Clinical and hemodynamic effects of pulmonary artery banding

Takahashi, Masato; Lurie, Paul R.; Petry, Eugene L.; King, Harold

doi:10.1016/0002-9149(68)90317-2

Cited by 34 publications

(5 citation statements)

References 16 publications

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“…However, banding has its hazards and complications, and some surgeons are of the opinion that in many cases primary intracardiac repair of the defect, in suitable circum-of bacterial infection and arterial rupture (Hunt, 1971). born et al, 1966;Takahashi et al, 1968) stances, is-preferable. The undesirable effects of banding are as follows:…”

Section: Discussionmentioning

confidence: 99%

Results of Catheterization Following Banding of the Pulmonary Artery: A Report of 27 Cases

Henry

Worms

et al. 1974

J Paediatrics Child Health

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Banding of the pulmonary artery has been shown to be a useful procedure in infants with a large ventricular septa1 defect, enabling them to survive until a suitable age for repair of the defect.According to the classification used, a type I1 VSD has a large left to right shunt with a loud, low-pitched systolic murmur, associated with pulmonary hypertension and left ventricular hypertrophy; in type I1 (a) the pressure in the pulmonary artery does not exceed 70% of the systemic pressure and pulmonary resistance is normal; in type I1 (b) the pressure in the pulmonary artery is more than 70% of the systemic pressure, and there is moderate increase in pulmonary resistance.Catheterization, including angiocardiography, has been performed in 27 infants aged from 32 months to 8 years, who had previously undergone banding of the pulmonary artery.

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Section: Discussionmentioning

confidence: 99%

Results of Catheterization Following Banding of the Pulmonary Artery: A Report of 27 Cases

Henry

Worms

et al. 1974

J Paediatrics Child Health

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“…The purposes of this report are to describe: position of great vessels (1) the operative mortality of pulmonary banding in 111 children, (2) the hemodynamic effects of banding in patients with ventricular septal defect (VSD), (3) result of operative release of the band and closure of the VSD and, (4) the development of pulmonary valvular changes and obstruction of the right ventricular outflow tract secondary to the banding.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6]11 Recently the operative mortality of banding of the pulmonary artery in patients with VSD has been reported.24 Although the mortality ranged from 5-26% in these studies, they do indicate an increased operative mortality both in infants under 3 months of age and in patients with associated cardiac malformations. The mortality figures in our series (table 1) indicate similar findings, with a 5% operative mortality in patients with isolated VSD and a 23% operative mortality in those with associated malformations.…”

Section: Discussionmentioning

confidence: 99%

Banding of the Pulmonary Artery

et al. 1971

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The results of banding of the pulmonary artery in 111 children with cardiac malformations associated with excessive pulmonary blood flow are presented. Thirty-three of these children died, eleven either of late band complications or after a corrective operation. Patients with ventricular septal defect represent the largest group of malformation among the 111 patients.The overall mortality for banding in patients with isolated ventricular septal defect is 10%, as compared to 36% in patients with ventricular septal defect complicated by an associated lesion. In all infants with ventricular septal defect banded under age 3 months the mortality is 59%, as compared to a mortality of 21% in those banded after age 3 months and only 7% if banded after age 1 year. The overall mortality figures for pulmonary arterial banding have not changed appreciably since 1966; future improvement in banding mortality will depend on improved postoperative management of these infants.Serial hemodynamic studies in patients banded under the age of 2 years have shown a fall in the pulmonary resistance toward normal, with none showing a progression of pulmonary vascular disease. In several patients thickening of the pulmonary valve occurred as a complication of banding.

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“…Banding of the main pulmonary artery is, therefore, less frequently employed [1][2][3]. Banding of the main pulmonary artery is, therefore, less frequently employed [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Dilatable prosthesis for banding the main pulmonary artery: human clinical trials

et al. 1996

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The objectives of this trial are to assess the safety and effectiveness of the prosthesis and to establish the ability of the dilatable band to provide a nonsurgical option for dilatation. Forty-six patients received dilatable bands. All had congenital heart defects requiring banding of the main pulmonary artery. Dilatation was performed on 7 patients. This was successful in 6 and uncomplicated in all. In one patient the dilatable band was adjusted too tightly at implantation. In one patient the band was adjusted to loosely. In 7 patients the dilatable band was placed too distally and partially obstructed the right or left pulmonary artery. Distal migration of the dilatable band after implantation did not occur. One band was distorted during implantation. This did not compromise its function. Surgical sepsis resulted in a mycotic aneurysm and erosion of the pulmonary artery in one patient. Surgical pulmonary arterioplasty was performed in all 18 patients who had total correction and in 11 of the 13 patients who had bidirectional Glenn procedure and Damus-Stanzell connection. There were 13 deaths. None of the deaths were related to the dilatable band. Thirty-two prostheses were surgically explanted readily and completely in 31 patients. Five bands were removed at postmortem examination. Examination of all 37 of the dilatable bands revealed no evidence of wear or damage. Scanning electron microscopy evaluation was conducted on 5 of the explanted devices which had been implanted 158 to 1139 (mean 422) days. No component failure was identified. The dilatable band prostheses was effective and safe and provided a non-surgical option for dilatation.

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Clinical and hemodynamic effects of pulmonary artery banding

Cited by 34 publications

References 16 publications

Results of Catheterization Following Banding of the Pulmonary Artery: A Report of 27 Cases

Results of Catheterization Following Banding of the Pulmonary Artery: A Report of 27 Cases

Banding of the Pulmonary Artery

Dilatable prosthesis for banding the main pulmonary artery: human clinical trials

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