How Long Can the Next Intervention Be Delayed after Balloon Dilatation of Homograft in the Pulmonary Position?
| Autor: | Sung Ho Kim, Jinyoung Song, Hye-In Jeong, I-Seok Kang, Jun Huh, Tae-Gook Jun, Eun Young Choi, Ji-Hyuk Yang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Re-intervention Femoral vein Angioplasty balloon 030204 cardiovascular system & hematology Balloon 03 medical and health sciences 0302 clinical medicine Pulmonary valve stenosis medicine.artery Internal medicine Internal Medicine medicine 030212 general & internal medicine Aorta business.industry medicine.disease Allografts Surgery Catheter Balloon dilations medicine.anatomical_structure surgical procedures operative Ventricle Pulmonary artery Cardiology Original Article Cardiology and Cardiovascular Medicine business |
| Zdroj: | Korean Circulation Journal |
| ISSN: | 1738-5555 1738-5520 |
| Popis: | BACKGROUND AND OBJECTIVES We investigated the effectiveness of balloon dilatation of homograft conduits in the pulmonary position in delaying surgical replacement. SUBJECTS AND METHODS We reviewed the medical records of patients who underwent balloon dilatation of their homograft in the pulmonary position from 2001 to 2015. The pressure gradient and ratio of right ventricular pressure were measured before and after the procedure. The primary goal of this study was to evaluate the parameters associated with the interval to next surgical or catheter intervention. RESULTS Twenty-eight balloon dilations were performed in 26 patients. The median ages of patients with homograft insertion and balloon dilatation were 20.3 months and 4.5 years, respectively. The origins of the homografts were the aorta (53.6%), pulmonary artery (32.1%), and femoral vein (14.3%). The median interval after conduit implantation was 26.7 months. The mean ratio of balloon to graft size was 0.87. The pressure gradient through the homograft and the ratio of right ventricle to aorta pressure were significantly improved after balloon dilatation (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|