| Balloon debanding the pulmonary artery: in vitro studies and early clinical experience. | |
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MedLine Citation:
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PMID: 19664031 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite increasing corrective procedures for children with congenital heart disease, there remains a place for surgical banding of the main pulmonary artery (PA). In the vast majority of cases, these bands eventually need to be removed. We examined three cases of percutaneous disruption of PA bands using balloon catheters at our institution. We also performed an in vitro study of PA band disruption mechanism and disruption pressure. Our in vitro study suggested a predictable burst pressure for PA bands over the range of diameters routinely used in pediatric practice. Of three patients who underwent interventional debanding, two patients had successful disruption of their PA bands with no reintervention at 19 months and 23 months follow up. Balloon disruption of surgical PA bands may offer a less invasive alternative to surgical band removal. In vitro analysis suggests that the burst pressure required and mechanism of disruption are predictable. |
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Authors:
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Gareth J Morgan; Qiang Chen; Andrew Parry; Robin Martin |
Publication Detail:
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Type: Case Reports; In Vitro; Journal Article |
Journal Detail:
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Title: Congenital heart disease Volume: 4 ISSN: 1747-0803 ISO Abbreviation: Congenit Heart Dis Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-08-11 Completed Date: 2009-10-29 Revised Date: 2011-05-05 |
Medline Journal Info:
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Nlm Unique ID: 101256510 Medline TA: Congenit Heart Dis Country: United States |
Other Details:
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Languages: eng Pagination: 273-7 Citation Subset: IM |
Affiliation:
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Bristol Congenital Heart Centre-Cardiac Surgery, Bristol, UK. hotmorgan@doctors.net.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon* Blood Vessel Prosthesis* Child, Preschool Hand Deformities, Congenital / surgery* Humans Infant Palliative Care Pulmonary Artery / abnormalities*, surgery* Retrospective Studies Vascular Surgical Procedures |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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