Table 2: Advantages and Disadvantages of Several Three-dimensional Rotational Angiography Workflow Choices.
Advantage(s) | Disadvantage(s) | |
Use of GA | Control of apnoea, motion Allows easy asystole | Increases complexity |
Conscious sedation | Less complexity | Challenging to get consistent results with direct LA injection workflow |
Adenosine for low output | Near-perfect standstill | Impractical without GA Quality degradation in case of PVCs |
Rapid RV pacing for low output | Robust workflow, predictable quality | May induce VT/VF Difficult without GA |
Direct LA injection | Optimal image quality No need for timing bolus | Needs low output |
Indirect RA/AP injection | No need for GA/asystole | Needs timing of bolus Image quality degradation Difficult long apnoea |
AP = arteria pulmonalis; GA = general anaesthesia; LA = left atrium; PVCs = premature ventricular contractions; RA = right atrium; RV = right ventricle; VF = ventricular fibrillation; VT = ventricular tachycardia.