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Usefulness of cutting balloon angioplasty for the treatment of congenital heart defects
Affiliations- Regional Specialized Hospital, Research and Development Center, Pediatric Cardiology Department, Wroclaw, Poland, Kamienskiego, 51-124 Wroclaw, Poland
- Medical University of Silesia, Pediatric Cardiology Department, Katowice, Poland, Medykow, 40-752 Wroclaw, Poland
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Abstract
Background: Patients with complex congenital heart defects may have different hemodynamic problems which require a variety of interventional procedures including angioplasty which involves using high-pressure balloons. After failure of conventional balloon angioplasty, cutting balloon angioplasty is the next treatment option available. The purpose of this study was to evaluate the safety and efficacy of cutting balloon angioplasty in children with different types of congenital heart defects.
Methods: Cutting balloon angioplasty was performed in 28 children with different congenital heart defects. The indication for cutting balloon angioplasty was: pulmonary artery stenosis in 17 patients, creating or dilatation of interatrial communication in 10 patients, and stenosis of left subclavian artery in 1 patient.
Results: In the pulmonary arteries group there was a significant decrease in systolic blood pressure (SBP) in the proximal part of the artery from the average 74.33 ± 20.4 mm Hg to 55 ± 16.7 mm Hg (p < 0.001). Distal to the stenosis there was an increase in SBP from 19.8 ± 3.82 mm Hg to 30.3 ± ± 13.3 mm Hg (p = 0.04). This result remained constant in the follow-up. In atrial septal defect/fenestration group, cutting balloon angioplasty was performed after an unsuccessful classic Rashkind procedure. After cutting balloon angioplasty there was a significant widening of the interatrial communication.
Conclusions: Cutting balloon angioplasty is a feasible and effective treatment option in different congenital heart defects.
Abstract
Background: Patients with complex congenital heart defects may have different hemodynamic problems which require a variety of interventional procedures including angioplasty which involves using high-pressure balloons. After failure of conventional balloon angioplasty, cutting balloon angioplasty is the next treatment option available. The purpose of this study was to evaluate the safety and efficacy of cutting balloon angioplasty in children with different types of congenital heart defects.
Methods: Cutting balloon angioplasty was performed in 28 children with different congenital heart defects. The indication for cutting balloon angioplasty was: pulmonary artery stenosis in 17 patients, creating or dilatation of interatrial communication in 10 patients, and stenosis of left subclavian artery in 1 patient.
Results: In the pulmonary arteries group there was a significant decrease in systolic blood pressure (SBP) in the proximal part of the artery from the average 74.33 ± 20.4 mm Hg to 55 ± 16.7 mm Hg (p < 0.001). Distal to the stenosis there was an increase in SBP from 19.8 ± 3.82 mm Hg to 30.3 ± ± 13.3 mm Hg (p = 0.04). This result remained constant in the follow-up. In atrial septal defect/fenestration group, cutting balloon angioplasty was performed after an unsuccessful classic Rashkind procedure. After cutting balloon angioplasty there was a significant widening of the interatrial communication.
Conclusions: Cutting balloon angioplasty is a feasible and effective treatment option in different congenital heart defects.
Keywords
cutting balloon, angioplasty, children, congenital heart defect
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About this articleTitle
Usefulness of cutting balloon angioplasty for the treatment of congenital heart defects
Journal
Issue
Pages
165-170
Published online
2017-11-03
Page views
2563
Article views/downloads
1412
DOI
10.5603/CJ.a2017.0128
Pubmed
Bibliographic record
Cardiol J 2018;25(2):165-170.
Keywords
cutting balloon
angioplasty
children
congenital heart defect
Authors
Jacek Kusa
Magdalena Mazurak
Agnieszka Skierska
Leslaw Szydlowski
Pawel Czesniewicz
Lukasz Manka
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