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Landmark lecture on interventional cardiology: interventional cardiac catheterisation for CHD: the past, present, and
Ziyad M Hijazi1, Damien Kenny2
11Sidra Cardiac Program,Sidra Medical & Research Center,Doha,Qatar.
Insights
Interventional cardiac catheterization for congenital heart disease (CHD) has evolved significantly since the 1960s. This review covers the historical development, current techniques, and future directions in minimally invasive CHD treatments.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Congenital heart disease (CHD) impacts millions globally, necessitating effective treatments.
- Interventional therapies for CHD have a rich history, starting with balloon atrial septostomy in the 1960s.
Observation:
- Key milestones include balloon valvuloplasty/angioplasty (1980s) and transcatheter closure of atrial septal defects (1990s).
- Recent advancements feature percutaneous valve implantation, marking a new era in CHD management.
Findings:
- The evolution of interventional cardiology for CHD showcases a progression from early palliative procedures to sophisticated defect closures and valve replacements.
- Technological innovations have driven the development of less invasive techniques, improving patient outcomes.
Implications:
- Understanding this historical trajectory is crucial for advancing future interventional strategies in CHD.
- Continued innovation in percutaneous techniques promises further improvements in managing complex congenital heart conditions.
Abstract:
CHD affects millions of patients worldwide. Interventional therapies for CHD goes back to the mid-1960s when Bill Rashkind performed balloon atrial septostomy on a cyanotic baby with transposition of the great vessels. This was followed by development of balloon catheters to perform balloon valvuloplasties and angioplasties in the early to late 1980s. Although King and Mills performed the first transcatheter closure of secundum atrial septal defect in the mid-1970s, this procedure was better realised in the mid-1990s. More intracardiac defect closures were performed in the late 1990s and early 2000. This brings us to the current era of percutaneous valve implantation as developed by Bonhoeffer. In this paper, we will discuss the past, present, and future of interventional cardiac catheterisation for CHD patients.
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