Transcatheter interventions across fresh suture lines in infants and children: an 8-year experience

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
George T NicholsonChristopher J Petit

Abstract

The purpose of this study was to examine the outcomes of catheter dilation interventions in general upon surgical anastomotic sites in the immediate postoperative period. Early postoperative cardiac catheter intervention is regarded as high-risk, particularly when a dilation intervention across a fresh suture line is performed. All catheter dilation interventions performed upon a fresh suture line within 30 days of congenital heart surgery between August 2005 and December 2013 were reviewed. Values are reported as median and interquartile range (IQR). Primary endpoint was procedural success, which was defined as an increase in vessel diameter of >75% of the adjacent normal vessel or 50% increase over pre-dilation diameter. Secondary endpoints included procedural complications and survival to hospital discharge. Forty-five patients, median age 0.15 years (0.03-0.51 years), weight 4.1 kg (3.1-6.4 kg), underwent 62 interventional procedures on median postoperative day 7 (3-13 days). Among the 62 dilation interventions at surgical anastomotic areas, were 30 stent and 32 balloon angioplasty procedures. There were two major complications including: arterial dissection during stent placement and a procedural mortality due to pulmonary...Continue Reading

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Citations

Mar 31, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Melissa L BatesLuke J Lamers
Sep 10, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Yinn Khurn OoiChristopher J Petit
Mar 16, 2017·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Abigail E LonekerDenver M Faulk
May 11, 2018·Pediatric Cardiology·Ryan CallahanAudrey C Marshall
May 5, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Evan M ZahnDustin Armer

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