iCMR at CHOP

Yoav Dori, MD PhDThe Children’s Hospital of Philadelphia

Personnel

CHOP cathlab:Yoav Dori MD PhD – Interventional cardiology

CHOP MRI:Mark A. Fogel MD – Cardiac MRIKevin Whitehead MD – Cardiac MRI

Setup

♥ Siemens XFM suite – Avanto and Artis

♥ Currently in the process of setting up the MRI for iCMR procedures

Procedures Performed at CHOP♥ Congenital heart disease procedures

♥ Diagnostic catheterization and hemodynamic assessment

♥ Interventional procedures: PDA, VSD, ASD closure Coarctation angioplasty and stenting Balloon pulmonary and aortic valvuloplasty Pulmonary artery angioplasty and stenting Melody valve implantation XFM guided procedures Many other structural heart disease interventions

Research and Procedures Interested in Performing Under iCMR Guidance

♥ iCMR guided EP

♥ iCMR guided intramyocardial injections

♥ PV loop analysis of myocardial mechanics in single ventricle physiology

♥ Combined MRI and cath based hemodynamics assessment of complex circuits

Next Milestones

♥ Complete set up of the MRI room for iCMR procedures

♥ Setup system for hemodynamic monitoring in the MRI scanner

♥ Perform combined MRI and cath based hemodynamics assessment of complex circuits

Limiting Factors

♥ Device tracking

♥ Lack of MRI compatible wires and catheters

♥ Difficult to perform procedures in the scanner

♥ Room setup