Resultados imediatos e tardios da valvoplastia percutânea com balão na estenose valvar pulmonar

Hatem, Domingos; Castro, Iran; Haertel, José Carlos; Rossi, R; Zielinsky, Paulo; Leboute, F C; Pomar, Nara Albero; Winckler, Maristela; Kersten, Rogério N.; Cardoso, Carlos Roberto; Gottschall, Carlos Antônio Mascia

doi:10.1590/s0066-782x2004000300003

Cited by 10 publications

(2 citation statements)

References 29 publications

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“…The pressure decrease was statistically significant, similar to those data that have been proven in many other literatures 2)16-18). Also, in our data, the RV-PA systolic pressure gradient and the mean transpulmonic pressure gradient on the echocardiography showed high consistency to the invasive, but accurate cardiac catheterization data, which indicates that echocardiographic data is a reliable and efficient method in the diagnosis and follow-up of patients with PS, before and after the procedure.…”

Section: Discussionsupporting

confidence: 91%

The Comparison between the Echocardiographic Data to the Cardiac Catheterization Data on the Diagnosis, Treatment, and Follow-Up in Patients Diagnosed as Pulmonary Valve Stenosis

Kim

Park

Jung

et al. 2013

J Cardiovasc Ultrasound

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BackgroundIsolated pulmonary valve stenosis (PS) makes up 6-9% of all congenital heart defects among children. The initial gold standard for diagnosis, follow-up of PS is by echocardiography. However, the most accurate diagnosis still remains to be measurement of the pressure gradient through transcatheterization. The purpose of this study is to compare the difference between the echocardiographic data to the cardiac catheterization data on the diagnosis, treatment, and follow-up in patients diagnosed as PS, and to see what parameters should be closely monitored.MethodsA total of 112 patients (Male : Female = 46 : 66) who underwent balloon pulmonary valvuloplasty (BPV) at Severance Cardiovascular Hospital, between December, 2002 to August, 2012 were retrospectively analyzed. The patients were all under 16 years of age and critical PS patients who underwent BPV were excluded from this study.ResultsThe pre-BPV right ventricle (RV)-pulmonary artery (PA) systolic pressure gradient and post-BPV systolic pressure gradient showed statistically significant decrease. The pre-BPV RV-PA systolic pressure gradient and 3 month post-BPV systolic pressure gradient showed statistically significant decrease. The consistency between the echocardiographic data and cardiac catheterization data shows statistically significant consistency. The mean pressure gradient and systolic pressure gradient on the echocardiography shows high consistency when comparing with the cardiac catheterization data.ConclusionOur study shows that BPV in PS is a safe and effective procedure in children and adolescent. The standard echocardiographic evaluation of PS, during diagnosis and follow-up, should include mean transpulmonic pressure gradient, as well as the peak systolic pressure gradient. The success of the procedure should be held off until at least 3 months, only if the patients do not show any symptoms.

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Section: Discussionsupporting

confidence: 91%

The Comparison between the Echocardiographic Data to the Cardiac Catheterization Data on the Diagnosis, Treatment, and Follow-Up in Patients Diagnosed as Pulmonary Valve Stenosis

Kim

Park

Jung

et al. 2013

J Cardiovasc Ultrasound

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“…por McCrindle et al (21) y el promedio se encuentra alrededor de 10% (10,(21)(22)(23) . Maostafa et al (16) encontraron en un estudio en niños con EP y VPB un éxito de 8,83%.…”

Section: éXito Del Procedimientounclassified

Resultados de la valvuloplastia percutánea con balón en la estenosis valvular pulmonar en población pediátrica en el Instituto Nacional Cardiovascular – INCOR, Lima – Perú

Huamán-Benancio

Peralta-Ponce

Vinelli-Arzubiaga

et al. 2022

Arch Peru Cardiol Cir Cardiovasc

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Objetivo. Evaluar la efectividad de la valvuloplastia percutánea con balón (VPB) en estenosis valvular pulmonar (EP) en pediatría y sus resultados durante el seguimiento. Métodos. Se estudiaron 80 pacientes con EP a quienes se les realizaron VPB entre enero de 2014 y diciembre de 2019. Las características demográficas, ecocardiográficas y hemodinámicas del procedimiento se detallan a través de una estadística descriptiva en tanto que en el seguimiento se utilizó pruebas estadísticas paramétricas y no paramétricas con relación a insuficiencia pulmonar y reestenosis. Resultados. El rango de edad fue de 2 años (rango intercuartil RIQ 10,5 - 72 meses), el sexo predominante fue masculino con 56,2%. La gradiente transvalvular pulmonar disminuyó de 61,7 ± 21,2 mmHg a 17 mmHg (RIQ: 11 - 26 mmHg). La tasa de éxito inmediato de la VPB se situó en el 90%. La mediana del tiempo de seguimiento fue de 21 meses (RIQ: 5-47,5 meses). Todos los pacientes en el seguimiento mostraron algún grado de insuficiencia pulmonar en cada punto de corte, en el 17% de los casos al final de su seguimiento se encontró insuficiencia severa. Se encontró tres casos de reestenosis a largo plazo (3,8%) y 6 casos (7,5%) que ingresaron a sala de operaciones para plastia o recambio valvular pulmonar. Las complicaciones reportadas alcanzaron 10% de casos, de los cuales dos pacientes ingresaron a cirugía durante el procedimiento por complicaciones mayores. Se encontró asociación significativa con insuficiencia pulmonar severa al final del seguimiento y la relación anillo/balón. Conclusiones. La VPB es una técnica efectiva en el tratamiento de la estenosis valvular pulmonar, con complicaciones reportadas, pero con buenos resultados durante el seguimiento.

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Pulmonary Stenosis

2009

The Natural and Unnatural History of Congenital Heart Disease

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Resultados imediatos e tardios da valvoplastia percutânea com balão na estenose valvar pulmonar

Abstract: Percutaneous balloon valvuloplasty was effective and safe for the treatment of pulmonary valve stenosis with excellent short- and long-term results.

Cited by 10 publications

References 29 publications

The Comparison between the Echocardiographic Data to the Cardiac Catheterization Data on the Diagnosis, Treatment, and Follow-Up in Patients Diagnosed as Pulmonary Valve Stenosis

The Comparison between the Echocardiographic Data to the Cardiac Catheterization Data on the Diagnosis, Treatment, and Follow-Up in Patients Diagnosed as Pulmonary Valve Stenosis

Resultados de la valvuloplastia percutánea con balón en la estenosis valvular pulmonar en población pediátrica en el Instituto Nacional Cardiovascular – INCOR, Lima – Perú

Pulmonary Stenosis

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