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pediatric cardiology Echocardiography cardiac catheterization

Wadi Mawad, Luc L Mertens
Cardiac imaging is central to today's pediatric cardiology practice not only to diagnose structural congenital defects and delineate cardiac and extracardiac anatomy but also for determining the hemodynamic impact of the structural defects and acquired pediatric diseases. Not so long ago, clinicians had to heavily rely on angiography as the main cardiac imaging modality to visualize the heart. Particularly, the development of echocardiography in the 1970s and 1980s together with the development of magnetic resonance imaging (MRI) and computed tomography (CT) resulted in a non-invasive diagnostic revolution with diagnostic catheterization becoming obsolete apart for very specific indications...
February 21, 2018: Current Treatment Options in Cardiovascular Medicine
Masanari Kuwabara, Koichiro Niwa, Tomohiko Toyoda, Takeaki Shirai, Shigeru Tateno, Hideo Ohuchi, Yasuhiko Tanaka, Fukiko Ichida, Tomoo Fujisawa, Teiji Akagi, Yoshiki Mori
BACKGROUND: Fontan-associated liver disease (FALD) is an important late complication involving liver dysfunction, such as liver cirrhosis (LC) and hepatocellular carcinoma (HCC), in patients undergoing the Fontan procedure. However, the prevalence, clinical manifestation, and methods of diagnosis of FALD are still not well established.Methods and Results:This study comprised 2 nationwide surveys in Japan. First, the prevalence of LC and/or HCC in patients undergoing the Fontan procedure was determined...
February 14, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
Amir-Reza Hosseinpour, Marie-Hélène Perez, David Longchamp, Jacques Cotting, Nicole Sekarski, Michel Hurni, René Prêtre, Stefano Di Bernardo
OBJECTIVE: Congenital cardiac malformations with high pulmonary blood flow and pressure due to left-to-right shunts are usually repaired in early infancy for both the benefits of early relief of heart failure and the fear that the concomitant pulmonary hypertension may become irreversible unless these defects are corrected at an early age. Age, however, has been a poor predictor of irreversibility of pulmonary hypertension in our experience, which is presented here. DESIGN: A retrospective observational study...
October 25, 2017: Congenital Heart Disease
Seong-Ho Kim
During the last 10 years, there have been major technological achievements in pediatric interventional cardiology. In addition, there have been several advances in cardiac imaging, especially in 3-dimensional imaging of echocardiography, computed tomography, magnetic resonance imaging, and cineangiography. Therefore, more types of congenital heart diseases can be treated in the cardiac catheter laboratory today than ever before. Furthermore, lesions previously considered resistant to interventional therapies can now be managed with high success rates...
August 2017: Korean Journal of Pediatrics
Serdar Kula, Ayhan Pektaş
This study aims to review pediatric pulmonary hypertension (PH) by comparing the guidelines of the European Society of Cardiology (ESC)/European Respiratory Society (ERS), the American Heart Association (AHA)/American Thoracic Society (ATS), and the European Pediatric Pulmonary Vascular Disease Network (EPPVDN). All three sets of guidelines define PH as having a mean pulmonary artery pressure of ≥25 mmHg and accept the validity of the World Health Organization (WHO) classification system. Every child with a high index of suspicion for PH should undergo an initial work-up of chest X-rays, electrocardiography, and echocardiography...
April 18, 2017: Turkish Journal of Medical Sciences
Scott R Ceresnak, David M Axelrod, Kara S Motonaga, Emily R Johnson, Catherine D Krawczeski
The transition from residency to subspecialty fellowship in a procedurally driven field such as pediatric cardiology is challenging for trainees. We describe and assess the educational value of a pediatric cardiology "boot camp" educational tool designed to help prepare trainees for cardiology fellowship. A two-day intensive training program was provided for pediatric cardiology fellows in July 2015 at a large fellowship training program. Hands-on experiences and simulations were provided in: anatomy, auscultation, echocardiography, catheterization, cardiovascular intensive care (CVICU), electrophysiology (EP), heart failure, and cardiac surgery...
June 2016: Pediatric Cardiology
Ekrem Guler, Gamze Babur Guler, Gultekin Gunhan Demir, Filiz Kizilirmak, Hacı Murat Gunes, İrfan Barutcu, Mehmet Muhsin Turkmen, Fethi Kilicaslan
PURPOSE: Transesophageal echocardiography (TEE) has a pivotal role in invasive cardiology practice in terms of guiding a variety of procedures. It is challenging to perform TEE examination with sedated patients due to difficulties in cooperation and positioning the patient properly, therefore the risk of complications is escalated. We aimed to assess the impact of pediatric TEE probe utilization on procedural success and complication rates; in comparison with conventional adult TEE probe...
July 2015: Echocardiography
Juan Villafañe, Jeffrey A Feinstein, Kathy J Jenkins, Robert N Vincent, Edward P Walsh, Anne M Dubin, Tal Geva, Jeffrey A Towbin, Meryl S Cohen, Charles Fraser, Joseph Dearani, David Rosenthal, Beth Kaufman, Thomas P Graham
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect. We explore "hot topics" to highlight areas of emerging science for clinicians and scientists in moving toward a better understanding of the long-term management of patients with repaired TOF. From a genetic perspective, the etiology of TOF is multifactorial, with a familial recurrence risk of 3%. Cardiac magnetic resonance is the gold standard assessment tool based on its superior imaging of the right ventricular (RV) outflow tract, pulmonary arteries, aorta, and aortopulmonary collaterals, and on its ability to quantify biventricular size and function, pulmonary regurgitation (PR), and myocardial viability...
December 10, 2013: Journal of the American College of Cardiology
Andreas Hanslik, Axel Moysich, K Thorsten Laser, Elisabeth Mlczoch, Deniz Kececioglu, Nikolaus A Haas
Interventional cardiac catheterization in children and adolescents is traditionally performed with the patient under general anesthesia and endotracheal intubation. However, percutaneous closure of atrial septum defect (ASD) without general anaesthesia is currently being attempted in a growing number of children. The study objective was to evaluate the success and complication rate of percutaneous ASD closure in spontaneously breathing children under deep sedation. Retrospective single centre cohort study of consecutive children undergoing percutaneous ASD closure at a tertiary care pediatric cardiology centre...
February 2014: Pediatric Cardiology
Gianfranco Butera, Ornella Milanesi, Isabella Spadoni, Luciane Piazza, Andrea Donti, Christian Ricci, Gabriella Agnoletti, Alberta Pangrazi, Massimo Chessa, Mario Carminati
BACKGROUND AND AIMS: Percutaneous implantation of pulmonary valve has been recently introduced in the clinical practice. Our aim was to analyze data of patients treated in Italy by using the Melody Medtronic valve. METHODS: Prospective, observational, multi-centric survey by means of a web-based database registry of the Italian Society of Pediatric Cardiology (SICP). RESULTS: Between October 2007 and October 2010, 63 patients were included in the registry (median age: 24 years; range 11-65 years)...
February 2013: Catheterization and Cardiovascular Interventions
Nikolay V Vasilyev, Pierre E Dupont, Pedro J del Nido
The initial success seen in adult cardiac surgery with the application of available robotic systems has not been realized as broadly in pediatric cardiac surgery. The main obstacles include extended set-up time and complexity of the procedures, as well as the large size of the instruments with respect to the size of the child. Moreover, while the main advantage of robotic systems is the ability to minimize incision size, for intracardiac repairs, cardiopulmonary bypass is still required. Catheter-based interventions, on the other hand, have expanded rapidly in both application as well as the complexity of procedures and lesions being treated...
March 2012: Future Cardiology
Dragana P Sobic-Saranovic, Smiljana V Pavlovic, Vera M Artiko, Vladimir B Obradovic
Several techniques have been applied for the assessment of severe congenital heart diseases (SCHD) including echocardiography, cardiac catheterization with angiocardiography, and more recently, cardiovascular multi detector tomography and magnetic resonance imaging (MRI). The value of gated single photon emission tomography (GSPET) myocardial perfusion imaging (MPI) and radionuclide ventriculography (RNV) for evaluating myocardial ischemia, tissue viability, and left ventricular function in SCHD is less apparent...
September 2011: Hellenic Journal of Nuclear Medicine
Włodzimierz Kuroczyński, Christoph Kampmann, Ali Asghar Peivandi, Marc Hartert, Markus Knuf, Markus K Heinemann, Christian-Friedrich Vahl
BACKGROUND: There is ongoing discussion as to whether it is beneficial to avoid pulmonary sinus augmentation in the arterial switch operation. We report a single-surgeon series of mid-term results for direct pulmonary artery anastomosis during switch operation for transposition of the great arteries (TGA). METHODS: This retrospective study includes 17 patients with TGA, combined with an atrial septal defect, patent foramen ovale or ventricular septal defect. Patient data was analyzed from hospital charts, including operative reports, post-operative course, and regular follow-up investigations...
2010: Cardiology Journal
Ina Michel-Behnke, Peter Ewert, Andreas Koch, Harald Bertram, Mathias Emmel, Gunther Fischer, Roland Gitter, Rainer Kozlik-Feldman, Reinald Motz, Erwin Kitzmüller, Oliver Kretschmar
OBJECTIVE: This study reports on the feasibility, efficacy, and outcome of hybrid procedures to close ventricular septal defects (VSD), reflecting the experience of 11 centers in Germany, Austria, and Switzerland. BACKGROUND: Beating heart closure of VSD has attracted interest in small infants, complex anomalies and postinfarction scenarios where patients are at high risk during surgery. Perventricular or intraoperative device placement allows access to the lesions where percutaneous delivery is limited...
February 1, 2011: Catheterization and Cardiovascular Interventions
I Voges, M Jerosch-Herold, T Plagemann, C Hart, T Hansen, M Helle, H-H Kramer, Carsten Rickers
In today's clinical practice cardiovascular magnetic resonance (CMR) imaging is increasingly used for assessment of congenital and acquired heart disease in children. CMR complements echocardiography and provides a noninvasive alternative to diagnostic cardiac catheterization. In contrast to echocardiography, CMR is not limited by acoustic windows, and unlike cardiac catheterization, CMR lacks ionizing radiation. Contiguous three and four dimensional data sets allow to display cardiac and thoracic vessel anatomy in any desired imaging plane...
January 2010: Klinische Pädiatrie
Holly M Ippisch, Thomas R Kimball
A 22-month-old boy was referred to pediatric cardiology for evaluation of a heart murmur. He was asymptomatic except for occasional wheezing with activity. On evaluation, he was found to have both systolic and diastolic murmurs. Electrocardiography demonstrated possible left ventricular hypertrophy, with no evidence of ST-segment abnormalities. Echocardiography and cardiac catheterization showed an anomalous origin of the patient's right coronary artery from his left ventricle, just inferior to his aortic valve annulus...
February 2010: Journal of the American Society of Echocardiography
Georgios A Hartas, Emmanouil Tsounias, Monesha Gupta-Malhotra
The subspecialty of pediatric cardiology has rapidly progressed in the past few years with more children with heart defects surviving to adulthood. With newer diagnostic tools and improved surgical techniques, many heart defects are being approached with surgery. Although the more complicated lesions are never "completely repaired" and may require heart transplant in the long-term, there is an approach to "palliation." Most of the congenital heart malformations are detected in the perinatal period and this article gives the reader a general picture of the diagnostic approach to a multitude of heart defects...
March 2009: Critical Care Nursing Clinics of North America
Martial M Massin, Houssem Masmoudi, Hugues Dessy, Michel Goor, Karim Khaldi, Marielle Morissens, Gilles Rondia, Pierre Viart
BACKGROUND: Few data are available on the evolution in the number of referrals and the spectrum and frequency of issues addressed in paediatric cardiac outpatient clinics. AIM: To assess the volume and range of symptoms and diagnoses in patients, referred to a paediatric cardiac outpatient clinic in an academic hospital setting. METHODS: Data were collected prospectively over 6 months. RESULTS: Historical comparison showed that the number of outpatient visits increased from 819 during the first semester of 2004 to 865, 1045 and 1391 during the first semesters of 2005, 2006 and 2007, respectively...
November 2008: Archives of Cardiovascular Diseases
Allen D Everett, Jacky Jennings, Erica Sibinga, Carl Owada, D Scott Lim, John Cheatham, Ralf Holzer, Jeremy Ringewald, Rani Bandisode, Richard Ringel
The objective of this study was to determine the initial safety and results of unrestricted multi-institution routine community use of the Amplatzer Septal Occluder (ASO) for atrial septal defect (ASD) closure. A multicenter, nonrandomized prospective study was performed in 13 pediatric cardiology centers from November 2004 to September 2007. Data were collected at the time of cardiac catheterization and 1 day postimplant. Four hundred seventy-eight patients underwent cardiac catheterization for ASO device closure of an ASD...
April 2009: Pediatric Cardiology
José A Baz, Josepa Mauri, Agustín Albarrán, Eduardo Pinar
This article summarizes the data reported to the 2006 registry of the Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology. Data were obtained from 135 centers. Of these, 125 performed catheterizations mainly in adults, while 10 carried out procedures in pediatric patients only. In 2006, 126,196 diagnostic catheterizations were carried out. Of these, 113,228 were coronary angiograms, 7.6% more than in 2005. The population-adjusted rate was 2560 coronary angiograms per million inhabitants...
December 2007: Revista Española de Cardiología
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