Fontan modification for subsequent non-surgical Fontan completion

Abstract

We suggest that this modification of the staged Fontan procedure reduces the need for surgical interventions by applying balloon angioplasty and occluder technology to this unique subset of patients.

Improved Technique for Interventional Extracardiac Fontan

“…Interventional Fontan (I-Fontan) completion in humans was first reported by Hausdorf et al in 1996 3 and subsequently employed and/or modified by other centers. [5][6][7][8][9] The Brisbane team (Queensland Pediatric Cardiac Services) more recently reported a modified procedure for a BCPS (I-BCPS) that allows catheter-based completion of an extracardiac Fontan (I-Fontan), which closely mimics the standard open surgical approach. 5 When we first performed and demonstrated the Brisbane procedure in Bengaluru and elsewhere in India, several important and contributory questions were raised.…”

A Simplified Technique for Interventional Extracardiac Fontan

“…A number of techniques have been described, both in animal models and in humans. [1][2][3][4][5][6] Each of the previously described techniques is hampered by various unfavorable characteristics (Table 1). Herein, we present a relatively simple technique of interventional Fontan completion which provides the anatomical and physiological benefits of a surgical ECF, using a catheter-based approach.…”

Feasibility of transcatheter techniques for intracardiac and extracardiac cavocaval connection in principle for Fontan completion in chronic animal models

“…Significant improvements in the management of children with various single ventricle morphologies have led to better longterm survival over the last couple of decades [1][2][3][4][5]. In the absence of septation or biventricular repair the goal of surgery is to separate pulmonary and systemic circulations; at first by connecting the superior vena cava (SVC) and the pulmonary artery and finally by connecting the inferior vena cava (IVC) to the pulmonary artery commonly known as the Fontan pathway [6].…”