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The role of interatrial stenting in the management of CHD

Mehmet Balci1, Sezen Ugan Atik1, Selman Gokalp1

  • 1Pediatric Cardiology, Ministry of Health Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Hospital, Türkiye.

Cardiology in the Young
|March 31, 2026
PubMed

Insights

Interatrial stenting is a safe and effective treatment for pediatric congenital heart disease (CHD), improving hemodynamics. This study evaluated its success and outcomes in young patients.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Interatrial stenting is crucial for optimizing hemodynamics in pediatric congenital heart disease (CHD).
  • It establishes sustained interatrial communication.
  • This intervention is vital for managing complex cardiac conditions in children.

Purpose of the Study:

  • To evaluate the procedural success of interatrial stenting in pediatric patients.
  • To assess clinical outcomes and mortality rates post-intervention.
  • To identify factors influencing hemodynamic improvement after stenting.

Main Methods:

  • A retrospective analysis of 16 pediatric patients undergoing interatrial stenting (2018-2024).
  • Patients were grouped by age: ≤12 months (Group 1) and >12 months (Group 2).
  • Demographic, procedural, and follow-up data were analyzed.

Main Results:

  • Procedural success was high (93.8%), with one acute failure.
  • Common diagnoses included borderline left ventricle and hypoplastic left heart syndrome.
  • Median follow-up was 17.5 months; 37.5% mortality, no stent thrombosis.

Conclusions:

  • Interatrial stenting is a safe and effective palliative option for pediatric CHD.
  • It significantly improves hemodynamics.
  • The procedure serves as a bridge to definitive surgical treatment.
Abstract

Keywords:
CHDInteratrial stentatrial septal interventioncatheterisationhaemodynamic improvement

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