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Fetal interventions for cardiac defects.

Wayne Tworetzky1, Audrey C Marshall

  • 1Department of Pediatrics, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA. wayne.tworetzky@cardio.chboston.org

Pediatric Clinics of North America
|November 25, 2004
PubMed
Summary

This article reviews in utero catheter interventions for congenital heart disease, covering prenatal detection, intervention rationale, and technical aspects of fetal cardiac defect procedures.

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Area of Science:

  • Cardiology
  • Fetal Medicine
  • Interventional Cardiology

Background:

  • Congenital heart disease (CHD) is a significant concern in pediatric health.
  • Advances in prenatal diagnostics have improved early detection of fetal cardiac anomalies.
  • Fetal interventions offer a potential therapeutic avenue for specific CHD cases.

Purpose of the Study:

  • To provide an overview of the current state of in utero catheter interventions for CHD.
  • To discuss the historical context and evolution of treating cardiac defects prenatally.
  • To outline the rationale, patient selection, and technical considerations for fetal cardiac interventions.

Main Methods:

  • Review of existing literature and current practices in fetal cardiac intervention.
  • Analysis of diagnostic methods for prenatal detection of cardiac defects.

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  • Description of catheter-based techniques used in utero for CHD.

    • Main Results:

    • Fetal intervention for CHD is an evolving field with specific indications.
    • Prenatal detection and careful patient selection are critical for successful outcomes.
    • Technical aspects involve specialized catheter-based approaches performed in utero.

    Conclusions:

    • In utero catheter interventions represent a developing frontier in managing congenital heart disease.
    • The multidisciplinary approach and precise procedural techniques are key to this field.
    • Further research and technological advancements are expected to refine fetal cardiac interventions.