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[Multicenter pediatric therapeutic interventional heart catheterization 1996-1998]
S Dinarević1, H Mesihović, R Terzić
1Pedijatrijska klinika, Odjeljenje kardioreumatologije, Klinicki centar Univerziteta u Sarajevu.
Medicinski Arhiv
|April 12, 2000
Summary
Transcatheter therapy offers a safe and effective alternative to surgery for congenital heart defects like persistent ductus arteriosus and septal defects. This study shows successful outcomes in pediatric patients, highlighting the potential of interventional catheterization.
Area of Science:
- Pediatric Cardiology
- Interventional Cardiology
- Congenital Heart Disease
Background:
- Transcatheter therapy is an emerging alternative to surgical interventions for congenital heart disease.
- Evaluating the efficacy and safety of these procedures is crucial for pediatric patients.
Purpose of the Study:
- To assess the choice, efficacy, and safety of transcatheter therapy for congenital heart disease in pediatric patients.
- To analyze outcomes of specific interventions including ductus arteriosus closure, atrial septal defect closure, pulmonary, and aortic valve stenosis treatment.
Main Methods:
- Retrospective analysis of 20 transcatheter interventions performed between January 1996 and August 1998.
- Focus on 5 cases diagnosed in the first year of life, including persistent ductus arteriosus (DAP), atrial septal defect (ASD), pulmonary stenosis (PS), and aortic stenosis (AS).
- Follow-up of patients for up to 19 months post-intervention.
Main Results:
- All patients remained well and asymptomatic post-intervention.
- 100% success rate for DAP closure using coil devices in two patients.
- Successful transcatheter closure of ASD and balloon pulmonary valvuloplasty.
- Balloon aortic valvuloplasty in a neonate showed a 70% decrease in pressure gradient, though restenosis occurred in one case.
Conclusions:
- Transcatheter therapy is a successful alternative to surgery for various congenital heart defects in children.
- Continued advancements in catheter systems and techniques promise safer and more efficient treatments for pediatric cardiac lesions.