An evaluation of efficacy and utility of palliative pulmonary balloon valvuloplasty in symptomatic infants with tetralogy of Fallot

Demirer, İbrahim Halil

doi:10.5606/tgkdc.dergisi.2013.7724

Cited by 1 publication

(1 citation statement)

References 20 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 4 - 6 ] Less commonly, palliative pulmonary balloon valvuloplasty and right ventricular outflow tract stent implantation could also be performed in these patients. [ 7 , 8 ] Formerly, DSI was limited in securing pulmonary blood flow in patients with multiple pulmonary flow sources or patients having short straight ductus. [ 9 ] However, improved materials and increased operator experience yielded a high success rate, and it is on its way to becoming the first choice for all kinds of duct-dependent pulmonary circulation (DDPC) patients.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of the flip technique in vertical ductal stenting

Aldudak,

Geter,

Murat

2024

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Background: In this study, the flip technique was compared with the classical method in terms of procedural success and procedure time during ductal stent implantation (DSI) via the carotid artery in patients whose pulmonary blood flow is dependent on the vertical type of ductus arteriosus (DA). Methods: Between January 2019 and June 2023, 40 patients (24 males, 16 females; mean age: 15.9±15.4 days; range, 1 to 68 days) with vertical ductus-dependent pulmonary circulation who underwent patent DA stent implantation via the carotid artery were included in the study. Patients were divided into two groups: those who underwent the flip technique (Group 1) and those who did not undergo the flip technique (Group 2). Data were retospectively compiled by reviewing patient files and catheter images. Results: Demographic findings were similar in the groups. The distribution of the DA in terms of tortuosity index was also similar in the groups. The procedure was successful in 18 (90%) patients in Group 1 and 20 (100%) patients in Group 2. There was no procedure-related mortality in both groups. The frequency of procedure-related complications was similar. Procedure duration was 53.6±18.4 min in Group 1 and 41.5±9.1 min in Group 2; the difference was significantly lower in Group 2 (p=0.028). The shorter follow-up in Group 2 was attributed to the flip method starting to be used later in the clinic. During follow-up, stent dilatation was required in two patients in Group 1 and one patient in Group 2, and a second stent implantation was needed in one patient in Group 2. No significant difference was observed between the two groups in terms of reintervention. Conclusion: The success rate of DSI using the carotid artery access is high with both the classical and the flip method in patients with vertical DA. However, the use of the flip technique could be preferred in terms of operator habituation, ergonomic use of the catheter, guidewires, and shorter procedure time.

show abstract