter interventions. Growing experience in performing cardiac catheterization in the magnetic resonance environment has facilitated practical workflows appropriate for efficiency-focused cardiac catheterization laboratories. Most exciting developments in imaging technology, MRI-compatible equipment and MRI-guided novel transcatheter interventions have been limited to preclinical research. Many of these research developments are ready for clinical translation.

Summary

With increasing iCMR clinical experience and translation of preclinical research innovations, the time to make the leap to radiation-free procedures is now.

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Title: MRI-Guided Cardiac Catheterization in Congenital Heart Disease: How to Get Started
Authors: Elena K. Amin
Adrienne Campbell-Washburn
Kanishka Ratnayaka
Publication date: 01-04-2022
Publisher: Springer US
Keywords: Magnetic Resonance Imaging
Magnetic Resonance Imaging
Cardiac MRI
Published in: Current Cardiology Reports / Issue 4/2022
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-022-01659-8

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