1. Yoav Dori, MD PhD The Children’s Hospital of Philadelphia
iCMR at CHOP
Yoav Dori, MD PhD The Children’s Hospital of Philadelphia

2. Personnel CHOP cathlab: Yoav Dori MD PhD – Interventional cardiology
CHOP MRI:
Mark A. Fogel MD – Cardiac MRI
Kevin Whitehead MD – Cardiac MRI

3. Setup ♥ Siemens XFM suite – Avanto and Artis
♥ Currently in the process of setting up the MRI for iCMR procedures

4. 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

5. 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

6. 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

7. Limiting Factors ♥ Device tracking
♥ Lack of MRI compatible wires and catheters
♥ Difficult to perform procedures in the scanner
♥ Room setup