| Balloon dilation of neonatal critical aortic valvar stenosis via the umbilical artery. | |
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MedLine Citation:
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PMID: 19368762 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To report our experience with balloon dilation of critical aortic valvar stenosis in neonates via the umbilical artery using currently available catheters. BACKGROUND: There is no agreement regarding the optimal vascular approach for balloon dilation of critical aortic valvar stenosis in neonates. METHODS: Since June of 2005, we have attempted to obtain umbilical arterial access within the first week after birth in all neonates with critical aortic valvar stenosis. In patients in whom umbilical artery access was obtained, we proceeded with an attempt at balloon dilation. RESULTS: We were presented with 5 patients with critical aortic valvar stenosis within the first week after birth, and the umbilical arterial approach was obtained in all, with effective relief of the stenosis achieved in 4. CONCLUSIONS: The umbilical arterial approach should always be considered for balloon dilation of neonatal critical aortic valvar stenosis. Using currently available catheters, the procedure is safe, simple, and effective even in patients weighing less than 2.5 kilograms. Further experience using this approach is warranted. |
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Authors:
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Tomaz Podnar; Pavel Berden; Samo Vesel |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-04-16 |
Journal Detail:
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Title: Cardiology in the young Volume: 19 ISSN: 1467-1107 ISO Abbreviation: Cardiol Young Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-11 Completed Date: 2009-10-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200019 Medline TA: Cardiol Young Country: England |
Other Details:
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Languages: eng Pagination: 278-81 Citation Subset: IM |
Affiliation:
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Department of Paediatrics, University Medical Centre Ljubljana, Vrazov trg 1, Ljubljana, Slovenia. tomaz.podnar@mf.uni-lj.si |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon
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methods* Aortic Valve Stenosis / therapy*, ultrasonography Humans Infant, Low Birth Weight Infant, Newborn Treatment Outcome Umbilical Arteries / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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