Document Detail

Balloon atrial septostomy under echocardiographic control: six years' experience and evaluation of the practicability of cannulation via the umbilical vein.
MedLine Citation:
PMID:  2015123     Owner:  NLM     Status:  MEDLINE    
Balloon atrial septostomy was undertaken under cross sectional echocardiographic control in 63 consecutive infants: in no case was fluoroscopic imaging required. The procedure was performed in the cardiac catheterisation laboratory, ward side room, or at the bedside in the neonatal intensive care unit. Catheterisation via the umbilical vein was attempted in 37 infants aged less than 48 hours old and was successful in 27. No complication was clearly attributable to the procedure though two infants died. A nine day old child died from disseminated intravascular coagulation the day after septostomy by the iliofemoral route and another, aged nine days, died of necrotising enterocolitis which had developed when he was eight days old, after umbilical catheterisation at eight hours. Balloon atrial septostomy is a safe and easy procedure under cross sectional echocardiographic imaging control. Catheterisation via the umbilical vein was safe, easy to perform, and is appropriate in infants aged less than 48 hours.
M Ashfaq; A B Houston; J P Gnanapragasam; S Lilley; E P Murtagh
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British heart journal     Volume:  65     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-05-17     Completed Date:  1991-05-17     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  148-51     Citation Subset:  AIM; IM    
Department of Cardiology, Royal Hospital for Sick Children, Glasgow.
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MeSH Terms
Balloon Dilatation / methods*
Evaluation Studies as Topic
Heart Atria / ultrasonography
Heart Catheterization / methods*
Heart Defects, Congenital / therapy*,  ultrasonography
Heart Septum / ultrasonography
Infant, Newborn
Umbilical Veins*
Comment In:
Br Heart J. 1992 Feb;67(2):205-6   [PMID:  1610445 ]
Br Heart J. 1992 Feb;67(2):204-5; author reply 206   [PMID:  1540446 ]

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