Transcatheter Interventions in Adults With Fontan Palliation.

Area of Science:

• Cardiology
• Pediatric Cardiology
• Interventional Cardiology

Background:

• Fontan circuit complications include elevated systemic venous pressures and reduced cardiac output, often leading to circuit failure.
• Management of Fontan circuit failure is complex, necessitating diverse therapeutic strategies.

Purpose of the Study:

• To evaluate the efficacy of transcatheter interventions in managing Fontan circuit failure.
• To highlight the role of percutaneous interventions in improving patient outcomes.

Main Methods:

• Review of transcatheter procedures for Fontan circuit failure.
• Analysis of interventions aimed at alleviating obstructions and enhancing pulmonary blood flow.

Main Results:

• Transcatheter interventions effectively alleviate obstructions, improve cyanosis, and enhance oxygen saturation.
• Procedures increase cardiac output, reduce systemic venous pressure, and mitigate volume overload.
• Interventions decrease bleeding risk during heart or combined heart and liver transplants.

Conclusions:

• Percutaneous interventions have rapidly evolved into a key therapeutic option for Fontan circuit failure.
• These interventions are integral to the management strategy for patients with Fontan circuit failure.