Document Detail


Balloon dilation catheters.
MedLine Citation:
PMID:  2408000     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Catheter therapy has gained an important role in the treatment of congenital heart disease. The cumulative experience with vascular and valvular balloon dilations has demonstrated low mortality and morbidity with short-term results similar to surgery. Currently, balloon dilation is an accepted treatment for valvular pulmonary stenosis, distal pulmonary artery stenosis, recurrent coarctation, rheumatic mitral stenosis, congenital valvular aortic stenosis, and intra-atrial baffle obstruction. Except for patients at high surgical risk, balloon dilation of native coarctation is considered investigational at most institutions but accepted at others. No conclusive evaluation is yet possible for dilation of bioprosthetic valves and membranous subaortic stenosis. Individual pulmonary veins appear undilatable. Various devices are available for closure of extra- and intracardiac communications. Transcatheter closure of aortopulmonary collaterals and arteriovenous malformations is now well established at some centers. In selected patients, therapeutic embolization of surgical shunts can replace surgery. Transcatheter closure of the patent ductus arteriosus has become routine at some centers. Nonsurgical closure of atrial and ventricular septal defects has entered clinical trials, and preliminary results appear very promising. Blade atrioseptostomy and foreign body retrieval are well established. Improvement of existing procedures and implementation of new concepts will consolidate the role of catheter therapy in congenital and acquired heart disease.
Authors:
W Radtke; J Lock
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric clinics of North America     Volume:  37     ISSN:  0031-3955     ISO Abbreviation:  Pediatr. Clin. North Am.     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-04-06     Completed Date:  1990-04-06     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0401126     Medline TA:  Pediatr Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  193-213     Citation Subset:  AIM; IM    
Affiliation:
Medical University of South Carolina, Charleston.
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MeSH Terms
Descriptor/Qualifier:
Aortic Coarctation / therapy
Balloon Dilatation* / adverse effects,  instrumentation,  methods
Equipment Failure
Forecasting
Foreign Bodies / etiology,  therapy
Heart Defects, Congenital / therapy*
Heart Valve Diseases / therapy
Heart Valve Prosthesis
Humans
Pulmonary Valve Stenosis / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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