Radiofrequency perforation and cutting balloon septoplasty of intact atrial septum in a newborn with hypoplastic left heart syndrome using transesophageal ICE probe guidance

Hill, Sharon L.; Mizelle, Katherine M.; Vellucci, Sean M.; Feltes, Timothy F.; Cheatham, John P.

doi:10.1002/ccd.20256

Cited by 30 publications

(12 citation statements)

References 16 publications

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“…As they are only available in sizes up to 8 mm, this limits their use in larger vessels. Currently, they have been shown to be very effective in pulmonary branch artery stenosis,[2930] major aortic-to-pulmonary collateral arteries[31] and enlargement of atrial septal defects (ASDs)[3233] before stenting.…”

Section: Most Commonly Used Stents In Congenital Heart Diseasementioning

confidence: 99%

The role of stents in the treatment of congenital heart disease: Current status and future perspectives

2009

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Intravascular or intracardiac stenoses occur in many forms of congenital heart disease (CHD). Therefore, the implantation of stents has become an accepted interventional procedure for stenotic lesions in pediatric cardiology. Furthermore, stents are know to be used to exclude vessel aneurysm or to ensure patency of existing or newly created intracardiac communications. With the further refinement of the first generation of devices, a variety of “modern” stents with different design characteristics have evolved. Despite the tremendous technical improvement over the last 20 years, the “ideal stent” has not yet been developed. Therefore, the pediatric interventionalist has to decide which stent is suitable for each lesion. On this basis, currently available stents are discussed in regard to their advantages and disadvantages for common application in CHD. New concepts and designs developed to overcome some of the existing problems, like the failure of adaptation to somatic growth, are presented. Thus, in the future, biodegradable or growth stents might replace the currently used generation of stents. This might truly lead to widening indications for the use of stents in the treatment of CHD.

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Section: Most Commonly Used Stents In Congenital Heart Diseasementioning

confidence: 99%

The role of stents in the treatment of congenital heart disease: Current status and future perspectives

2009

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“…In addition, complete visualization of the atrial septum is paramount to the successful creation of an atrial communication without causing a perforation. Although a TEE probe could not be utilized in this case, Hill et al have described an alternative method using an ICE probe placed in the esophagus to assist with RF perforation in a 2.3 kg infant [9].…”

Section: Discussionmentioning

confidence: 98%

Electrosurgical energy in combination with a transseptal needle: A novel method for the creation of an atrial communication in hypoplastic left heart syndrome with intact atrial septum

Gordon

Levi

Shannon

2008

Cathet Cardio Intervent

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Neonates with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) usually present with severe acidosis and hypoxemia that necessitate immediate intervention to create an atrial septal defect (ASD). Transcatheter creation of an ASD in these patients requires transseptal puncture of a thickened atrial septum in the setting of a very small left atrium. We report on a novel method of perforating the atrial septum using radio-frequency energy in combination with a transseptal needle to facilitate transseptal puncture and subsequent stent placement in a very thick atrial septum of a newborn with HLHS/IAS and a small left atrium.

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“…Recently, Hill et al suggested radiofrequency perforation and cutting balloon septoplasty [8] in these patients. This indeed may be a very interesting option if crossing of the atrial septum with a guide wire is not possible.…”

Section: Discussionmentioning

confidence: 99%

Stenting of a restrictive foramen ovale in a patient with hypoplastic left heart syndrome

Eicken

Gildein

Schreiber

et al. 2006

International Journal of Cardiology

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Radiofrequency perforation and cutting balloon septoplasty of intact atrial septum in a newborn with hypoplastic left heart syndrome using transesophageal ICE probe guidance

Cited by 30 publications

References 16 publications

The role of stents in the treatment of congenital heart disease: Current status and future perspectives

The role of stents in the treatment of congenital heart disease: Current status and future perspectives

Electrosurgical energy in combination with a transseptal needle: A novel method for the creation of an atrial communication in hypoplastic left heart syndrome with intact atrial septum

Stenting of a restrictive foramen ovale in a patient with hypoplastic left heart syndrome

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