دورية أكاديمية
أعرض في EDS

A perforation procedure for pulmonary atresia with intact ventricular septum : Egyptian experience and adaptations.

التفاصيل البيبلوغرافية
العنوان: A perforation procedure for pulmonary atresia with intact ventricular septum : Egyptian experience and adaptations.
عنوان ترانسليتريتد: Perforationsverfahren bei Pulmonalatresie und intaktem Ventrikelseptum : Ägyptische Erfahrungen und Anpassungen.
المؤلفون: El Saiedi SA; Department of Pediatrics, Pediatric Cardiology division, Cairo University, Ali Ibrahim St., Al-Sayeda Zainab, Cairo, Egypt., Attia WA; Department of Pediatrics, Pediatric Cardiology division, Cairo University, Ali Ibrahim St., Al-Sayeda Zainab, Cairo, Egypt. waelped@yahoo.com., Abd El-Aziz OM; Department of Pediatrics, Pediatric Cardiology division, Cairo University, Ali Ibrahim St., Al-Sayeda Zainab, Cairo, Egypt., Lotfy WN; Department of Pediatrics, Pediatric Cardiology division, Cairo University, Ali Ibrahim St., Al-Sayeda Zainab, Cairo, Egypt., Abd El-Rahim AM; Department of Anesthesia, Cairo University, Cairo, Egypt., Hassanein H; Department of Cardiothoracic Surgery, Cairo University, Cairo, Egypt., Qureshi S; Pediatric Cardiology Department, Evelina London Children Hospital, London, UK.
المصدر: Herz [Herz] 2018 Nov; Vol. 43 (7), pp. 633-641. Date of Electronic Publication: 2017 Aug 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Urban Und Vogel Country of Publication: Germany NLM ID: 7801231 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-6692 (Electronic) Linking ISSN: 03409937 NLM ISO Abbreviation: Herz
أسماء مطبوعة: Publication: Munchen : Urban Und Vogel
Original Publication: München, Urban & Schwarzenberg.
مواضيع طبية MeSH: Catheter Ablation* , Heart Defects, Congenital*/therapy , Pulmonary Atresia*/therapy, Egypt ; Humans ; Infant, Newborn ; Retrospective Studies
مستخلص: Background: Pulmonary atresia with intact ventricular septum (PA-IVS) is an uncommon disorder with significant morphological heterogeneity. The use of percutaneous radiofrequency (RF)-assisted perforation of the atretic valve and subsequent balloon dilation provides a relatively easy but expensive procedure that is expected to establish ante-grade flow through the pulmonary valve in most patients.
Objectives: The aim of the study was to attempt a cost reduction by using catheters and wires readily available in our catheter laboratory.
Methods: A total of 50 patients presenting with PA-IVS to Cairo University Children's Hospital (CUCH) were taken to the catheterization laboratory for radiofrequency perforation using the Baylis RFP-100 generator (Baylis Medical, Montréal, Canada) or the stiff end of a coronary wire. A hybrid approach was used in selected cases.
Results: The overall success rate for valve perforation was 92% (46 cases), 80% of which had successful primary perforation (40 cases). Success correlated with both tricuspid valve (TV) annulus and pulmonary valve (PV) annulus Z-scores, with P values of 0.2 and 0.5, respectively.
Conclusion: The management of PA-IVS is complex. This is a disease that necessitates a dedicated team and working collaboration between the cardiologists and cardiac surgeons. Cost limitation is essential in developing countries and innovative ideas to reduce costs are essential, especially if comparable success can be expected.
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فهرسة مساهمة: Keywords: Cost limitation; Developing countries; Pulmonary atresia; Radiofrequency perforation; Tricuspid annulus
SCR Disease Name: Pulmonary Atresia with Intact Ventricular Septum
تواريخ الأحداث: Date Created: 20170825 Date Completed: 20190729 Latest Revision: 20190729
رمز التحديث: 20231215
DOI: 10.1007/s00059-017-4606-x
PMID: 28835981
قاعدة البيانات: MEDLINE
الوصف
تدمد:1615-6692
DOI:10.1007/s00059-017-4606-x