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Stent and Ductus Arteriosus

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https://www.readbyqxmd.com/read/27862912/stenting-of-the-ductus-arteriosus-in-infants-with-functionally-univentricular-heart-disease-and-ductal-dependent-pulmonary-blood-flow-a-single-center-experience
#1
Ahmet Celebi, Ilker Kemal Yucel, Mustafa Orhan Bulut, Mehmet Kucuk, Sevket Balli
OBJECTIVE: To determine the short- and medium-term outcomes of ductal stenting (DS) in patients with functionally univentricular hearts (FUHs) and ductal-dependent pulmonary blood flow. BACKGROUND: Several studies have evaluated the outcomes of DS in a limited number of patients with FUHs. Nonetheless, there is still no consensus regarding the indications for this procedure, and no appropriate patient selection criteria have been devised. METHODS: From 2005 to 2015, cardiac catheterization for DS was performed in 68 patients with FUHs...
November 10, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27792703/-percutaneous-intervention-in-the-correction-of-congenital-heart-deffects-dcc-experience-in-as-umae
#2
Vicente Campos-García, Guillermo Ordóñez-Toquero, Sarain Monjaraz-Rodríguez, Eduardo Gómez-Conde
INTRODUCTION: Congenital heart defects are common in infants and adults, affecting quality of life if not corrected. Unlike open surgery, percutaneous intervention allows correction with a high success rate and speedy recovery. In Mexico, there are not enough studies to describe their efficacy and safety. METHODS: A cohort study was conducted in the Hospital "Manuel Avila Camacho", in Puebla, Mexico, including 149 patients with congenital heart defects repaired by percutaneous intervention, recording data from clinical records...
September 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27746039/ductus-arteriosus-stenting-a-promising-percutaneous-palliation-in-patients-with-duct-dependent-pulmonary-circulation
#3
Abhishek Raval, Bhavesh Thakkar, Tarun Madan, Nilesh Oswal, Rajiv Garg, Rhshikesh Umalkar, Komal Shah, Bhumika Maheriya
OBJECTIVES: We aimed to study the feasibility and outcomes of ductal stenting in patients with duct-dependent pulmonary blood flow (PBF). METHODS: Duct-dependent hypoxic patients with confluent pulmonary artery (PA) branches were enrolled for ductal stenting and followed regularly. RESULTS: Sixty patients, with a median age of 12 (1-1095) days and weight of 2.8 (2.2-8.9) kg, were enrolled. Median right PA (RPA) and left PA (LPA) Z-scores were -1...
October 13, 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/27713613/young-adult-patent-ductus-arteriosus-treated-with-endovascular-stent-grafting
#4
Pin-Hung Liu, Pei-Leun Kang, Yu-Hsin Lin
Endovascular stent-grafting is an alternative treatment for adult patent ductus arteriosus (PDA), especially in elderly patients. Regarding young adults, endovascular therapy is a reasonable choice if the landing zone is sufficient. In this study, we report on a young adult with PDA successfully treated with endovascular stent-grafting.
September 2016: Acta Cardiologica Sinica
https://www.readbyqxmd.com/read/27709098/reverse-szabo-technique-for-stenting-a-single-major-aorto-pulmonary-collateral-vessel-in-pulmonary-atresia-with-ventricular-septal-defect
#5
Igor V Polivenok, John P Breinholt, Sri O Rao, Olga V Buchneva
Management of pulmonary atresia with ventricular septal defect (PA-VSD) in the neonatal period presents numerous challenges. Endovascular stenting of the ductus arteriosus or of a collateral vessel in ductal-dependent pulmonary circulation as an alternative to the Blalock-Taussig (BT) shunt has become increasingly popular in the last decades. The utilization of the reverse Szabo (anchor-wire) technique for single collateral vessel stenting in a case of PA-VSD is described.
July 2016: Translational pediatrics
https://www.readbyqxmd.com/read/27694357/understanding-the-hybrid-stage-i-approach-for-hypoplastic-left-heart-syndrome
#6
Sharon L Cheatham, Grace M Deyo
Hybrid stage I palliation combines cardiothoracic surgery and interventional transcatheter procedures for treatment of hypoplastic left heart syndrome. The approach is an alternative to the Norwood procedure, the traditional first stage of surgical palliation. Hybrid stage I palliation involves placing bilateral branch pulmonary artery bands and a patent ductus arteriosus stent through a median sternotomy, performed without cardiopulmonary bypass. The purpose of the bands is to control blood flow to the lungs and protect the pulmonary bed while the stent sustains systemic cardiac output...
October 2016: Critical Care Nurse
https://www.readbyqxmd.com/read/27610349/single-institution-experience-with-the-ladd-s-procedure-in-patients-with-heterotaxy-and-stage-i-palliated-single-ventricle
#7
Kurt D Piggott, Grace George, Harun Fakioglu, Carlos Blanco, Sukumar Saguna Narasimhulu, Kamal Pourmoghadam, Hamish Munroe, William Decampli
AIM: To investigate and describe our current institutional management protocol for single-ventricle patients who must undergo a Ladd's procedure. METHODS: We retrospectively reviewed the charts of all patients from January 2005 to March 2014 who were diagnosed with heterotaxy syndrome and an associated intestinal rotation anomaly who carried a cardiac diagnosis of functional single ventricle and were status post stage I palliation. A total of 8 patients with a history of stage I single-ventricle palliation underwent Ladd's procedure during this time period...
August 8, 2016: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/27365794/stent-implantation-of-patent-ductus-arteriosus-in-a-newborn-baby
#8
Prabhat Kumar, R Datta, R Nair, G Sridhar
No abstract text is available yet for this article.
April 2011: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27242935/thoracic-stent-graft-implantation-for-aortic-coarctation-with-patent-ductus-arteriosus-via-retroperitoneal-iliac-approach-in-the-presence-of-small-sized-femoral-artery
#9
Ozge Korkmaz, Osman Beton, Sabahattin Goksel, Hakkı Kaya, Ocal Berkan
Endovascular stent graft implantation is a favorable method for complex aortic coarctation accompanied by patent ductus arteriosus. Herein, an 18-year-old woman with complex aortic coarctation and patent ductus arteriosus was successfully treated by endovascular thoracic stent graft via retroperitoneal approach. The reason for retroperitoneal iliac approach was small sized common femoral arteries which were not suitable for stent graft passage. This case is the first aortic coarctation plus patent ductus arteriosus case described in the literature which is treated by endovascular thoracic stent graft via retroperitoneal approach...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27011694/a-novel-method-of-creation-of-a-fenestration-in-nitinol-occluder-devices-used-in-closure-of-hypertensive-patent-arterial-ducts
#10
Anil Kumar Singhi, Kothandam Sivakumar
Test occlusion with a balloon is done to predict operability of large hypertensive patent ductus arteriosus (PDA). If the fall in the pulmonary artery pressures is inadequate, a complete closure is not desired. To create a predictable premeasured fenestration in a nitinol occluder device used for closing hypertensive PDA. A large nitinol occluder device was punctured with an 18G needle to advance a 0.035˝ stiff guide wire through the occluder before loading it into the delivery system. The occluder with the guidewire was then deployed across the PDA...
January 2016: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/27000620/ductus-arteriosus-banding-to-facilitate-stenting-during-the-hybrid-stage-i-procedure
#11
Matteo Trezzi, Scott M Bradley, Varsha M Bandisode, Minoo N Kavarana
Neonates with hypoplastic left heart syndrome and high-risk factors for an open Norwood procedure may benefit from a hybrid stage I procedure. The presence of a giant patent ductus arteriosus prevents safe deployment of the ductus arteriosus stent. We describe a new technique that involves banding the patent ductus arteriosus, therefore allowing stent implantation during hybrid stage I palliation.
April 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26995418/native-coarctation-of-aorta-and-large-hypertensive-patent-ductus-arteriosus-management-using-a-covered-stent
#12
Neeraj Awasthy, Munesh Tomar, S Radhakrishnan
No abstract text is available yet for this article.
December 2015: Indian Heart Journal
https://www.readbyqxmd.com/read/26984925/percutaneous-common-carotid-artery-access-for-pediatric-interventional-cardiac-catheterization
#13
Henri Justino, Christopher J Petit
BACKGROUND: Surgical cutdown for access to the common carotid artery provides a more direct route for certain pediatric cardiac interventions and avoids femoral artery injury in small infants. The safety of percutaneous carotid access (PCA) in children is unknown. METHODS AND RESULTS: Retrospective review of PCA at Texas Children's Hospital and Children's Healthcare of Atlanta. From July 2006 to November 2014, 42 patients underwent 47 attempts at catheterization via PCA...
April 2016: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/26697954/percutaneous-carotid-artery-access-in-infants-%C3%A2-3-months-of-age
#14
Swati Choudhry, David Balzer, Joshua Murphy, Ramzi Nicolas, Shabana Shahanavaz
BACKGROUND: Carotid artery access in infants with congenital heart disease undergoing cardiac catheterization via a surgical cut down has been well described. There is a paucity of information regarding percutaneous carotid artery (CA) access in infants <3 months. METHODS: A retrospective review of infants <3 months of age undergoing cardiac catheterization via percutaneous CA approach was performed after IRB approval. Between January 2012 and May 2015, 18 patients underwent 20 procedures; median age 13 days (2-77); median weight 3...
March 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/26651955/improved-outcomes-with-the-comprehensive-stage-2-procedure-after-an-initial-hybrid-stage-1
#15
Mark Galantowicz, Andrew R Yates
OBJECTIVE: To report our improving institutional experience with the hybrid alternative surgical strategy for the management of hypoplastic left heart syndrome, in which hybrid stage 1 is followed by a comprehensive stage 2 procedure (removal of patent ductus arteriosus stent and pulmonary artery [PA] bands, aorta and PA reconstruction, Damus-Kaye-Stansel, atrial septectomy, Glenn). METHODS: In this Institutional Review Board-approved retrospective review of all patients undergoing a comprehensive stage 2 procedure between January 2002 and December 2014, data were compared between the pre-protocol group (n = 64; January 2002 to March 2010) and the post-protocol group (n = 55; March 2010 to December 2014)...
February 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26602495/bilateral-ductal-stenting-in-a-neonate-with-right-isolated-pulmonary-artery-of-ductal-origin-and-differential-pulmonary-vascular-resistances
#16
Carlos D Miranda, Damien Kenny
We report our experience with stenting a right ductus arteriosus in a neonate with ductal origin of the right pulmonary artery (PA), who subsequently developed severe pulmonary hypertension in the left PA requiring decompression of the right ventricle with stenting of the left ductus. © 2015 Wiley Periodicals, Inc.
November 25, 2015: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/26429775/stenting-in-paediatric-and-adult-congenital-heart-diseases-a-french-multicentre-study-in-the-current-era
#17
Sebastien Hascoët, Zakaria Jalal, Alban Baruteau, Lucia Mauri, Aurélie Chalard, Ivan Bouzguenda, Jean-François Piéchaud, Jean-Benoit Thambo, Bruno Lefort, Patrice Guérin, Lauriane Le Gloan, Philippe Acar, Ali Houeijeh, François Godart, Alain Fraisse
BACKGROUND: Many stents are used "off-label" during the management of congenital heart diseases (CHD). AIMS: To describe indications for, results of, and adverse events associated with stenting in CHD in current practice. METHODS: Participation in this study was proposed to all catheterization laboratories that specialize in CHD in France (M3C network). All paediatric and adult CHD cases with stent implantation in 2013 were included retrospectively...
December 2015: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/26423273/inadvertent-ligation-of-the-left-pulmonary-artery-during-intended-ductal-ligation
#18
Endale Tefera, Ramon Bermudez-Cañete, Carin van Doorn
BACKGROUND: Inadvertent ligation of the left pulmonary artery during attempted surgical closure of a Patent Ductus Arteriosus has long been recognized as one of the less common complications of this procedure. Surgical reconstruction of the left pulmonary artery was then often attempted but was difficult or impossible in some of the patients with hypoplasia of the left pulmonary artery and the left lung. CASE PRESENTATION: A 10-year-old girl presented with marked exercise intolerance and palpitations and was diagnosed to have large PDA...
2015: BMC Research Notes
https://www.readbyqxmd.com/read/26345436/use-of-a-stent-graft-for-patent-ductus-arteriosus-in-an-octogenarian-eliminates-ductus-flow
#19
Wataru Tatsuishi, Go Kataoka, Ryota Asano, Atsuhiko Sato, Kiyoharu Nakano
Closure of a patent ductus arteriosus (PDA) in the elderly is a high-risk procedure because of tissue fragility and many possible complications. The patient in our case was an 81-year-old woman with a window-type PDA caused by cardiac failure. Based on the anatomy of the PDA and aorta and to minimize invasion, we used a stent graft to close the PDA. This approach was successful; hemodynamics improved and ductus flow was eliminated during the follow-up period without intervention from the pulmonary artery side...
June 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26279410/use-of-rotational-angiography-in-assessing-relationship-of-the-airway-to-vasculature-during-cardiac-catheterization
#20
Uyen T Truong, Thomas E Fagan, Robin Deterding, Richard J Ing, Brian M Fonseca
OBJECTIVES: We are the first to describe the use of three-dimensional rotational angiography (3DRA) in creating multiplanar reconstruction (MPR) and volume rendering, in the catheterization suite, of airways at risk for compression by adjacent cardiac structures. BACKGROUND: 3DRA has emerged as a promising tool for improved visualization of cardiac and vascular structures in congenital heart disease. METHODS: This is a retrospective review of all available cases at our institution in which MPR from 3DRA was used to assess airways in relation to surrounding cardiovascular structures...
November 15, 2015: Catheterization and Cardiovascular Interventions
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