Comparative imaging of cardiac structures and function for the optimization of transcatheter approaches for valvular

Michael G Bateman1, Paul A Iaizzo

  • 1Departments of Surgery and Biomedical Engineering, University of Minnesota, Minneapolis, MN 55455, USA.

Insights

Understanding human heart anatomy variations is key for medical device development. This study uses advanced imaging to guide less invasive cardiac repair strategies for structural heart defects.

Area of Science:

  • Cardiovascular Imaging
  • Medical Device Engineering
  • Anatomical Science

Background:

  • Human heart anatomy exhibits significant variations, crucial for understanding pathologies.
  • Accurate visualization is vital for successful transcatheter device placement.
  • Knowledge of cardiac anatomy and device-tissue interaction informs less invasive repair strategies.

Purpose of the Study:

  • To detail cardiac anatomy using multiple imaging modalities.
  • To assess imaging modality effectiveness for transcatheter device visualization.
  • To provide anatomical insights for developing and employing less invasive cardiac repair.

Main Methods:

  • Utilized Visible Heart® methodologies on preserved human heart specimens.
  • Conducted studies on reanimated large mammalian hearts.
  • Employed multiple imaging modalities for detailed anatomical assessment.

Main Results:

  • Demonstrated unique anatomical variations in human hearts.
  • Provided insights into imaging modality selection for device placement.
  • Established critical anatomical and device-tissue interface knowledge.

Conclusions:

  • Detailed cardiac anatomical assessment is essential for understanding variations and pathologies.
  • Imaging modality selection impacts transcatheter device visualization.
  • Anatomical knowledge is critical for advancing less invasive cardiac repair techniques.

Related Concept Videos

Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...