Right Ventricular Outflow Tract Reintervention in the Transcatheter Era: Outcomes and Cost Analysis
| Autor: | Brendan Shafer, Danielle Crethers, Anastasios C. Polimenakos, Lauren Mathis, Joshua Kalish |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Cardiac Catheterization medicine.medical_specialty Cost-Benefit Analysis Diastole 030204 cardiovascular system & hematology Ventricular Outflow Obstruction Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life 030225 pediatrics medicine Humans Ventricular outflow tract Prospective Studies Child Heart Valve Prosthesis Implantation business.industry Infant Perioperative Length of Stay Vascular surgery Surgery Cardiac surgery Treatment Outcome Blood pressure medicine.anatomical_structure Echocardiography Child Preschool Pulmonary valve Pediatrics Perinatology and Child Health Quality of Life Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Pediatric Cardiology. 41:599-606 |
| ISSN: | 1432-1971 0172-0643 |
| Popis: | Surgical pulmonary valve insertion (SPVI) for re-entry right ventricular outflow tract intervention (RVOTI) remains an established and reproducible approach. Fast-track in patients undergoing RVOTI of the comprehensive valve program targets early ICU and hospital discharge (Hd). Feasibility study for outcome and cost analysis was undertaken. Between January 2015 and December 2016, 34 patients underwent re-entry RVOTI. Seventeen had SPVI and 17 transcatheter PVI (TPVI). Surgical perioperative fast-track protocol was used. Echocardiographic evaluation preoperatively (TTE-1), after RVOTI (TTE-2), at hospital discharge (TTE-3), and follow-up (TTE-4) were obtained. Cost Analysis included procedural and hospital costs. Mean follow-up period was 11.3 ± 6.9 months. All patients were extubated prior to ICU arrival. Mean age was 8.5 ± 7.8 for SPVI [vs 28.5 ± 8.6 years for TPVI] (p |
| Databáze: | OpenAIRE |
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