دورية أكاديمية
Percutaneous coronary stent implantation in children and young infants following surgical repair of congenital heart disease.
| العنوان: | Percutaneous coronary stent implantation in children and young infants following surgical repair of congenital heart disease. |
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| المؤلفون: | Al-Ata JA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Abdelmohsen GA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Cairo University, Cairo, Egypt., Bahaidarah SA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia., Alkhushi NA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Abdelsalam MH; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia.; Cardiothoracic Surgery Department, Benha University, Benha, Egypt., Bekheet SB; Pediatric Cardiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Cairo University, Cairo, Egypt., Al-Radi OO; Cardiac Surgery Division, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Jamjoom AA; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Elmahrouk AF; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt., Alata AJ; Pediatric Cardiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Yousef AA; Division of Pediatric Critical Care, Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Pediatrics, Faculty of Medicine, Helwan University, Cairo, Egypt., Dohain AM; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Cairo University, Cairo, Egypt.; Pediatric Critical Care Unit, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia. |
| المصدر: | Cardiovascular diagnosis and therapy [Cardiovasc Diagn Ther] 2023 Aug 31; Vol. 13 (4), pp. 638-649. Date of Electronic Publication: 2023 Aug 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AME Publishing Company Country of Publication: China NLM ID: 101601613 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2223-3652 (Print) Linking ISSN: 22233652 NLM ISO Abbreviation: Cardiovasc Diagn Ther Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: SHEUNG WAN, Hong Kong : AME Publishing Company Original Publication: Hangzhou, China : CDT Office, [2011]- |
| مستخلص: | Background: Coronary artery stent implantation (CSI) in the pediatric population is rare. Only a few reports were published on managing postoperative coronary artery obstruction using coronary stents following surgical repair of congenital heart diseases (CHD). This study aimed to analyze the feasibility, indications, procedural technique, risk factors, and short-term outcomes of CSI after pediatric cardiac surgery. Methods: In this retrospective cohort study, we reviewed all pediatric patients who underwent surgical repair of CHD requiring postoperative CSI in two cardiac centers (King Abdulaziz University Hospital and King Faisal Specialist Hospital and Research Center) between 2012 and 2022. Survival to hospital discharge was the study's primary outcome. The secondary outcomes included procedural success, duration of mechanical ventilation, intensive care unit (ICU) stay, hospital stay, need for coronary reintervention, and late mortality. A descriptive analysis was performed for the collected data from the patients' medical records. Results: Eleven patients who underwent postoperative CSI were identified. The most common anatomic diagnosis was congenital aortic valve stenosis. All patients underwent cardiac catheterization on extracorporeal membrane oxygenation support except one patient, who presented with chest pain after cardiac surgery. Procedural success was achieved in all patients with excellent revascularization documented by post-procedural angiograms. Both patients who had late coronary events after cardiac surgery survived hospital discharge. There was no in-hospital mortality among the two patients who required stenting of only the right coronary artery. The four patients who required more than 120 minutes to complete the procedure had early mortality. After CSI, the median duration of mechanical ventilation and ICU stay was 12 and 17 days, respectively. Six patients (54.5%) survived hospital discharge post-CSI; they did not require re-intervention during the follow-up period (38-1,695 days). Conclusions: CSI in pediatric patients can be performed with excellent procedural success for treating coronary artery stenosis after cardiac surgery. It could be considered a potential treatment strategy for this population. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://cdt.amegroups.com/article/view/10.21037/cdt-23-54/coif). The authors have no conflicts of interest to declare. (2023 Cardiovascular Diagnosis and Therapy. All rights reserved.) |
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| فهرسة مساهمة: | Keywords: Coronary stent implantation (CSI); cardiac surgery; congenital heart disease (CHD); survival |
| تواريخ الأحداث: | Date Created: 20230907 Latest Revision: 20230908 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10478021 |
| DOI: | 10.21037/cdt-23-54 |
| PMID: | 37675094 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2223-3652 |
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| DOI: | 10.21037/cdt-23-54 |