دورية أكاديمية
Experience with balloon pulmonary valvuloplasty and predictors of outcome: a ten-year study.
| العنوان: | Experience with balloon pulmonary valvuloplasty and predictors of outcome: a ten-year study. |
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| المؤلفون: | El-Saeidi SA; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Hamza HS; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Agha HM; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Soliman MM; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Attia WA; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., El-Kaffas R; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Abdel-Aziz F; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Abdel-Aziz O; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Shaker S; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Esmat A; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Ammar R; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Fattouh A; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., Mohi-Eldin K; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt., El-Sisi AM; Paediatric Department, Cardiology Division, Cairo University, Cairo, Egypt. |
| المصدر: | Cardiology in the young [Cardiol Young] 2020 Apr; Vol. 30 (4), pp. 482-488. Date of Electronic Publication: 2020 Feb 19. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 9200019 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1467-1107 (Electronic) Linking ISSN: 10479511 NLM ISO Abbreviation: Cardiol Young Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2005->: Cambridge : Cambridge University Press Original Publication: Chapel Hill, NC : World Publishers, c1991- |
| مواضيع طبية MeSH: | Forecasting*, Balloon Valvuloplasty/*methods , Cardiac Catheterization/*methods , Pulmonary Valve/*surgery , Pulmonary Valve Stenosis/*surgery, Child, Preschool ; Cross-Sectional Studies ; Echocardiography ; Female ; Follow-Up Studies ; Humans ; Infant ; Male ; Pulmonary Valve/diagnostic imaging ; Pulmonary Valve Stenosis/diagnosis ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Background: Balloon pulmonary valvuloplasty is the treatment of choice for patients with moderate to severe pulmonary valve stenosis. Methods: An observational retrospective cross-sectional study including neonates, small infants, and children who underwent balloon pulmonary valvuloplasty in the period from 2007 to 2016 in the cardiac catheterisation unit of the paediatric cardiology department in Cairo University. Multivariable models were built to report the predictors of the outcome of balloon pulmonary valvuloplasty and its complications. Results: A total of 1200 patients were included in the study and divided according to age into 3 groups: neonates and early infants (n = 282), infants (n = 362), and children (n = 556). Procedural success, defined as a drop pressure gradient across the pulmonary valve to less than or equal to 50% of the baseline measurements, was achieved in 82.7% of the patients. Multivariate analysis revealed that only infundibular pulmonary stenosis (p value 0.032), supravalvular in association with valvular pulmonary stenosis (p value <0.001), and pulmonary valve diameter by angiogram (p value <0.001) were significant predictors of success. The presence of supravalvular in association with valvular pulmonary stenosis (p value <0.001) was associated with a lower weight (p value 0.007) and higher right ventricular pressure before the intervention (p value <0.001), and a minor immediate drop in the pressure gradient post-intervention (p value <0.001) was found to be the most significant predictor of the occurrence of complications. Conclusion: The absence of infundibular and supravalvular stenosis and a large pulmonary valve diameter were the most significant predictors of success. |
| فهرسة مساهمة: | Keywords: Valvular pulmonary stenosis; balloon valvuloplasty; percutaneous |
| تواريخ الأحداث: | Date Created: 20200220 Date Completed: 20210113 Latest Revision: 20210113 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1017/S1047951120000360 |
| PMID: | 32070441 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1467-1107 |
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| DOI: | 10.1017/S1047951120000360 |