TY  - JOUR
AB  - Background: Magnetic resonance imaging (MRI) has become an essential complementary imaging tool during pregnancy. Case Summary: In this case of left-sided congenital diaphragmatic hernia (CDH), fetal cardiac MRI at 29 gestational weeks showed subtle septal bounce and reduced biventricular ejection fraction. On follow-up MRI at 37 gestational week, the right ventricle was significantly dilated (right-to-left ventricle index: 1.9:1.0), indicating increasing right ventricular strain and raising the suspicion of pulmonary hypertension (PH). Post delivery, the newborn required ventilation and circulatory support. Diagnosis of PH was confirmed by echocardiography. After surgical repair, the clinical course was unremarkable. Discussion: This case illustrates that fetal cardiac MRI can provide a prenatal assessment of cardiovascular sequelae of CDH, thereby informing perinatal care. Take-Home Messages: Fetal MRI in CDH is used to accurately quantify fetal lung volume and to detect associated malformations. Additional cardiac assessment can indicate right ventricular strain and should raise suspicion of PH and prompt information of perinatal management.
AU  - Biechele, G.*
AU  - Fink, N.R.*
AU  - Dinkel, J.
AU  - Mehnert, R.*
AU  - Starrach, T.*
AU  - Schelling, M.*
AU  - Hübener, C.*
AU  - Mahner, S.*
AU  - Wintersperger, B.*
AU  - Ricke, J.*
AU  - Stöcklein, S.
C1  - 75685
C2  - 58071
TI  - Fetal cardiac magnetic resonance imaging in left-sided diaphragmatic hernia.
JO  - JACC: Case Reports
VL  - 30
IS  - 31
PY  - 2025
SN  - 2666-0849
ER  - 

TY  - JOUR
AB  - Background: Demographic shifts have increased the complexity of endovascular therapy, often resulting in painful procedures. Local anesthesia (LA) has become a viable alternative to general anesthesia for high-risk patients undergoing endovascular therapy. Case Summary: A 76-year-old woman presented with severe claudication due to a heavily calcified chronic total occlusion of the superficial femoral artery. After initial subintimal guidewire passage, re-entry into the distal true lumen was achieved using a BeBack crossing catheter. During consecutive balloon inflation, the patient experienced severe discomfort. To improve patient compliance and facilitate balloon dilation of adequate diameter, local infiltration of lidocaine and iodinated contrast medium was administered via the BeBack crossing catheter in the perivascular space along the superficial femoral artery. The procedure was then successfully completed. Discussion: The injection of LA via the BeBack crossing catheter provided targeted pain management, ensuring patient compliance without extending procedure duration or requiring additional percutaneous LA administration. Take-Home Messages: LA is a feasible alternative to general anesthesia for high-risk patients undergoing lower limb revascularization of complex lesions and total occlusions. In clinical cases where a BeBack crossing catheter is already in use, using the catheter for perivascular anesthesia injection offers effective pain management peri-interventionally.
AU  - Winther, B.
AU  - Schmidt, A.*
AU  - Sopromadze, L.*
AU  - Düsing, S.*
AU  - Fischer, A.*
AU  - Scheinert, D.*
AU  - Steiner, S.
AU  - Wittig, T.
C1  - 75277
C2  - 57890
TI  - Pain relief during recanalization of chronic femoropopliteal artery occlusions with use of a crossing catheter.
JO  - JACC: Case Reports
VL  - 30
IS  - 22
PY  - 2025
SN  - 2666-0849
ER  -