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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

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Published on: July 13, 2019

Catheter interventions in adult patients with congenital heart disease

Timothy S Hornung1, Lee N Benson, Peter R McLaughlin

  • 1Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada.

Current Cardiology Reports
|December 18, 2001
PubMed

Insights

Interventional cardiologists manage adult congenital heart disease using device closure and balloon dilatation for various conditions. Common procedures include septal defect closure and patent ductus arteriosus treatment, with promising results for aortic coarctation interventions.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Adult Congenital Heart Disease

Background:

  • Adult patients with congenital heart disease (CHD) present unique challenges for interventional cardiologists.
  • Management involves a range of percutaneous interventions tailored to specific cardiac defects.

Purpose of the Study:

  • To review common interventional cardiology procedures for adult CHD.
  • To highlight the efficacy and applicability of dilatation and closure techniques in this patient population.

Main Methods:

  • Review of interventional procedures including device closure of septal defects and patent ductus arteriosus.
  • Description of balloon dilatation and stenting for pulmonary and aortic stenosis, including coarctation and postoperative conduits.

Main Results:

  • Successful closure of atrial septal defects, patent foramen ovale, and postoperative communications.
  • Routine transcatheter closure of patent ductus arteriosus and safe occlusion of coronary artery fistulae.
  • High success rates for pulmonary valve stenosis dilatation; beneficial outcomes for pulmonary artery stenosis, aortic coarctation dilatation/stenting, and postoperative stenosis.

Conclusions:

  • Interventional cardiology offers effective solutions for adult CHD, encompassing both device closure and dilatation techniques.
  • Procedures like septal defect closure, PDA treatment, and aortic coarctation interventions demonstrate significant success and growing applicability.

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