Balloon atrial septostomy: The oldest cardiac interventional procedure in Mansoura

Matter, Mohamed; Al-Marsafawy, Hala; Hafez, Mona; Attia, Gehan; Elkhier, Mohammed Magdy Abou

doi:10.1016/j.ehj.2011.08.043

Cited by 10 publications

(11 citation statements)

References 13 publications

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“…Matter M et al13 published their data in 2011, they required an average of 5.23 tractions in order to get an effective defect which was relatively lesser in our data; while we required 4.80±0.88 balloon tractions. Most patients who required >4 balloon traction were more than 20 days old, however there was only one patient in whom seven tractions were needed and we failed to create significant communication in one or two attempts in any of patient.…”

Section: Discussioncontrasting

confidence: 48%

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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: Discussioncontrasting

confidence: 48%

“…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%

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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“…38 Atrial septostomy is an emergency life saving procedure in many congenital heart diseases including d-TGA as a bridge to definitive procedure of Arterial Switch Operation (ASO). In a study of 192 patients of Balloon atrial septostomy (BAS) by Matter M et al shown that oxygen saturation increased from 65% ± 9% to 88% ± 3% 39 . In our series of BAS there was significant increase in oxygen saturation from 65% ± 15% to 78% ± 10%.…”

Section: Resultsmentioning

confidence: 99%

Recent Advancement in Non-surgical Interventional Treatment in Congenital Heart Disease at National Institute of Cardiovascular Disease (NICVD)-a Tertiary Care Hospital of Bangladesh

et al. 2014

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Background: Treatment of Congenital Heart Disease (CHD) is either Surgical or Interventional. Medical management is mainly symptomatic / palliative. Although surgery is the main mode of treatment but in the recent past non-surgical Interventional method is replacing it because of its multiple advantages over surgical procedures. Since 2005, we started our journey in National Institute of Cardiovascular Diseases with a PDA device closure. In this article we tried to review the success rate of the interventional procedures in this hospital. Methods: The aim of this retrospective study is to review the short term & Intermediate outcome of the non surgical interventional treatment of congenital heart diseases. We included all the interventional rocedures done in this Institute since 2005 upto December 2013. Results: During this period, we performed total 150 cases of patent ductus arteriosus (PDA) device, 20 cases of PDA Coil closure, 60 cases of atrial septal defect (ASD) device, 90 cases of Balloon Pulmonary Valvuloplasty (BPV), 20 cases of Balloon Aortic Valvuloplasty (BAV), 22 cases of Coarctation Balloon Angioplasty, 35 cases of Mitral Valvuloplasty (PTMC), 15 cases of Balloon Atrial Septostomy. Almost all of our intervention procedures were successful except one case of mortality related to procedure of PDA device closure, 4 device embolization (2 ASD & 2 PDA) and one case of PDA coil with persistent Intravascular hemolysis. All the embolized devices were subsequently retrieved surgically with repair. All other patients of interventional treatment are enjoying new life without any morbidity. Conclusion: Thus, we concluded that interventional methods of suitably selected case of congenital heart disease may be an alternative lucrative safe & effective option of remedy for many of the congenital heart diseases. DOI: http://dx.doi.org/10.3329/cardio.v6i2.18354 Cardiovasc. j. 2014; 6(2): 133-142

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Section: Management Of Chdmentioning

confidence: 99%

“…One of the oldest interventions to palliate certain types of CHD is balloon atrial septostomy, described almost half a century ago [ 164 , 165 ]. The objective of this intervention is to widen a restrictive atrial communication, thereby enhance atrial mixing, decompression of the left atrium and augmentation of the cardiac output in right-side obstruction lesions [ 164 , 165 ]. Initial surgical interventions in patients with certain types of CHD is mostly palliative rather than reparative, and these patients often require subsequent surgeries throughout their lifetimes [ 166 ].…”

Section: Management Of Chdmentioning

confidence: 99%

Insights into Cardiovascular Defects and Cardiac Epigenome in the Context of COVID-19

Sarkar

Sen

2022

Epigenomes

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Although few in number, studies on epigenome of the heart of COVID-19 patients show that epigenetic signatures such as DNA methylation are significantly altered, leading to changes in expression of several genes. It contributes to pathogenic cardiac phenotypes of COVID-19, e.g., low heart rate, myocardial edema, and myofibrillar disarray. DNA methylation studies reveal changes which likely contribute to cardiac disease through unknown mechanisms. The incidence of severe COVID-19 disease, including hospitalization, requiring respiratory support, morbidity, and mortality, is disproportionately higher in individuals with co-morbidities. This poses unprecedented strains on the global healthcare system. While their underlying conditions make patients more susceptible to severe COVID-19 disease, strained healthcare systems, lack of adequate support, or sedentary lifestyles from ongoing lockdowns have proved detrimental to their underlying health conditions, thus pushing them to severe risk of congenital heart disease (CHD) itself. Prophylactic vaccines against COVID-19 have ushered new hope for CHD. A common connection between COVID-19 and CHD is SARS-CoV-2’s host receptor ACE2, because ACE2 regulates and protects organs, including the heart, in various ways. ACE2 is a common therapeutic target against cardiovascular disease and COVID-19 which damages organs. Hence, this review explores the above regarding CHDs, cardiovascular damage, and cardiac epigenetics, in COVID-19 patients.

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Balloon atrial septostomy: The oldest cardiac interventional procedure in Mansoura

Cited by 10 publications

References 13 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

Recent Advancement in Non-surgical Interventional Treatment in Congenital Heart Disease at National Institute of Cardiovascular Disease (NICVD)-a Tertiary Care Hospital of Bangladesh

Insights into Cardiovascular Defects and Cardiac Epigenome in the Context of COVID-19

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