Mertens L, Seri I, Marek J, Arlettaz R, Barker P, McNamara P et al. Targeted neonatal echocardiography in the neonatal intensive care unit: practice guidelines and recommendations for training. Eur J Echocardiogr 2011; 12:715-736.CrossrefPubMedGoogle Scholar
 Kim JE, Newman B. Evaluation of a radiation dose reduction strategy for pediatric chest CT. AJR Am J Roentgenol 2010; 194:1188-1193.Google Scholar
 Thomas KE, Wang B. Age-specific effective doses for pediatric MSCT examinations at a large children’s hospital using DLP conversion coefficients: a simple estimation method. Pediatr Radiol 2008; 38:645-656.Web of ScienceCrossrefGoogle Scholar
 Bean MJ, Pannu H, Fishman EK. Three-dimensional computed tomographic imaging of complex congenital cardiovascular abnormalities. J Comput Assist Tomogr 2005; 29:721-724.CrossrefPubMedGoogle Scholar
 Fratz S, Schuhbaeck A, Buchner C, Busch R, Meierhofer C, Martinoff S et al. Comparison of accuracy of axial slices versus short-axis slices for measuring ventricular volumes by cardiac magnetic resonance in patients with corrected tetralogy of fallot. Am J Cardiol 2009; 103:1764-1769.Google Scholar
 Mivelaz Y, Di Bernardo S, Meijboom EJ, Sekarski N. Validation of two echocardiographic indexes to improve the diagnosis of complex coarctations. Eur J Cardiothorac Surg 2008; 34:1051-1056.CrossrefPubMedWeb of ScienceGoogle Scholar
 Long YG, Yang YY, Huang IL, Pan JY, Wu MT, Weng KP et al. Role of multi-slice and three-dimensional computed tomography in delineating extracardiac vascular abnormalities in neonates. Pediatr Neonatol 2010; 51:227-234.Web of ScienceGoogle Scholar
 Lee EY, Mason KP, Zurakowski D, Waltz DA, Ralph A, Riaz F et al. MDCT assessment of tracheomalacia in symptomatic infants with mediastinal aortic vascular anomalies: preliminary technical experience. Pediatr Radiol 2008; 38:82-88.Web of ScienceGoogle Scholar
 Kroft LJ, Roelofs JJ, Geleijns J. Scan time and patient dose for thoracic imaging in neonates and small children using axial volumetric 320-detector row CT compared to helical 64-, 32-, and 16- detector row CT acquisitions. PediatrRadiol 2010; 40:294-300.Google Scholar
 Stanger P, Heymann MA, Tarnoff H, Hoffman JI, Rudolph AM. Complications of cardiac catheterization of neonates, infants, and children. A three-year study. Circulation 1974; 50:595-608.PubMedCrossrefGoogle Scholar
 Bacher K, Bogaert E, Lapere R, De Wolf D, Thierens H. Patient-specific dose and radiation risk estimation in pediatric cardiac catheterization. Circulation 2005; 111:83-89.PubMedCrossrefGoogle Scholar
 Paul JF, Rohnean A, Elfassy E, Sigal-Cinqualbre A. Radiation dose for thoracic and coronary step-and-shoot CT using a 128-slice dual-source machine in infants and small children with congenital heart disease. Pediatr Radiol 2011; 41:244-249. Web of ScienceGoogle Scholar
Seminars in Cardiovascular Medicine
The Journal of Lithuanian Heart Association
1 Issue per year
Multidetector computed tomographic angiography in evaluation of neonates with suspected extracardiac congenital heart disease: experience in Vilnius University Hospital Santariškių Klinikos
- Corresponding author
- Department of Radiology, Nuclear Medicine and Medical Physics, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
- Centre of Radiology and Nuclear Medicine, Vilnius University Hospital Santariškių Klinikos, Vilnius, Lithuania
- Other articles by this author:
- De Gruyter OnlineGoogle Scholar
The aim of this study was to determine the frequency of extracardiac pathology in neonatal patients with suspected congenital heart disease referred to undergo multidetector computed tomography (MDCT) angiography in Vilnius University Hospital Santariskiu Klinikos. The safety of MDCT angiography (intravenous contrast media volume injected, scanning time and exposure to ionising radiation) was also evaluated.
Patients and Methods: During the period of 2006-2012, in Vilnius University Hospital Santariskiu Klinikos 186 pediatric patients were referred to undergo MDCT angiography of whom 71 were neonates with suspected complex congenital heart disease (CHD) and extracardiac pathology.
Results: Sixty nine (97.2%) of referred neonates were found to have extracardiac pathology (36 had extracardiac vascular pathology only, 4 - extracardiac non-vascular pathology only and 29 - both extracardiac vascular and non-vascular pathology). In 47 patients diagnosis of extracardiac pathology was verified intraoperatively. Remainder (n = 24) of the group were not operated (12 patients died because of hemodynamic instability and inoperable complex CHD, 9 patients were scheduled for later surgery, in 3 patients surgery was not indicated). Mean contrast media volume used was 4.18±1.03 ml, mean scanning time was 1.07±0.77 s and mean effective radiation dose was 2.8± 0.69 mSv. No adverse reactions or complications were observed.
Conclusions: MDCT angiography is accurate and safe method in diagnosis of complex congenital heart disease with extracardiac pathology.
Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.