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Children’s National Medical Center – NHLBI

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Presentation on theme: "Children’s National Medical Center – NHLBI"— Presentation transcript:

1 Children’s National Medical Center – NHLBI

2 CNMC – NHLBI ICMR Research Team
Kanishka Ratnayaka, MD Toni Sego, RCIS Laura J. Olivieri, MD Robert J. Lederman, MD Russell R. Cross, MD Anthony Faranesh, PhD Michael S. Hansen, PhD Toby Rogers, MD Kendall J. O’Brien, BA Ozgur Kocaturk, PhD Karin S. Hamann, RNC Adrienne Campbell-Washburn, PhD Charles I. Berul, MD Hui Xue, PhD Peter Kellman, PhD Joshua P. Kanter, MD Annette M. Stine, RN Michael C. Slack, MD Jonathan Mazal, BSc Elena Grant, MBChB Bill Schenke, BSc Sridhar Hanumanthaiah, MS Laurie Grant, RN Richard J. Levy, MD Merdim Sonmez, PhD Jeffrey P. Moak, MD Dominique Franson, BA Charles R. Fleming, RN, BScN, CPN

3 ICMR Research Timeline
April CNMC-NHLBI ICMR Suite Open May Diagnostic Pediatric MRI Research Program Starts November 2013 X-Ray Fused with MRI (XFM) Research Program Starts February MRI guided Electrophysiology Research Program Start March MRI Heart Catheterization Research Program Start

4 XFM MRI overlay on live X-Ray Fluoro Display
B C XFM MRI overlay on live X-Ray Fluoro Display Our lab prefers segmented MRI images for fluoroscopic overlay

5 XFM Guided, Novel, Antegrade pmVSD Device Closure (Ratnayaka, JACCInter 2008)
It’s not just pretty pictures. We showed XFM can make percutaneous VSD crossing & repair easier…

6 Conventional X-ray vs Novel XFM
VSD crossing s s p=0.01 Sheath positioning s s p<0.001 Fluoroscopy s s P<0.001 Radiation dose-area-product (DAP) mGm2 mGm2 …with significantly less radiation exposure. In fact, half the radiation dose area product.

7

8 X-Ray XFM device closure XFM XFM post device closure

9 CNMC – NHLBI ICMR Next Steps
Radiation Free Cardiac Catheterization MR Electrophysiology MR Structural Heart Intervention

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