Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created...
Transcript of Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created...
![Page 1: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/1.jpg)
PPVI 3DRA – case presentation:
Venus P-Valve in Native RVOT with 3DRA Guidance
Dr. Francisco Garay G.Department of Pediatric Cardiology
and Respiratory Diseases.
Pontifical Catholic University of Chile.
![Page 2: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/2.jpg)
Disclosure
Medtech consultant
![Page 3: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/3.jpg)
12 years old, girl, weight: 59 kg
Diagnosis: TOF
Surgery: #1, - 7 months old, transanular patch
MRI: RVEDV 179 ml/m2 LVEDV 110 ml/m2RVESV 86 ml/m2 LVESV 33 ml/m2RV EF 52% LVEF 59%
Pulmonic regurg fraction 58 %MPA 27 mmRPA 24 mmLPA 20 mm
![Page 4: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/4.jpg)
ECHO Pulmonary valve annulus 26 mmDistal MPA 27.7 mmMPA lenght 36 mm
RPA 21.1 mmLPA 16.6 mm
![Page 5: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/5.jpg)
Venus p-valve (Medtech, Shanghai)
![Page 6: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/6.jpg)
![Page 7: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/7.jpg)
Single plane Philips Allura Clarity
General anesthesia, OT intubation
Heparin 100 U/kg
Prophilactic cefazolin
RFV – PM (3DRA)RVOT sizing/Venus p-valve delivery system
LFV – 3DRA/angio test for valve deploymentLFA – coronary compression test.
Procedure
![Page 8: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/8.jpg)
Hemodynamic calculations:
• Qs: 2,4 L/min/m2.
• Qp: 2,4 L/min/m2.
• Qp/Qs: 1:1
• RVS: 23 U. Wood.
• RVP: 2 U. Wood.
Wp: 9
80/55
(63)
m: 8
Wp: 9
30/8
64
99
6967 27/9
(14)
83/8
21/9
23/9
(13)
General
anesthesia
FiO2: 21%
RCV
• Age: 12 yo.
• Study date: 3/28/2016.
• Weight: 62 Kg; Height: 62 cm.
• BSA: 1.7 m2.
![Page 9: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/9.jpg)
3DRA setup
![Page 10: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/10.jpg)
![Page 11: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/11.jpg)
RVOT 3D reconstruction
![Page 12: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/12.jpg)
Cath lab with 3DRA
![Page 13: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/13.jpg)
![Page 14: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/14.jpg)
![Page 15: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/15.jpg)
![Page 16: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/16.jpg)
![Page 17: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/17.jpg)
![Page 18: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/18.jpg)
![Page 19: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/19.jpg)
![Page 20: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/20.jpg)
![Page 21: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/21.jpg)
MPA sizing: 24-30 mmSelected valve to implant 30 mm diameter/30 mm long
![Page 22: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/22.jpg)
![Page 23: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/23.jpg)
![Page 24: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/24.jpg)
![Page 25: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/25.jpg)
Cath lab with 3DRA
![Page 26: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/26.jpg)
![Page 27: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/27.jpg)
![Page 28: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/28.jpg)
![Page 29: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/29.jpg)
![Page 30: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/30.jpg)
![Page 31: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/31.jpg)
![Page 32: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/32.jpg)
![Page 33: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/33.jpg)
case 1 case 2 case 3
Siemens Siemens Philips
biplane biplane 3DRA
fluoro time 29.4 min 27.4 min 23.7 min
PDA 20686 uGy*m2 22593 uGy*m2 5317 uGy*m2
KA 1793 mGy 2233 mGy 218 mGy
weight 58.6 kg 53 kg 62 kg
height 157 cm 151 cm 162 cm
contrast 210 ml 255 ml 150 ml
Radiation doses – Venus p-valve cases.PPVI with Venus p-valve® - initial experience. Santiago Chile. March 28th, 2016.
![Page 34: Presentación de PowerPoint - 3DRATitle Presentación de PowerPoint Author Francisco Garay Created Date 10/15/2016 7:10:56 AM](https://reader035.fdocuments.in/reader035/viewer/2022071219/60559b7d0c113c166971f599/html5/thumbnails/34.jpg)
84/61
(69)
24/8
24/12
General
anesthesia
FiO2: 21%
RCV
• Age: 12 yo.
• Study date: 3/28/2016.
• Weight: 62 Kg; Height: 62 cm.
• BSA: 1.7 m2.