Balloon dilatation of the pulmonary valve in the first year of life in patients with tetralogy of Fallot: a preliminary study.

Qureshi, Shakeel A.; Kirk, Colette; Lamb, Robert J.; Arnold, Robert; Wilkinson, James L.

doi:10.1136/hrt.60.3.232

Cited by 74 publications

(43 citation statements)

References 17 publications

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“…Transcatheter techniques in the initial palliation of these patients have previously been attempted [5][6][7][8], but did not gain widespread acceptance. The medium term results after balloon valvuloplasty were largely unpredictable and the technical failure rate and complications with early attempts to stent the right ventricular outflow tract were not attractive.…”

Section: Introductionmentioning

confidence: 99%

Stenting of the right ventricular outflow tract as primary palliation for Fallot-type lesions

Quandt

Penford

Ramchandani

et al. 2017

J Congenit Heart Dis

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Background: To describe the institutional experience, technical aspects and outcome of stenting of the right ventricular outflow tract (RVOT) in the initial palliation of symptomatic patients with severely limited pulmonary blood flow. Methods: Retrospective case note and procedure review of patients undergoing stenting of the RVOT over a 10 year period at a quarternary institution. Patients: Between 2005 and 2014, 76 selected patients underwent cardiac catheterization with the aim to implant a stent into an obstructed RVOT to improve pulmonary blood flow. Median age at stent implantation was 57 (range 4-406) days and median weight was 3.4 (1.7-12.2) kg. Results: Seventy-two patients underwent stent implantation. Median procedure time was 53 (23-260) and fluoroscopy time 14 (5.2-73) minutes. Stents were implanted through either 4 F or 6 F sheaths. Median stent diameter was 5 (4-7) mm and stent length 16 (12-24) mm. There was one procedural death (1.4%) and one emergency surgery (1.4%). Saturations increased from 70 (52-83)% to 93(81-100)% [p < 0.001]. Within 30 days, two patients required early shunts due to inadequate palliation and two died from non-cardiac causes. Conclusion: Stenting of the RVOT is an effective treatment option in the initial palliation of selected patients with very reduced pulmonary blood flow due to severe right ventricular outflow tract obstruction.

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Section: Introductionmentioning

confidence: 99%

Stenting of the right ventricular outflow tract as primary palliation for Fallot-type lesions

Quandt

Penford

Ramchandani

et al. 2017

J Congenit Heart Dis

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“…Percutaneous pulmonary balloon valvuloplasty has previously been advocated in the initial treatment of tetralogy of Fallot,7 8 but did not gain widespread acceptance due to rather unpredictable results. Stenting of the RVOT has first been described in 1997 by Gibbs and colleagues 9.…”

Section: Introductionmentioning

confidence: 99%

Stenting of the right ventricular outflow tract

Stümper

Ramchandani

Noonan

et al. 2013

Heart

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“…Surgical aortopulmonary shunts have conventionally been created in these situations. We and others [11,96,98,118] have utilized balloon pulmonary valvuloplasty to successfully relieve pulmonary oligemia and systemic arterial hypoxemia. Increase in the size of the pulmonary arteries and of the left atrium/ventricle at follow-up occurred [87,109,118,141,183] such that patients with previously uncorrectable defects became good risk candidates for surgical correction.…”

Section: Cyanotic Heart Defects With Pulmonary Oligemiamentioning

confidence: 99%

Interventional Pediatric Cardiology: State of the Art and Future Directions

Rao

1998

Pediatr Cardiol

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Although the interventional pediatric cardiology began in the early 1950s, it was not until the mid-1980s that a full spectrum of transcatheter interventions in children could be undertaken including balloon atrial septostomy which has been in usage since 1966. Enormous developments have occurred even from the mid-1980s to date. In this review, current state-of-the-art for each broad area of therapeutic catheterization is presented. A large variety of lesions could be opened-up or closed, as the case may be and the results of these interventions were either similar to or better than those reported for the alternative surgical therapy. Indeed, therapeutic catheterization techniques have replaced the conventional surgery for many lesions and are threatening to do so for others. However, long-term follow-up results are scanty and are needed. Further miniaturization of catheters/sheaths used in interventional pediatric cardiology and development of new technology for the lesions which are not amenable to currently available transcatheter methods are awaited. The future seems to be bright for interventional pediatric cardiology.

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Balloon dilatation of the pulmonary valve in the first year of life in patients with tetralogy of Fallot: a preliminary study.

Cited by 74 publications

References 17 publications

Stenting of the right ventricular outflow tract as primary palliation for Fallot-type lesions

Stenting of the right ventricular outflow tract as primary palliation for Fallot-type lesions

Stenting of the right ventricular outflow tract

Interventional Pediatric Cardiology: State of the Art and Future Directions

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