Atriosseptostomia por cateter balão guiada pela ecocardiografia em unidade de terapia intensiva neonatal

Lopes, Lílian Maria; Kawano, Christiane; Cristóvão, Salvador André Bavaresco; Nagamatsu, Célia Toshie; Fonseca, Luciana da; Furlanetto, Beatriz Helena; Furlanetto, Gláucio; Silva, José Pedro da; Mangione, José Armando

doi:10.1590/s0066-782x2010005000076

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…The success criterion of the procedure was the increase in the peripheral oxygen saturation, the increase in the atrial septal defect diameter > 1/3 of the total inter atrial septal diameter measured at the sub costal view or created ASD of around 5 mm with free margins mobility (Fig.1d) and clinical improvement 10,13,18…”

Section: Methodsmentioning

confidence: 99%

“…It may be performed at bedside, avoiding transporting of the patient and radiation. Echocardiography helps in identifying catheter location and reduces the risk of perforations and lacerations of various structures, it also reduces the occurrence of other severe complications and immediate identification of these complications and echocardiography also assesses the immediate result of the procedure 10-15. In addition it reduces the burden of cardiac catheterization lab.…”

Section: Introductionmentioning

confidence: 99%

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Echocardiography guided bed side balloon atrial septostomy in dextro transposed great arteries (dTGA) with intact ventricular septum (IVS): A resource limited country experience

Kumar¹,

Shaikh²,

Kumari³

et al. 2018

Pak J Med Sci

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Objective:To determine effectiveness and safety of echocardiography guided bed side Balloon Atrial Septostomy (BAS) in dextro transposition of great Arteries (dTGA) with intact ventricular septum (IVS) at a public sector tertiary care hospital Karachi, Pakistan.Methods:This case series include 40 patients with echocardiographic findings of dTGA with IVS and restricted PFO (≤ 2mm) who underwent bedside BAS at department of pediatric cardiology NICVD, Karachi, Pakistan. We recorded pre and post BAS diameter of PFO/Atrial Septal Defect (ASD), oxygen saturation (SpO2 %), and post procedure complications and outcome.Results:Median age was 16 days, Majority of them (n=23, 58%) were severely cyanosed with SpO2 of 41.4±3.4% and underwent emergency BAS and remaining underwent elective procedure. An increase in SpO2% from 46.0±6% to 81.0±3.0% (p=<0.001) and ASD size from 1.4±2.8mm to 5.45±0.4mm was observed (p=<0.001). No complication was observed in most of cases (n=28, 70%). Mean hospital stay was 3.4±1 days. Success rate was 97.5% however, one neonate died due to neonatal sepsis.Conclusion:Our study provides sufficient evidence that bed side balloon atrial septostomy is a safer technique, save a lot of time and resources which were required otherwise in transporting these patients to catheterization laboratory.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Echocardiography guided bed side balloon atrial septostomy in dextro transposed great arteries (dTGA) with intact ventricular septum (IVS): A resource limited country experience

Kumar¹,

Shaikh²,

Kumari³

et al. 2018

Pak J Med Sci

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“…The procedure, first described in 1966 by Rashkind and Miller 9 , is a palliative treatment widely used in cyanogenic congenital heart diseases. In the 1980s, it was carried out at the bedside with echocardiogram, without exposure to radiation, costs and risks of injury compared to the way it was done previously (with uni/ biplanar fluoroscopy in a hemodynamic laboratory) 10,11 . The technique consists of catheterization of the right or left femoral vein with a guidewire that leads the catheter to the left atrium through the right atrium and foramen ovale.…”

Section: Balloon Atrial Septostomymentioning

confidence: 99%

“…The technique consists of catheterization of the right or left femoral vein with a guidewire that leads the catheter to the left atrium through the right atrium and foramen ovale. The balloon is then inflated with saline solution and drawn abruptly against the atrial septum, causing its rupture 11 .…”

Section: Balloon Atrial Septostomymentioning

confidence: 99%

Factors associated with increased atrial septum thickness in infants with Hypoplastic Left Heart Syndrome (HLHS)

Carvalho¹,

Aiello²

2020

Rev. Med. (São Paulo)

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Introduction: In the usual procedures performed on newborns affect by Hypoplastic Left Heart Syndrome (HLHS), phenotypic variations influence the success of the treatment, especially the characteristics related to the atrial septum and foramen ovale (FO) in case of catheter septostomy. Objectives: To analyze macroscopics features of the atrial septum of hearts with HLHS in order to define and guide therapeutic procedures on this structure. Methods: 18 hearts of deceased patients diagnosed with HLHS were evaluated for FO patency and size, bulging of its blade, atresia or patency of the mitral valve and caliber of the ascending aorta and pulmonary trunk. Histological sections of the atrial septum were made for measurements of maximum and minimum thickness of the lamina. Results: The mean age of the patients was 34.5 days (57% male), with a mean atrial septal thickness of 1.90 mm (0.63 - 4.09 mm). The mean diameter of the pulmonary trunk and aorta were 1.16 cm and 0.22 cm, respectively. FO was patent in 39% of cases. The mitral valve was atresic in 21% of the specimens. There was a significant difference in the thickness of the atrial septum in cases with patent or closed FO, being greater in cases where the FO was closed (p = 0.047). The ratio FO/age presented a statistically significant negative correlation with atrial septum thickness (r = -0.76 and p <0.05). Conclusions: The results indicate that the patency and size of the oval foramen have repercussions on the thickness of the atrial septum, suggesting that this factor may limit the success of therapeutic interventions, especially catheter septostomy.

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Clinical guidelines for the management of patients with transposition of the great arteries with intact ventricular septum

Sarris¹,

Balmer²,

Bonou³

et al. 2017

Cardiol Young

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The members of the Task Force have provided disclosure statements of all relationships that might be perceived as real or potential sources of conflicts of interest. These disclosure forms are kept on file at the headquarters of the EACTS/AEPC. The Committee report received its entire financial support from the EACTS and AEPC, without any involvement of the pharmaceutical, device or surgical industries

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Atriosseptostomia por cateter balão guiada pela ecocardiografia em unidade de terapia intensiva neonatal

Abstract: Background: The bedside two-dimensional echocardiography (2-D ECHO) has been successfully used to guide the balloon atrial septostomy, speeding up the procedure and preventing the risks of transportation to the hemodynamics laboratory.

Cited by 7 publications

References 10 publications

Echocardiography guided bed side balloon atrial septostomy in dextro transposed great arteries (dTGA) with intact ventricular septum (IVS): A resource limited country experience

Echocardiography guided bed side balloon atrial septostomy in dextro transposed great arteries (dTGA) with intact ventricular septum (IVS): A resource limited country experience

Factors associated with increased atrial septum thickness in infants with Hypoplastic Left Heart Syndrome (HLHS)

Clinical guidelines for the management of patients with transposition of the great arteries with intact ventricular septum

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