| Interventional cardiac catheterization. | |
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MedLine Citation:
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PMID: 10218085 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Over the past decade, transcatheter interventions have become increasingly important in the treatment of patients with congenital heart lesions. These procedures may be broadly grouped as dilations (e.g., septostomy, valvuloplasty, angioplasty, and endovascular stenting) or as closures (e.g., vascular embolization and device closure of defects). Balloon valvuloplasty has become the treatment of choice for patients in all age groups with simple valvar pulmonic stenosis and, although not curative, seems at least comparable to surgery for congenital aortic stenosis in newborns to young adults. Balloon angioplasty is successfully applied to a wide range of aortic, pulmonary artery, and venous stenoses. Stents are useful in dilating lesions of which the intrinsic elasticity results in vessel recoil after balloon dilation alone. Catheter-delivered coils are used to embolize a wide range of arterial, venous, and prosthetic vascular connections. Although some devices remain investigational, they have been successfully used for closure of many arterial ducts and atrial and ventricular septal defects. In the therapy for patients with complex CHD, best results may be achieved by combining cardiac surgery with interventional catheterization. The cooperation among interventional cardiologists and cardiac surgeons was highlighted in a report of an algorithm to manage patients with tetralogy of Fallot or pulmonary atresia with diminutive pulmonary arteries, involving balloon dilation, coil embolization of collaterals, and intraoperative stent placement. In this setting, well-planned catheterization procedures have an important role in reducing the overall number of procedures that patients may require over a lifetime, with improved outcomes. |
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Authors:
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J Pihkala; D Nykanen; R M Freedom; L N Benson |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Pediatric clinics of North America Volume: 46 ISSN: 0031-3955 ISO Abbreviation: Pediatr. Clin. North Am. Publication Date: 1999 Apr |
Date Detail:
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Created Date: 1999-05-06 Completed Date: 1999-05-06 Revised Date: 2005-11-04 |
Medline Journal Info:
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Nlm Unique ID: 0401126 Medline TA: Pediatr Clin North Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 441-64 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiology, Hospital for Sick Children, University of Toronto School of Medicine, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Algorithms Balloon Dilatation / methods* Cardiac Surgical Procedures Child Child, Preschool Combined Modality Therapy Heart Catheterization / methods* Heart Diseases / diagnosis*, therapy* Humans Infant Infant, Newborn Pediatrics Radiography, Interventional / methods* Stents Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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