Abstract
Background:To investigate the methods of percutaneous transcatheter interventions for combined congenital heart disease and to evaluate its efficacy in children.Materials and Methods:Thirty cases (ages 3 days-13.5 years, body weight 3-35 kg) that underwent two multiple transcatheter interventions for combined or solitary congenital heart disease were retrospectively analyzed and presented.Results:A total of 61 transcatheter interventions were performed in 30 patients as combined procedures. In 29 patients, two different procedures were combined in the same session, in remaining one patient, combination of three interventions were performed in the same catheter session. Interventions performed in combined procedures were as follows: Coarctation balloon angioplasty in 12 cases, pulmonary balloon valvuloplasty in 10, PDA coil embolization in 10, aortic balloon valvuloplasty in 8, VSD closure in 5, ASD closure in 4, ductal stent implantation in 4, palliative pulmonary balloon valvuloplasty in 3, recanalization and angioplasty of the systemic-pulmonary shunt in 2, balloon atrial septostomy in one, aortic coarctation stent implantation in one, coil embolization of a pulmonary lobar sequestration in one and pulmonary valve perforation plus pulmonary balloon valvuloplasty in one were performed as first or second procedure. There was no mortality or major morbidity in relation to combined procedures.Conclusion:Multiple transcatheter interventions in the same session are feasible, safe and effective with satisfactory good results. Second intervention may be performed as complementary procedure or independently to the first intervention.
Highlights
Advances in pediatric interventional cardiac catheterization have changed the therapeutic strategy for many patients with congenital heart disease
Interventions performed in combined procedures were as follows: Differences among pre- and post-procedure in cases who performed balloon angioplasty for coarctation of aorta, aortic balloon valvuloplasty and pulmonary balloon valvuloplasty were analyzed separately with the Student’s t test
Coarctation balloon angioplasty was performed as the former procedure in four cases, as the latter procedure in eight cases
Summary
Advances in pediatric interventional cardiac catheterization have changed the therapeutic strategy for many patients with congenital heart disease. Many congenital cardiac diseases can be treated by transcatheter interventional procedures.[2,3,4] for some congenital lesions, such as pulmonary valvular stenosis,[5] transcatheter therapy nearly replaced the surgery. To investigate the methods of percutaneous transcatheter interventions for combined congenital heart disease and to evaluate its efficacy in children. Materials and Methods: Thirty cases (ages 3 days-13.5 years, body weight 3-35 kg) that underwent two multiple transcatheter interventions for combined or solitary congenital heart disease were retrospectively analyzed and presented. Results: A total of 61 transcatheter interventions were performed in 30 patients as combined procedures. Second intervention may be performed as complementary procedure or independently to the first intervention
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