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[Potential of endovascular surgery in children with congenital heart diseases]
Insights
Endovascular techniques offer a valuable alternative to open surgery for various congenital heart diseases, demonstrating broad applicability and ongoing development for complex cases.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Pediatric Cardiology
Background:
- The Bakulev Scientific Center for Cardiovascular Surgery possesses extensive experience with 3,774 endovascular operations for congenital heart diseases.
- Congenital heart diseases encompass a range of conditions including valvular stenosis, septal defects, and aortic abnormalities.
Purpose of the Study:
- To highlight the broad experience and efficacy of endovascular techniques in treating congenital heart diseases.
- To present endovascular interventions as a viable alternative to open surgical procedures.
Main Methods:
- Atrioseptostomy (648 patients)
- Balloon valvuloplasty (1,500 patients)
- Balloon angioplasty (546 patients)
- Coil embolization (565 patients)
- Stent placement (86 patients)
- Occluder devices for septal defects (114 patients)
Main Results:
- Endovascular techniques are effective for conditions like pulmonary artery stenosis, patent ductus arteriosus, and septal defects.
- These methods can be palliative or part of multi-stage treatments for complex congenital heart conditions.
- The spectrum of endovascular treatments is continually expanding.
Conclusions:
- Endovascular interventions are a crucial alternative to open surgery for many congenital heart diseases.
- Multi-stage endovascular and surgical approaches enable radical or hemodynamic correction in complex cases.
- The ongoing development of endovascular techniques promises wider application in treating complex heart diseases.
Abstract:
Bakulev Scientific Center for Cardiovascular Surgery has very broad experience (3,774 cases) in endovascular operations on patients with different congenital heart diseases. 648 patients have undergone atrioseptostomy, 1,500 patients--balloon valvuloplastic, 546 patients--balloon angioplasty, 565 patients--coil embolization; stents have been used in 86 patients; in 114 cases the surgeons of the Center have used different occluders to close pathological communications, in 315 patients others types of treatment have been applied. In many cases of congenital heart diseases (valvular stenosis of pulmonary artery and aorta, patent ductus arteriosus, atrium and ventricular septal defect, coronary-cardial fistula, coarctation and recoarctation of aorta) endovascular techniques present a good alternative to open surgical procedures. In some cases endovascular techniques are palliative (Rashcind's and Park's procedure, balloon valvuloplasty in stenosis of pulmonary artery and angioplasty in stenosis of peripheral pulmonary artery and aorto-pulmonary anastomosis in patient with cyanotic congenital heart disease, stenting of PDA, coil embolization of collateral artery from aorta to pulmonary artery etc.) Multi-stage endovascular and surgical treatment allows radical or hemodynamic correction in patient with complex congenital heart disease. Nowadays the spectrum of endovascular treatment is wide; it is going to develop in the future, which will allow endovascular techniques to be of wide use in treatment of patient with complex heart diseases.
