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 |
Percutaneous Coronary Intervention, Dynamic Coronary Roadmap, Coronary Artery Disease
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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
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
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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Download@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}
}
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 SP - 7 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 -
Cath Lab, National Heart Institute, Giza, Egypt
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