Branch pulmonary artery stent angioplasty in infants less than 10 kg

Autor: Brooke Liu Cao, Jonathan Mervis, Paul Adams, Philip Roberts, Julian Ayer
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Cardiology Congenital Heart Disease, Vol 8, Iss , Pp 100368- (2022)
Druh dokumentu: article
ISSN: 2666-6685
DOI: 10.1016/j.ijcchd.2022.100368
Popis: Background: Branch pulmonary artery (PA) Stenting is an established strategy for PA stenosis in older children and adults. Its use in infants is less well established. We describe our experience of branch PA Stenting in infants 50% increase in PA diameter. Procedural complications and need for PA re-intervention were ascertained. Results: Forty-one children (age 7.6 months, IQR 2.4–9.8 months, weight 5.9 ± 2.2 kg) had 43 primary Stent implantations (10/43 intraoperative versus 33/43 transcatheter; left pulmonary artery [LPA] 25/43, right pulmonary artery [RPA] 8/43 and bilateral 10/43). Diagnoses were tetralogy of Fallot (27%), hypoplastic left heart syndrome (24%), truncus arteriosus (12%), transposition of the great arteries (7%), other single ventricle (10%) and other biventricular (20%). 40/41 (98%) had undergone a cardiac intervention in the preceding 31 days, [IQR 1–181], with 17/41 having prior branch PA intervention. 14/41 patients had urgent Stenting. There were 2 minor and 1 major complications with no procedural mortality. LPA (LPApre 2.3 ± 1.0 × 2.2 ± 1.2 mm versus LPApost 5.2 ± 1.3 × 5.0 ± 1.7 mm, p
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