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Published on: July 18, 2014
Transcatheter Interventions in Patients With Adult Congenital Heart Disease
Weiyi Tan1, Ada C Stefanescu Schmidt2, Eric Horlick3
1Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas.
Insights
Advances in medicine allow adults with congenital heart disease to live longer, often needing transcatheter interventions. This review covers current percutaneous cardiac catheter procedures for adult congenital heart disease patients.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease
- Interventional Cardiology
Background:
- Lifespans for patients with congenital heart disease have significantly increased due to medical and surgical advancements.
- Adults with congenital heart disease frequently require interventions for residual defects, repair sequelae, or acquired heart conditions.
- Transcatheter interventions have seen substantial growth in type and number over the past three decades.
Purpose of the Study:
- To review current transcatheter interventional procedures for adults with congenital heart disease.
- To discuss the clinical outcomes associated with these interventions.
- To highlight special considerations for performing these complex procedures in a specialized patient population.
Main Methods:
- Review of current literature on transcatheter interventions for adult congenital heart disease.
- Analysis of clinical outcomes and procedural success rates.
- Identification of specific challenges and multidisciplinary team requirements.
Main Results:
- Transcatheter procedures offer alternatives to open-heart surgery for various conditions in adult congenital heart disease patients.
- Technological advancements have expanded the range and efficacy of percutaneous cardiac catheter-based treatments.
- Complex procedures in complex patients necessitate a multidisciplinary approach for optimal outcomes.
Conclusions:
- Transcatheter interventions are increasingly vital for managing adult congenital heart disease.
- Understanding procedural nuances and patient complexity is crucial for successful outcomes.
- This review provides insights into current interventional cardiology practices for this growing patient demographic.
Abstract:
Patients with congenital heart disease now live well into adulthood because of advances in surgical techniques, improvements in medical management, and the development of novel therapeutic agents. As patients grow older into adults with congenital heart disease, many require catheter-based interventions for the treatment of residual defects, sequelae of their initial repair or palliation, or acquired heart disease. The past 3 decades have witnessed an exponential growth in both the type and number of transcatheter interventions in patients with congenital heart disease. With improvements in medical technology and device design, including the use of devices designed for the treatment of acquired valve stenosis or regurgitation, patients who previously would have required open-heart surgery for various conditions can now undergo percutaneous cardiac catheter-based procedures. Many of these procedures are complex and occur in complex patients who are best served by a multidisciplinary team. This review aims to highlight some of the currently available transcatheter interventional procedures for adults with congenital heart disease, the clinical outcomes of each intervention, and any special considerations so that the reader may better understand both the procedure and patients with adult congenital heart disease.
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