Catheterization Performed in the Early Postoperative Period After Congenital Heart Surgery in Children

Castillo, Ana Isabel Corchado; Escobar‐Diaz, Maria C.; Varela, Rafael Lince; Medina, Luis Horacio Díaz; Arenas, Eliana Mabel Cañas

doi:10.1007/s00246-019-02078-3

Cited by 8 publications

(5 citation statements)

References 30 publications

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“…La coartación de aorta es una patología relativamente frecuente, que cuando no es corregida se asocia a disminución de la sobrevida 3 . A pesar de que existe controversia para elegir el tratamiento, en los últimos años los cateterismos cardiacos se han convertido en procedimientos cada vez más seguros 13 , dados los avances técnicos y las mejoras en la atención posterior al procedimiento en unidades de cuidados intensivos 14 .…”

Section: Discussionunclassified

Recoartación de la aorta en pacientes sometidos a angioplastia percutánea con o sin implantación de <i>stent</i>

Cañas-Galvis¹,

Lince-Varela²,

Díaz-Medina³

et al. 2022

ACM

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Resumen Objetivo: La coartación de la aorta puede ser tratada quirúrgicamente o con angioplastia con balón. El objetivo de nuestro estudio fue describir los resultados postangioplastia percutánea con balón con o sin implantación de stent para coartación de la aorta y establecer la incidencia de recoartación en el seguimiento. Método: Estudio de cohorte, se incluyeron pacientes de cualquier edad en un periodo de seguimiento de nueve años. Resultados: Se incluyeron 89 pacientes, un 69.0% hombres. La media de seguimiento para todos los participantes fue de 33.66 meses. Al 32.5% se les implantó un stent en angioplastia; de los cuales el 24.1% se recoartaron durante el seguimiento. En el grupo sin stent se recoartaron un 36.6%. No hubo diferencia significativa en las curvas de supervivencia de los dos grupos (p = 0.889). Conclusiones: La implantación de stent durante la angioplastia con balón para tratar coartación de aorta no influyó en la incidencia de recoartación de la aorta; pero factores como la hipertensión arterial preangioplastia y el gradiente final de angioplastia > 20 mmHg se asoció con recoartación de la aorta.

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Section: Discussionunclassified

Recoartación de la aorta en pacientes sometidos a angioplastia percutánea con o sin implantación de <i>stent</i>

Cañas-Galvis¹,

Lince-Varela²,

Díaz-Medina³

et al. 2022

ACM

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“…Coarctation of the aorta is a relatively common pathology, which when not corrected is associated with a survival decrease 3 . Although there is controversy for choosing treatment, in recent years, cardiac catheterizations have become increasingly safe procedures 13 , given the technical advances and improvements in the care after the procedure at intensive care units 14 .…”

Section: Discussionmentioning

confidence: 99%

Recoarction of the aorta in patients subjected to balloon angioplasty with or without stent implantation

Cañas-Galvis¹,

Lince-Varela²,

Díaz-Medina³

et al. 2022

ACME

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Objective: Coarctation of the aorta can be treated surgically or with balloon angioplasty. The objective of our study was to describe the results after percutaneous balloon angioplasty with or without stent implantation for coarctation of the aorta and establish the incidence of recovery during follow-up. Method: Cohort study. Eighty-nine patients of any age where included in a follow-up period of 9 years. Results: Of the 89 patients included in the study, 69.0% were male. The mean follow-up for all participants was 33.66 months. About 32.5% of the patients had a stent implanted during the angioplasty procedure; of which 24.1% suffered recoarctation during follow-up. In the group without stent implantation, 36.6% suffered recoarctation. There was no significant difference in the survival curves of the two groups (p = 0.899). Conclusions: Stent implantation during balloon angioplasty to treat aortic coarctation did not influence in the incidence of aortic recoarctation; but factors such as pre-angioplasty arterial hypertension and the final angioplasty gradient > 20 mmHg is associated with aortic recoarctation.

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Section: Methodsmentioning

confidence: 99%

“…There is limited experience reported in literature for cardiac catheterization (CC) therapy, especially balloon angioplasty (BAP) and stent implantation (SI) procedures, in the early postoperative period after congenital heart surgery (CHS) in children 1–10 . Generally, these interventions are considered potential high‐risk procedures associated with an elevated rate of morbidity and mortality 2–4 .…”

Section: Introductionmentioning

confidence: 99%

“…For all BAP or SI in stenotic vessels, the vessel diameter at the site of stenosis, the reference vessel diameter as well as the ratio between the maximal balloon diameter used and the minimal vessel diameter (stenosis) was calculated as "balloon-stenosis-ratio" and the maximal stent diameter in relation to the minimal vessel diameter (stenosis) as the "stent-stenosis-ratio", respectively (in accordance to reference. 7 ). The diameter of the adjacent (reference) vessels at the site of stenosis was used to determine the appropriate balloon and/or stent size and "balloon-reference vessel-ratio" and "stent-reference vessel-ratio" is also reported (Figure 1).…”

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confidence: 99%

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Balloon angioplasty and stent implantation within 30 days postcongenital heart surgery (CHS) in children

Quandt

Callegari

Niesse

et al. 2022

Journal of Cardiac Surgery

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Objectives This study aims to assess balloon angioplasty (BAP) and stent implantation (SI) procedures early after congenital heart surgery (CHS) in children. Background These interventions are considered potential high‐risk procedures and often avoided or postponed. Methods This is a retrospective, single centre study of all BAP and SI procedures within 30 days after CHS (01/2001 until 01/2021). Results A total of 127 (96 SI, 31 BAP) procedures were performed in 104 patients at median 6.5 days (interquartile range: 1–15) after CHS. Balloon‐to‐stenosis ratio and balloon‐to‐reference vessel ratio were significantly smaller compared to stent‐to‐stenosis ratio and stent‐to‐reference vessel ratio (p < .001 and p = .005). There was a greater rise in absolute vessel diameter, greater rise in vessel diameter in relation to the stenosis and vessel diameter in relation to the reference vessel with SI (p < .001, p = .01, and p < .001). Up to 94% SIs fulfilled both success criteria (increase of vessel diameter ≥50% of minimal vessel diameter or achievement ≥75% of the reference vessel diameter). Major adverse events were more frequent in the BAP group (p = .05). Intraprocedural complications were 5/31 (16%) in the BAP group and 13/96 (13%) in the SI group (p = .77). Conclusion BAP and SI procedures within 30 days post‐CHS can be performed safely, with a greater stent‐to‐stenosis ratio and a greater rise in vessel diameter with stent implantation.

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Catheterization Performed in the Early Postoperative Period After Congenital Heart Surgery in Children

Cited by 8 publications

References 30 publications

Recoartación de la aorta en pacientes sometidos a angioplastia percutánea con o sin implantación de <i>stent</i>

Recoartación de la aorta en pacientes sometidos a angioplastia percutánea con o sin implantación de <i>stent</i>

Recoarction of the aorta in patients subjected to balloon angioplasty with or without stent implantation

Balloon angioplasty and stent implantation within 30 days postcongenital heart surgery (CHS) in children

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