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Keywords Interventions in congenital he...

Interventions in congenital heart disease

https://read.qxmd.com/read/38486374/car-and-cstr-cardiac-computed-tomography-ct-practice-guidelines-part-2-non-coronary-imaging
#21
JOURNAL ARTICLE
Elsie T Nguyen, Courtney R Green, Scott J Adams, Helen Bishop, Guylaine Gleeton, Cameron J Hague, Kate Hanneman, Scott Harris, Jacek Strzelczyk, Carole Dennie
The cardiac computed tomography (CT) practice guidelines provide an updated review of the technological improvements since the publication of the first Canadian Association of Radiologists (CAR) cardiac CT practice guidelines in 2009. An overview of the current evidence supporting the use of cardiac CT in the most common clinical scenarios, standards of practice to optimize patient preparation and safety as well as image quality are described. Coronary CT angiography (CCTA) is the focus of Part I. In Part II, an overview of cardiac CT for non-coronary indications that include valvular and pericardial imaging, tumour and mass evaluation, pulmonary vein imaging, and imaging of congenital heart disease for diagnosis and treatment monitoring are discussed...
March 14, 2024: Canadian Association of Radiologists Journal
https://read.qxmd.com/read/38472658/socioeconomic-influences-on-outcomes-following-congenital-heart-disease-surgery
#22
JOURNAL ARTICLE
Kristin Schneider, Sarah de Loizaga, Andrew F Beck, David L S Morales, JangDong Seo, Allison Divanovic
Associations between social determinants of health (SDOH) and adverse outcomes for children with congenital heart disease (CHD) are starting to be recognized; however, such links remain understudied. We examined the relationship between community-level material deprivation on mortality, readmission, and length of stay (LOS) for children undergoing surgery for CHD. We performed a retrospective cohort study of patients who underwent cardiac surgery at our institution from 2015 to 2018. A community-level deprivation index (DI), a marker of community material deprivation, was generated to contextualize the lived experience of children with CHD...
March 12, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38467114/experience-of-percutaneous-closure-of-small-to-large-patent-ductus-arteriosus-with-nit-occlud-%C3%A2-device-in-a-tertiary-referral-hospital-in-colombia
#23
JOURNAL ARTICLE
Sandra R Galvis-Luna, Carlos A Guzmán-Serrano, Isabella Olave-Rueda, Valentina Mejía-Quiñones, Jaiber Gutierrez-Gil, Walter Mosquera-Álvarez
BACKGROUND: The decision to close patent ductus arteriosus should always be individualized and taken together with the child's family once the risks and benefits of both choices have been exposed. OBJECTIVE: This study aims to report the experience and outcomes in patients undergoing endovascular closure of small to medium-size PDA with a Nit-Occlud® device in a tertiary referral hospital in Colombia. METHODS: Longitudinal descriptive study, which included all patients under 18 years of age who underwent percutaneous ductal closure with Nit-Occlud® device between January 1, 2011, and February 1, 2023...
March 11, 2024: Archivos de Cardiología de México
https://read.qxmd.com/read/38465660/using-big-data-to-analyze-the-vaccination-status-of-children-with-congenital-heart-disease-in-yinzhou-district-china
#24
JOURNAL ARTICLE
Lin Zhang, Ziliang Yang, Yueqi Yin, Wenzan Huang, Tianfei Yi, Jianming Ping, Liya Liu, Peng Shen, Yexiang Sun, Hongbo Lin
Congenital heart disease (CHD) represents a significant population warranting particular attention concerning vaccination coverage. To comprehend the vaccination status of CHD within Yinzhou District, Ningbo City, China, and to facilitate the formulation of preventive, control, and immunization strategies against vaccine-preventable diseases in children with congenital heart conditions. Using the China Yinzhou Electronic Health Record Study (CHERRY) database, we analyzed the vaccination coverage of children with CHD born between January 1, 2016 and September 20, 2021, and analyzed the influencing factors associated with the level of vaccination coverage...
December 31, 2024: Human Vaccines & Immunotherapeutics
https://read.qxmd.com/read/38465582/long-term-outcomes-of-ascending-sliding-arch-aortoplasty
#25
JOURNAL ARTICLE
Fumiya Yoneyama, Alyssa B Kalustian, E Dean McKenzie, Jeffrey S Heinle, Tam T Doan, Ziyad Binsalamah
Background: Coarctation of the aorta can be associated with significant hypoplasia of the aortic arch. In contrast to patch aortoplasty, ascending sliding arch aortoplasty uses viable autologous tissue for potential growth in children. We reviewed the mid- to long-term outcomes of this technique. Methods: Between 2002 and 2023, 28 patients underwent ascending sliding arch aortoplasty for the patients with coarctation of the aorta (n = 22) and interrupted aortic arch (n = 2). Four patients underwent previous surgical coarctation repair at other institutions...
March 11, 2024: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/38465183/unveiling-a-unique-case-of-scimitar-syndrome-clinical-significance-and-multidisciplinary-management-challenges-in-pakistan
#26
Gulalay Shamal, Anam Israr Khan, Ahsan Ali, Neha James, Moula Ghulam
Scimitar syndrome, a rare congenital cardiac anomaly, involves abnormal pulmonary vein drainage into systemic veins, leading to distinct imaging features resembling a curved-blade sword. This case report presents a unique instance of scimitar syndrome in Pakistan, emphasizing its clinical importance and the challenges of management. A 26-year-old female with a history of recurrent pulmonary infections and respiratory symptoms since childhood was diagnosed with scimitar syndrome. Radiological assessments, including chest X-rays, computed tomography pulmonary angiograms (CTPA), and transthoracic echocardiography, confirmed the presence of a curved vessel originating from the right hemidiaphragm and connecting with the inferior vena cava (IVC)...
February 2024: Curēus
https://read.qxmd.com/read/38464705/preliminary-experience-with-remimazolam-for-procedural-sedation-and-as-an-adjunct-to-general-anesthesia-during-diagnostic-and-interventional-cardiac-procedures
#27
JOURNAL ARTICLE
Holly Gillis, Christopher McKee, Kristin Chenault, Marco Corridore, Joseph D Tobias
BACKGROUND: Remimazolam is a benzodiazepine which, like midazolam, has sedative, anxiolytic, and amnestic properties. Ester metabolism results in a half-life of 5 - 10 min, a limited context sensitive half-life, and rapid recovery when the infusion is discontinued. METHODS: Following the Institutional Review Board (IRB) approval, we performed a retrospective chart review of patients who received remimazolam in the cardiac catheterization, cardiac magnetic resonance imaging (MRI), and electrophysiology suites...
February 2024: Cardiology Research
https://read.qxmd.com/read/38464577/transhepatic-approach-of-patent-foramen-ovale-closure-in-the-setting-of-congenital-inferior-vena-cava-anomaly
#28
Deepa Soodi, Somto Nwaedozie, Milind Shah, Sudhakar Girotra
Patent foramen ovale (PFO) is the most common interatrial septal abnormality. The indications for PFO device closure are still being evaluated, with the most common reason being to prevent cerebrovascular accidents (CVA) caused by paradoxical embolism of deep vein thrombosis (DVT) in the lower extremities. This procedure is usually performed through percutaneous intervention using femoral vein access. Here, we present a case of PFO closure using a transhepatic approach, as femoral vein access was not feasible due to an interrupted inferior vena cava (IVC)...
March 2024: Clinical Case Reports
https://read.qxmd.com/read/38462325/pulmonary-hypertension-in-adult-congenital-heart-disease-related-heart-failure
#29
REVIEW
Jonathan Kusner, Richard A Krasuski
Already a challenging condition to define, adult congenital heart disease (ACHD) -associated heart failure (HF) often incorporates specific anatomies, including intracardiac and extracardiac shunts, which require rigorous diagnostic characterization and heighten the importance of clinicians proactively considering overall hemodynamic impacts of using specific therapies. The presence of elevated pulmonary vascular resistance dramatically increases the complexity of managing patients with ACHD-HF. Total circulatory management in patients with ACHD-HF requires input from multidisciplinary care teams and thoughtful and careful utilization of medical, interventional, and surgical approaches...
April 2024: Heart Failure Clinics
https://read.qxmd.com/read/38462324/surgical-considerations-in-adult-congenital-heart-disease-heart-failure
#30
REVIEW
William H Marshall V, Patrick McConnell
Surgical intervention is often used in the management of heart failure in patients with adult congenital heart disease. This review addresses anatomic variations and complications due to prior surgical interventions, including sternal reentry, collateral vessels, and the neo-aortic root after the Damus-Kaye-Stansel procedure. Surgical considerations for systemic atrioventricular valvular surgery, Fontan revision, and advanced heart failure therapies including ventricular assist devices, heart transplant, and combined heart-liver transplant are discussed, with a focus on unique patient populations including those with systemic right ventricles and those with Fontan circulation...
April 2024: Heart Failure Clinics
https://read.qxmd.com/read/38462322/arrhythmias-in-adult-congenital-heart-disease-heart-failure
#31
REVIEW
Anudeep K Dodeja, Shailendra Upadhyay
Heart failure and arrhythmias represent 2 major causes of mortality and morbidity in adults with congenital heart disease. Arrhythmias and heart failure are interdependent, and one may exacerbate the other. Treatment of one also has a positive impact on the other. Management approaches need to be multifaceted, including pharmacotherapy, optimization of hemodynamic status with catheter-based or surgical interventions, and specific management of arrhythmia with device or catheter ablation therapy.
April 2024: Heart Failure Clinics
https://read.qxmd.com/read/38462049/hybrid-interventions-in-congenital-heart-disease-a-review-of-current-practice-and-rationale-for-use
#32
REVIEW
Jeffrey D Zampi, C Todd Sower, Timothy S Lancaster, Vikram Sood, Jennifer C Romano
BACKGROUND: Hybrid interventions have become a common option in the management for a variety of patients with congenital heart disease. In this review we will discuss the data that has driven decision making about hybrid interventions to date. METHODS: The existing literature on various hybrid approaches was reviewed and summarized. In addition, the key tenants to creating a successful hybrid program within a congenital heart center are elucidated. RESULTS: Hybrid strategies for single ventricle patients, pulmonary atresia with intact ventricular septum, branch pulmonary artery stenosis, and muscular ventricular septal defect closure have important benefits and limitations compared to traditional approaches...
March 8, 2024: Annals of Thoracic Surgery
https://read.qxmd.com/read/38458583/the-burden-of-psychological-trauma-and-post-traumatic-stress-disorder-among-adults-with-congenital-heart-disease-ptsd-in-achd
#33
JOURNAL ARTICLE
David J Harrison, Joseph Kay, Roni M Jacobsen, Camila Londono-Obregon, Elizabeth Yeung, Sarah L Kelly, Ann Poteet, Claire Levek, Michael J Landzberg, Molly Wallrich, Amber Khanna
BACKGROUND: Psychological trauma, symptoms of post-traumatic stress disorder (PTSD), and mental health conditions are common in adult congenital heart disease (ACHD). There is a gap in the literature examining PTSD in ACHD using the current DSM-5 criteria, while assessing patient characteristics and experiences with trauma-focused treatment. METHODS: Surveys were offered to outpatients over a six-month enrollment period to be completed via QR code on their personal smart phone...
March 6, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38456473/patient-screening-for-self-expanding-percutaneous-pulmonary-valves-using-virtual-reality
#34
JOURNAL ARTICLE
Jenny E Zablah, Jeannie Than, Lorna P Browne, Salvador Rodriguez, Gareth J Morgan
BACKGROUND: In recent years, self-expanding technology to treat pulmonary regurgitation in the native right ventricular outflow tract became Food and Drug Administration approved in the United States and is now routinely used. The current practice for selection of patients who are candidates for these devices includes screening for "anatomic fit," performed by each of the manufacturing companies. Our study aims to validate the use of virtual reality (VR) as a tool for local physician-led screening of patients...
March 8, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38454620/the-ross-konno-procedure-with-or-without-mitral-valve-surgery-a-systematic-review-with-individual-data-pooling
#35
JOURNAL ARTICLE
Nabil Dib, Thierry Ducruet, Nancy Poirier, Paul Khairy
Background: The Ross-Konno procedure is a technically demanding surgical option to treat multilevel left ventricular outflow tract obstruction. Methods: A systematic review with pooled analyses was conducted according to PRISMA criteria on studies published between January 2000 and May 2022 that assessed outcomes following the Ross-Konno intervention in children. Individual patient data were extracted from published Kaplan-Meier curves using digitalization software. Overall survival and freedom from reintervention were assessed by time-to-event approaches...
March 7, 2024: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/38448128/editor-in-chief-s-top-picks-from-2023
#36
JOURNAL ARTICLE
Valentin Fuster
Each week, I record audio summaries for every paper in JACC, as well as an issue summary. This process has become a true labor of love due to the time they require, but I am motivated by the sheer number of listeners (16M+), and it has allowed me to familiarize myself with every paper that we publish. Thus, I have selected the top 100 papers (Original Investigations, Review Articles, Society Documents, and the Global Burden of Diseases) from distinct specialties each year. In addition to my personal choices, I have included papers that have been the most accessed or downloaded on our websites, as well as those selected by the JACC Editorial Board members...
March 12, 2024: Journal of the American College of Cardiology
https://read.qxmd.com/read/38447504/be-aware-of-childhood-stroke-proceedings-from-epns-webinar
#37
REVIEW
Gabriela Oesch, Robin Münger, Maja Steinlin
Childhood arterial ischaemic stroke (AIS) is a significant health concern with increasing incidence. This review aims to provide an overview of the current understanding of childhood AIS. The incidence of childhood AIS is on the rise especially in developing countries, likely due to improved awareness and diagnostic capabilities. Aetiology of childhood AIS is multifactorial, with both modifiable risk factors and genetic predisposition playing important roles. Identifying and addressing these risk factors, such as infection, sickle cell disease, and congenital heart defects, is essential in prevention and management...
February 23, 2024: European Journal of Paediatric Neurology: EJPN
https://read.qxmd.com/read/38444930/beyond-synthetics-promising-outcomes-with-the-invengenx%C3%A2-bovine-pericardial-patch-for-ventricular-septal-defect-repair-in-a-young-pediatric-population
#38
Vishal V Bhende, Tanishq S Sharma, Mathangi Krishnakumar, Anikode S Ramaswamy, Kanchan Bilgi, Sohilkhan R Pathan
Ventricular septal defects (VSDs) are a prevalent congenital heart anomaly demanding safe and lasting interventions. This paper explores the application of Invengenx® bovine pericardial patch (Tisgenx, Irvine, California), a promising biomaterial, in VSD repair. We present two case studies: a seven-month-old infant and a three-year-old child undergoing VSD closure using autologous and bovine pericardial patches, respectively. Both patients tolerated the procedures well, experiencing no intra-operative complications and demonstrating excellent postoperative recovery...
March 2024: Curēus
https://read.qxmd.com/read/38440908/long-term-function-of-a-novel-autologous-transcatheter-pulmonary-heart-valve-implant-in-an-adult-animal-model
#39
JOURNAL ARTICLE
Jonathan Kiekenap, Xiaolin Sun, Yimeng Hao, Marvin Steitz, Alexander Breitenstein-Attach, Jasper Emeis, Felix Berger, Boris Schmitt
BACKGROUND: Current heart valve implants entail major disadvantages in the treatment for younger patients or those with congenital heart defects. AIM: Evaluation of novel transcatheter pulmonary valve implant made from autologous pericardium with natural crosslinking agent in an in vitro setup and in vivo animal model METHODS: Valves were tested in a pulse duplicator according to ISO-standard 5840. For in vivo studies computer tomography was performed to measure sheep's native pulmonary valve dimensions...
March 5, 2024: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38436738/trends-of-mortality-rate-in-patients-with-congenital-heart-defects-in-germany-analysis-of-nationwide-data-of-the-federal-statistical-office-of-germany
#40
JOURNAL ARTICLE
Hashim Abdul-Khaliq, Delphina Gomes, Sascha Meyer, Rüdiger von Kries, Stefan Wagenpfeil, Jochen Pfeifer, Martin Poryo
BACKGROUND: Congenital heart defects (CHD) are still associated with an increased morbidity and mortality. The aim of this study was to analyze trends of mortality rates in patients with CHD between 1998 and 2018 in Germany. METHODS: Data of registered deaths with an underlying diagnosis of CHD were used to evaluate annual mortality between 1998 and 2018. Polynomial regressions were performed to assess annual changes in CHD-associated mortality rates by age groups...
March 4, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
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