Ten-years, single-center experience with arterial duct stenting in duct-dependent pulmonary circulation: early results, learning-curve changes, and mid-term outcome
| Autor: | Santoro G., Gaio G., Giugno L., Capogrosso C., Palladino M. T., Iacono C., Caianiello G., Russo M. G. |
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| Přispěvatelé: | Santoro, G., Gaio, G., Giugno, L., Capogrosso, C., Palladino, M. T., Iacono, C., Caianiello, G., Russo, M. G. |
| Rok vydání: | 2014 |
| Předmět: |
Heart Defects
Congenital Cardiac Catheterization Pulmonary Circulation Time Factors Time Factor Ductus Arteriosu cyanosi Tertiary Care Center Pulmonary Artery Radiography Interventional Tertiary Care Centers newborn Risk Factors Humans Hemodynamic Hospital Mortality arterial duct Risk Factor Palliative Care Hemodynamics Infant Newborn Infant Ductus Arteriosus congenital heart disease Feasibility Studie Treatment Outcome Italy Feasibility Studies stent Stents Clinical Competence Hospitals High-Volume Learning Curve Human |
| Zdroj: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 86(2) |
| ISSN: | 1522-726X |
| Popis: | Objectives To evaluate early results, learning-curve changes, and mid-term outcome of arterial duct (AD) stenting in congenital heart disease with duct-dependent pulmonary circulation (CHD-DPC) in a high-volume, tertiary referral center. Background In spite of wide acceptance as cost-effective alternative to surgical palliation, AD stenting indications, results and mid-term outcome still largely depend on small series, experiences in particular subsets of patients or multicenter series with different approaches and interventional philosophy. Methods Between April 2003 and December 2013, 119 patients underwent AD stenting as lower-risk palliation of CHD-DPC at our Institution. Procedural and mid-term follow-up data of these patients are reported. Results The procedure was successfully completed in 93.3% of cases, with a complication rate and in-hospital mortality of 17.6% and 3.6%, respectively. No patient underwent rescue surgical shunt but elective Blalock-Taussig shunt was needed in 15 patients (13.5%). Over time, favorable trends toward higher feasibility and efficacy in complex ductal anatomy as well as lower procedural risk were recorded. Presurgical cardiac catheterization (n-=-36) showed significant and balanced pulmonary artery (PA) growth (Nakata Index +113-±-101%; left PA z-score +87-±-52%; right PA z-score +97-±-53%, P |
| Databáze: | OpenAIRE |
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