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[Interventionism in congenital heart disease in Chiapas. The history after thousand cases performed]
Roberto Mijangos-Vázquez1, Rogelio Hernández-Reyes1
1Departamento de Cardiología Intervencionista Pediátrica, Hospital de Especialidades Pediátricas, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México.
Insights
Cardiac catheterization is increasingly treating congenital heart disease in Chiapas, offering an effective alternative to surgery. This minimally invasive approach shows encouraging results, improving pediatric cardiac care.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Interventional Cardiology
Context:
- Congenital heart disease (CHD) presents a significant mortality challenge in low-income countries.
- Chiapas has seen advancements in its hemodynamics program, increasing the applicability of cardiac catheterization for CHD.
- Traditional surgical interventions have limitations in resource-constrained settings.
Purpose:
- To document the comprehensive experience of interventional cardiology for congenital heart diseases in Chiapas.
- To analyze the evolution and outcomes of cardiac catheterization procedures for CHD in the region from inception to the present.
Summary:
- A retrospective review of 1000 cardiac catheterizations (April 2016-June 2023) was conducted.
- 88.5% of procedures were interventional, with a median patient age of 4 years.
- This highlights the growing role of catheterization in managing pediatric congenital heart conditions.
Impact:
- Cardiac catheterization is significantly reducing the need for cardiac surgery in pediatric patients with CHD in Chiapas.
- The study demonstrates encouraging outcomes and a decentralization of specialized cardiac care within the country.
- This approach offers a more accessible and effective treatment strategy for congenital heart disease in the region.
Background:
Congenital heart disease is the most common birth defect and the leading cause of childhood mortality in high-income countries. In these countries, the prognosis for a child born with congenital heart disease is excellent, with over 90% achieving adulthood. However, in the low and lower-middle-income countries, as ours, the outlook is starkly different. In Chiapas, because of the progress of the hemodynamics program, more and more types of congenital heart diseases are susceptible to being treated by cardiac catheterization.
Objective:
To show the global experience of the interventionism in congenital heart diseases in Chiapas from its inception to recent days.
Method:
Through a retrospective study from April 2016 to June 2023, we reviewed the electronic files of the total of patients who underwent cardiac catheterism during the same period of time.
Results:
A total of 1000 procedures were performed, 581 in female patients, with a median age of 4 years (1 day to 77 years). Of the total procedures, 115 (11.5%) were diagnostic catheterizations and 885 (88.5%) were interventional.
Conclusions:
Cardiac catheterization in pediatrics in Chiapas has displaced cardiac surgery in a large percentage, and the results that have been obtained are undoubtedly encouraging, which already represents a decentralization in the care of congenital heart diseases in our country.
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