| The Contegra conduit: Late outcomes in right ventricular outflow tract reconstruction. | |
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MedLine Citation:
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PMID: 22529597 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVES: To report the clinical outcomes (early death, late death, and rate of reintervention) and performance of the Contegra conduit as a right ventricle outflow tract implant and to determine the risk factors for early reintervention. METHODS: Forty-nine Contegra conduits were implanted between January 2002 and June 2009. Data collection was retrospective. The mean age and follow-up duration of Contegra recipients was 3.5 ± 4.6 years and 4.2 ± 2.0 years, respectively. RESULTS: There were three deaths (two early, one late), giving a survival rate of 93.9%. The rate of conduit-related reintervention was 19.6% and was most often due to distal conduit stenosis. Age at implantation of <3 months, receipt of a conduit of 12-16 mm diameter, and a diagnosis of truncus arteriosus were each significant contributors to the rate of reintervention. CONCLUSION: The Contegra is a cost-effective and readily available solution. However, there is a limited range of larger calibers, which means that the homograft conduit (>22 mm) remains the first choice of implant in older children. The rates of reintervention are significantly higher with a diagnosis of truncus arteriosus, age at implantation of <3 months, and implantation of conduits sized 12-16 mm. |
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Authors:
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Anthony A Holmes; Steve Co; Derek G Human; Jacques G Leblanc; Andrew Im Campbell |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of pediatric cardiology Volume: 5 ISSN: 0974-5149 ISO Abbreviation: Ann Pediatr Cardiol Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-04-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101495459 Medline TA: Ann Pediatr Cardiol Country: India |
Other Details:
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Languages: eng Pagination: 27-33 Citation Subset: - |
Affiliation:
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Division of Pediatric Cardiovascular and Thoracic Surgery, BC Children's Hospital, Vancouver, British Columbia, Canada. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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