دورية أكاديمية
أعرض في EDS

Outcome Predictors in Catheter Interventions for Severe Right Ventricular Outflow Tract Obstructions.

التفاصيل البيبلوغرافية
العنوان: Outcome Predictors in Catheter Interventions for Severe Right Ventricular Outflow Tract Obstructions.
المؤلفون: El-Saiedi SA; Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt., Attia WA; Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt., Abd El-Rahim A; Department of Anesthesia, Faculty of Medicine, Cairo University, Egypt., Hanna BM; Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt.
المصدر: Journal of the Saudi Heart Association [J Saudi Heart Assoc] 2022 Apr 11; Vol. 34 (1), pp. 41-52. Date of Electronic Publication: 2022 Apr 11 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Saudi Heart Association Country of Publication: Saudi Arabia NLM ID: 9887261 Publication Model: eCollection Cited Medium: Print ISSN: 1016-7315 (Print) Linking ISSN: 10167315 NLM ISO Abbreviation: J Saudi Heart Assoc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2020- : Riyadh, Saudi Arabia : Saudi Heart Association
Original Publication: Riyadh, Saudi Arabia : King Saud University, College of Medicine
مستخلص: Introduction & Aim of Work: Transcatheter treatment for critical pulmonary stenosis and membranous pulmonary atresia has become the gold standard of care in many centers. We aimed at evaluating the predictors of outcome in interventions for treatment of duct-dependent right ventricular outflow tract obstruction with intact interventricular septum.
Subjects & Methods: 68 cases with pulmonary atresia with intact interventricular septum (PA/IVS) and 50 cases with critical pulmonary stenosis (CPS), all younger than 3 months of age, were operated during the period of 10 years; excluding patients with tricuspid valve annulus Z-score smaller than -4, evidence of right ventricular-dependent coronary circulation or additional malformations.
Results: Age, weight, body surface area as well as tricuspid & pulmonary valve Z-scores were significantly less in PA/IVS; right ventricular pressure was similar in both groups however procedural success and survival to hospital discharge was higher in the CPS group. Lower age, weight and body surface area were associated with procedural failure. Weight was the only predictor of procedural success; while weight and lower post-procedural right ventricular pressure were independent predictors for survival to hospital discharge. Post-procedural right ventricular pressure and length of stay were less in the CPS group. tricuspid and pulmonary valve annulus Z-scores were the only independent predictors of the post-procedural milrinone duration in PA/IVS.
Conclusion: We advocate for the use of larger balloon/pulmonary annulus ratio, to achieve a lower right ventricular pressure not fearing excessive pulmonary regurgitation that might be beneficial for right ventricular growth; and for the combination with ductal stenting in borderline or bipartite right ventricles.
Competing Interests: Conflict of interests All authors declare no conflict of interest.
(© 2022 Saudi Heart Association.)
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فهرسة مساهمة: Keywords: Critical pulmonary stenosis; Outcome; Pulmonary atresia; Transcatheter intervention
تواريخ الأحداث: Date Created: 20220701 Latest Revision: 20220716
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9236724
DOI: 10.37616/2212-5043.1292
PMID: 35774726
قاعدة البيانات: MEDLINE
الوصف
تدمد:1016-7315
DOI:10.37616/2212-5043.1292