Three-dimensional rotational angiography in children with an aortic coarctation

N L P Starmans, G J Krings, M M C Molenschot, Femke van der Stelt, J M P J Breur

Research output: Contribution to journalArticleAcademicpeer-review


BACKGROUND: Children with aortic coarctations (CoA) are increasingly percutaneously treated. Good visualisation of the CoA is mandatory and can be obtained with three-dimensional rotational angiography (3DRA). This study aims to compare the diagnostic and therapeutic additional value of 3DRA with conventional biplane angiography (CA) in children with a CoA.

METHODS: Patients undergoing percutaneous treatment of CoA with balloon angioplasty (BA) or stent between 2003 and 2015, were retrospectively reviewed on success rate, complications, radiation and technical settings. Diagnostic quality of CA and 3DRA and additional value of 3DRA were scored.

RESULTS: In total, 134 patients underwent 183 catheterisations, 121 CA and 62 3DRA-guided. Median age was 0.52 years in the BA group and 11.19 years in the stent group. 3DRA was superior to CA in displaying the left ventricle (p = 0.008), ascending aorta (p < 0.001), aortic arch (p = 0.005) and coronary arteries (p < 0.001). In the BA group, 3DRA had a significantly higher success rate than CA (100.0 % versus 68.9 %, p = 0.016). All stent interventions were successful. Complication rates did not differ significantly. The median total dose area product did not significantly differ between CA and 3DRA in the BA (27.88 μGym(2)/kg versus 15.81 μGym(2)/kg, p = 0.275) or stent group (37.34 μGym(2)/kg versus 45.24 μGym(2)/kg, p = 0.090). 3DRA was of additional value in 96.8 % of the interventions.

CONCLUSIONS: 3DRA is superior to CA in diagnostic quality and not associated with increased radiation exposure. It provides high additional value in guiding CoA related interventions.

Original languageEnglish
Pages (from-to)666–674
JournalNetherlands Heart Journal
Issue number11
Publication statusPublished - 22 Sept 2016


  • Angiography
  • Aortic coarctation
  • Congenital heart defects
  • Endovascular procedures
  • Paediatrics
  • Three-dimensional imaging


Dive into the research topics of 'Three-dimensional rotational angiography in children with an aortic coarctation'. Together they form a unique fingerprint.

Cite this