Research Article | | Peer-Reviewed

Value of the Novel Dynamic Coronary Roadmap in Percutaneous Coronary Intervention

Received: 4 January 2024     Accepted: 22 January 2024     Published: 5 February 2024
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Abstract

Background: An innovative technological advancement, the dynamic coronary roadmap (DCR) superimposes the coronary arteries on a fluoroscopic image in real-time while compensating for motion. Aim: to determine the value of DCR in percutaneous coronary intervention. Methods: This study was conducted on 193 patients with anginal pain, who come for Percutaneous coronary intervention (PCI) on elective basis, who found to have multiple/complex lesions suitable for PCI, and expected to have a long procedure time and large contrast volume. They divided into two groups; DCR group which included 93 patients in which PCI was done with DCR while control group included 100 patients in which PCI was done without DCR. All patients subjected to clinical assessment, full resting 12-Lead ECG, history taking, routine pre-catheter laboratory investigations and transthoracic Echocardiography. Conventional coronary angiography followed by PCI was done then we used Dynamic Roadmap system. Results: The DCR group had considerably lower levels of total air kerma and DAP than the control group (p0.001). In addition, the DCR group compared to the control group regard as fluoroscopy duration was significantly reduced in (p0.001). 100 percent of procedures were successful in both the control and DCR groups. In the control group, there were no significant variations in radiation dosage between operators 1 and 2, however operators 2 had considerably less fluoroscopy duration and contrast volume (p=0.002 and 0.023, respectively). No significant were recorded in contrast volume, radiation dose, or fluoroscopy time between operators 3 and 4 in the DCR group. Conclusion: Dynamic coronary road map significantly reduces contrast volume, Total air kerma and DAP, fluoroscopy time with 100% procedural success.

Published in Cardiology and Cardiovascular Research (Volume 8, Issue 1)
DOI 10.11648/ccr.20240801.12
Page(s) 7-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Percutaneous Coronary Intervention, Dynamic Coronary Roadmap, Coronary Artery Disease

References
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[3] Holmes DR, Wondrow MA, Gray JE, Vetter RJ, Fellows JL, Julsrud PR. Effect of pulsed progressive fluoroscopy on reduction of radiation dose in the cardiac catheterization laboratory. Journal of the American College of Cardiology. 1990 Jan 1; 15(1): 159-62.
[4] Ruina Hao MD, Qiu Zhang MD, Zhuowen Xu MD, Lijun Tang MD. Magnetic navigation system and CT roadmap-assisted percutaneous coronary intervention: a comparison to the conventional approach. Journal of Invasive Cardiology. 2013 Apr 1; 25(4).
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[6] Boukantar M, Loyeau A, Gallet R, Bataille S, Benamer H, Caussin C, Garot P, Livarek B, Varenne O, Spaulding C, Karrillon G. Angiography and percutaneous coronary intervention for chronic total coronary occlusion in daily practice (from a large French registry [CARDIO-ARSIF]). The American Journal of Cardiology. 2019 Sep 1; 124(5): 688-95.
[7] Weferling M, Liebetrau C, Kraus D, Zierentz P, von Jeinsen B, Dörr O, Weber M, Nef H, Hamm CW, Keller T. Definition of acute kidney injury impacts prevalence and prognosis in ACS patients undergoing coronary angiography. BMC Cardiovascular Disorders. 2021 Dec; 21(1): 1-9.
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[12] Mukai Y, Sakakura K, Yamamoto K, Taniguchi Y, Tsukui T, Seguchi M, Wada H, Momomura SI, Fujita H. Association of less-contrast media with clinical factors in elective percutaneous coronary intervention. Heart and Vessels. 2020 Feb; 35: 143-52.
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[15] Brown JR, Robb JF, Block CA, Schoolwerth AC, Kaplan AV, O'Connor GT, Solomon RJ, Malenka DJ. Does safe dosing of iodinated contrast prevent contrast-induced acute kidney injury?. Circulation: Cardiovascular Interventions. 2010 Aug; 3(4): 346-50.
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Cite This Article
  • APA Style

    Mansy, A., Allam, S., Hussien, M., Solyman, O. (2024). Value of the Novel Dynamic Coronary Roadmap in Percutaneous Coronary Intervention. Cardiology and Cardiovascular Research, 8(1), 7-13. https://doi.org/10.11648/ccr.20240801.12

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    ACS Style

    Mansy, A.; Allam, S.; Hussien, M.; Solyman, O. Value of the Novel Dynamic Coronary Roadmap in Percutaneous Coronary Intervention. Cardiol. Cardiovasc. Res. 2024, 8(1), 7-13. doi: 10.11648/ccr.20240801.12

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    AMA Style

    Mansy A, Allam S, Hussien M, Solyman O. Value of the Novel Dynamic Coronary Roadmap in Percutaneous Coronary Intervention. Cardiol Cardiovasc Res. 2024;8(1):7-13. doi: 10.11648/ccr.20240801.12

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  • @article{10.11648/ccr.20240801.12,
      author = {Ahmed Mansy and Sameh Allam and Mohamed Hussien and Omar Solyman},
      title = {Value of the Novel Dynamic Coronary Roadmap in Percutaneous Coronary Intervention},
      journal = {Cardiology and Cardiovascular Research},
      volume = {8},
      number = {1},
      pages = {7-13},
      doi = {10.11648/ccr.20240801.12},
      url = {https://doi.org/10.11648/ccr.20240801.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.ccr.20240801.12},
      abstract = {Background: An innovative technological advancement, the dynamic coronary roadmap (DCR) superimposes the coronary arteries on a fluoroscopic image in real-time while compensating for motion. Aim: to determine the value of DCR in percutaneous coronary intervention. Methods: This study was conducted on 193 patients with anginal pain, who come for Percutaneous coronary intervention (PCI) on elective basis, who found to have multiple/complex lesions suitable for PCI, and expected to have a long procedure time and large contrast volume. They divided into two groups; DCR group which included 93 patients in which PCI was done with DCR while control group included 100 patients in which PCI was done without DCR. All patients subjected to clinical assessment, full resting 12-Lead ECG, history taking, routine pre-catheter laboratory investigations and transthoracic Echocardiography. Conventional coronary angiography followed by PCI was done then we used Dynamic Roadmap system. Results: The DCR group had considerably lower levels of total air kerma and DAP than the control group (p0.001). In addition, the DCR group compared to the control group regard as fluoroscopy duration was significantly reduced in (p0.001). 100 percent of procedures were successful in both the control and DCR groups. In the control group, there were no significant variations in radiation dosage between operators 1 and 2, however operators 2 had considerably less fluoroscopy duration and contrast volume (p=0.002 and 0.023, respectively). No significant were recorded in contrast volume, radiation dose, or fluoroscopy time between operators 3 and 4 in the DCR group. Conclusion: Dynamic coronary road map significantly reduces contrast volume, Total air kerma and DAP, fluoroscopy time with 100% procedural success.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Value of the Novel Dynamic Coronary Roadmap in Percutaneous Coronary Intervention
    AU  - Ahmed Mansy
    AU  - Sameh Allam
    AU  - Mohamed Hussien
    AU  - Omar Solyman
    Y1  - 2024/02/05
    PY  - 2024
    N1  - https://doi.org/10.11648/ccr.20240801.12
    DO  - 10.11648/ccr.20240801.12
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
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    EP  - 13
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/ccr.20240801.12
    AB  - Background: An innovative technological advancement, the dynamic coronary roadmap (DCR) superimposes the coronary arteries on a fluoroscopic image in real-time while compensating for motion. Aim: to determine the value of DCR in percutaneous coronary intervention. Methods: This study was conducted on 193 patients with anginal pain, who come for Percutaneous coronary intervention (PCI) on elective basis, who found to have multiple/complex lesions suitable for PCI, and expected to have a long procedure time and large contrast volume. They divided into two groups; DCR group which included 93 patients in which PCI was done with DCR while control group included 100 patients in which PCI was done without DCR. All patients subjected to clinical assessment, full resting 12-Lead ECG, history taking, routine pre-catheter laboratory investigations and transthoracic Echocardiography. Conventional coronary angiography followed by PCI was done then we used Dynamic Roadmap system. Results: The DCR group had considerably lower levels of total air kerma and DAP than the control group (p0.001). In addition, the DCR group compared to the control group regard as fluoroscopy duration was significantly reduced in (p0.001). 100 percent of procedures were successful in both the control and DCR groups. In the control group, there were no significant variations in radiation dosage between operators 1 and 2, however operators 2 had considerably less fluoroscopy duration and contrast volume (p=0.002 and 0.023, respectively). No significant were recorded in contrast volume, radiation dose, or fluoroscopy time between operators 3 and 4 in the DCR group. Conclusion: Dynamic coronary road map significantly reduces contrast volume, Total air kerma and DAP, fluoroscopy time with 100% procedural success.
    
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Cardiology Department, Al Azhar University, Cairo, Egypt

  • Cardiology Department, Al Azhar University, Cairo, Egypt

  • Cath Lab, National Heart Institute, Giza, Egypt

  • Cath Lab, National Heart Institute, Giza, Egypt

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