Document Detail


Predictors of re-intervention in neonates with critical pulmonary stenosis or pulmonary atresia with intact ventricular septum.
MedLine Citation:
PMID:  21954133     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: Describe the short and midterm outcome and to determine the predictors of re-intervention in neonates with critical pulmonary stenosis (PS) or pulmonary atresia with intact ventricular septum (PA/IVS). BACKGROUND: The transcatheter intervention for critical PS and PA/IVS resulted in improvement in the patient's survival and the quality of life. The procedure is not free of complications and there is still a significant rate of re-intervention. METHOD: All neonates with critical PS or PA/IVS who underwent interventional cardiac catheterization between November 2004 and January 2009 were reviewed retrospectively. We performed a comparison between those who required re-intervention and those who did not, to identify the predictors of re-intervention. RESULTS: Forty three neonates were included, 23 (53.5%) had critical PS and 20 (46.5%) had PA/IVS. 26 patients (60%) were males, the mean age was 11 ± 8 days, and the mean weight was 3.2 ± 0.6 kg. Two patients died (4.6%). The Mean follow-up period was 19±13 months for 42 patients. 15 patients (36%) required re-intervention, 11 of them (73%) had PA/IVS and 4 (27%) had critical PS. Re-intervention was more in patients with PA/IVS than those with critical PS (P=0.003). Other predictors for re-intervention included hospital stay > 7.5 days (P=0.001) and tricuspid valve regurgitation peak gradient in day one post first intervention (TR1) > 43mmHg (P=0.03). CONCLUSION: Interventional cardiac catheterization shows favorable outcome for critical PS and PA/IVS patients. Predictors for re-intervention included the diagnosis of PA/IVS, hospital stay >7.5 days after first intervention and TR1 gradient > 43mmHg. © 2011 Wiley-Liss, Inc.
Authors:
Ghassan Shaath; Mansour Al Mutairi; Omar Tamimi; Ali Alakhfash; Mostafa Abolfotouh; Fahad Alhabshan
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-27
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
From the Cardiac Sciences Department, Pediatric Cardiology, King Abdulaziz Cardiac Center, National Guard Health Affairs, Riyadh, Saudi Arabia.
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