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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
26
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

25
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

134
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
134
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

189
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
189
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

23
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
23
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

44
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
44

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Related Experiment Video

Updated: Aug 28, 2025

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
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Published on: May 2, 2025

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Transcatheter interventions in patients with a Fontan circulation: Current practice and future developments.

Zakaria Jalal1,2,3, Marc Gewillig4, Younes Boudjemline5

  • 1University Hospital of Bordeaux - Department of Pediatric and Adult Congenital Cardiology, Pessac, France.

Frontiers in Pediatrics
|September 16, 2022
PubMed
Summary

Transcatheter interventions offer a reliable approach to managing Fontan circulation failure. These percutaneous therapies address complications like stenosis and lymphatic drainage, improving outcomes for patients with single ventricle physiology.

Keywords:
Fontan procedurecollaterals embolizationpercutaneous interventionspercutaneous valvestents

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Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Interventional Cardiology

Background:

  • The Fontan operation creates a total cavopulmonary connection (TCPC) for single ventricle (SV) physiology, improving survival for complex congenital heart disease.
  • Despite advances, Fontan circulation (FC) failure is common, leading to systemic venous congestion, decreased cardiac output, and severe complications like liver disease, PLE, and PB.

Purpose of the Study:

  • This review provides an overview of transcatheter options for treating Fontan circulation failure.
  • It details indications, techniques, and results for percutaneous interventions targeting cavopulmonary stenosis, collaterals, lymphatic drainage, and fenestration management.

Main Methods:

  • The review synthesizes current literature on transcatheter therapies for FC complications.
  • It explores advancements in percutaneous cavopulmonary connections, valvular treatments, and lymphatic interventions.

Main Results:

  • Interventional catheterization is a reliable option for addressing various failing elements of the FC.
  • Transcatheter procedures can effectively manage cavopulmonary stenosis, collaterals, and lymphatic drainage issues.

Conclusions:

  • Percutaneous therapies represent a crucial and evolving treatment modality for Fontan circulation failure.
  • Future perspectives highlight the expanding role of interventional cardiology in managing this complex patient population.