Stenting technique for critical congenital heart defects with obstruction of pulmonary blood flow
Keywords:
congenital heart diseases, stenting technique, pediatric interventions
Abstract
Management of critical congenital heart lesions with pulmonary flow obstruction in the neonatal period presents numerous challenges. Endovascular stenting of the ductus arteriosus (DA) in ductal-dependent pulmonary circulation or right ventrical outflow tract (RVOT) as an alternative to the aorto-pulmonary shunt has become increasingly popular in the last years. The procedural aspects of the reverse anchor-wire technique for DA or RVOT stenting is described by author.
References
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2. Haas N. A., Kleideiter U. Pulmonary Atresia with Ventrical Septal Defect / In: Haas N. A., Kleideiter U. Pediatric cardiology: symptoms, diagnosis, treatment. – Stuttgart : Thieme, 2015. – P. 51–54.
3. Lofland G. K. The management of pulmonary atresia, ventricular septal defect, and multiple aorta pulmonary collateral arteries by definitive single stage repair in early infancy // Eur J Cardiothorac Surg. – 2000 Oct. – Vol. 18 (4). – P. 480–6.
4. Muralidhar K. Modified Blalock Taussig shunt: Comparison between neonates, infants and older children // Ann Card Anaesth. – 2014. – Vol. 17. – P. 197–9.
5. Alwi M. Stenting the ductus arteriosus: Case selection, technique and possible complications // Ann Pediatr Cardiol. – 2008 Jan-Jun. – Vol. 1 (1). – P. 38–45.
6. Initial Results and Medium-Term Follow-Up of Stent Implantation of Patent Ductus Arteriosus in Duct-Dependent Pulmonary Circulation / Alwi M., Choo K. K., Latiff H. A. et al. // JACC. – 2004. – Vol. 44 (2). – P. 438–45.
7. Okubo M., Benson L. N. Intravascular and intracardiac stents used in congenital heart disease. Curr Opin Cardiol. – 2001 Mar. – Vol. 16 (2). – P. 84–91.
8. Szabo S., Abramowits B., Vaitkuts P. T. New technique for aorto-ostial stent placement (Abstr) // Am J Cardiol. – 2005. – Vol. 96. – P. 212 H.
9. Lo H., Kern M. J. Use of a branch wire to anchor stents for exact placement proximal to bifurcation stents: the reverse Szabo technique // Catheter Cardiovasc Interv. – 2006 Jun. – Vol. 67 (6). – P. 904–7.
10. Girona J., Martн G., Betrian P., Garcнa B. Extended Szabo (anchor-wire) technique concept for stent implantation in congenital heart lesions // Pediatr Cardiol. – 2012 Oct. – Vol. 33 (7). – P. 1089–96.
Published
2017-05-15
How to Cite
1.
Polivenok I. Stenting technique for critical congenital heart defects with obstruction of pulmonary blood flow. ujcvs [Internet]. 2017May15 [cited 2024Dec.22];(1 (27):74-7. Available from: https://cvs.org.ua/index.php/ujcvs/article/view/182
Section
CONGENITAL HEART DEFECTS
