| Pulmonary vein stenosis: initial experience with cutting balloon angioplasty. | |
| | |
MedLine Citation:
|
PMID: 16278274 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine the safety and effectiveness of cutting balloon angioplasty for pulmonary vein stenosis (PVS). DESIGN AND SETTING: Retrospective review of case notes and cardiac catheterisation data at the Royal Brompton Hospital. MAIN OUTCOME MEASURES: Diameter of pulmonary vein, tricuspid regurgitant jet velocity on echocardiogram, and percutaneous oxygen saturation before and after cutting balloon angioplasty. RESULTS: Three patients had congenital PVS and three had PVS associated with total anomalous pulmonary venous drainage. A total of 27 PVSs were treated during 12 catheterisation procedures. Median patient age at the time of procedure was 12.5 months (range 1.5-36 months) and weight was 7.1 kg (range 2.8-11.1 kg). Minimum pulmonary vein diameter increased significantly on angiography after cutting balloon angioplasty, from mean (SD) 2.3 (0.7) mm to 4.2 (1.9) mm, mean of differences 1.9 mm (95% confidence interval (CI) 0.9 to 2.9 mm, p = 0.0013). Mean (SD) oxygen saturation rose from 79.6 (12.9)% to 83.9 (9.0)%, mean of differences 4.3% (95% CI 0.7% to 8.0%, p = 0.0238). All children's symptoms improved subjectively. Tricuspid regurgitant jet velocity did not change significantly. The longest time interval before repeat intervention was six months. There were no acute deaths; one patient had a small pulmonary haemorrhage and developed a small aneurysm adjacent to the site of angioplasty. CONCLUSION: Cutting balloon angioplasty is safe in the palliation of PVS in children. It gives some acute relief but often needs to be repeated, as improvement is rarely sustained. |
| | |
Authors:
|
A N Seale; P E F Daubeney; A G Magee; M L Rigby |
Related Documents
:
|
10392954 - Selective venous thrombolysis with the nipple-balloon catheter: comparative evaluation ... 2772214 - Shear stress in the performance of esophageal dilation: comparison of balloon dilation ... 11873954 - Balloon dilation for the treatment of chronic recurrent nasopharyngeal stenosis in a cat. 20718164 - Balloon pulmonary valvuloplasty in tetralogy of fallot: effects on growth of pulmonary ... 15044704 - The spatial orientation of helicobacter pylori in the gastric mucus. 9892484 - Repair of descending thoracic aortic dissection or aneurysm combined with repair of the... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't Date: 2005-11-08 |
Journal Detail:
|
Title: Heart (British Cardiac Society) Volume: 92 ISSN: 1468-201X ISO Abbreviation: Heart Publication Date: 2006 Jun |
Date Detail:
|
Created Date: 2006-05-15 Completed Date: 2006-06-19 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 9602087 Medline TA: Heart Country: England |
Other Details:
|
Languages: eng Pagination: 815-20 Citation Subset: AIM; IM |
Affiliation:
|
The Royal Brompton Hospital, London, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angioplasty, Balloon
/
adverse effects,
methods* Child, Preschool Female Follow-Up Studies Humans Infant Male Pulmonary Veno-Occlusive Disease / therapy* Retrospective Studies Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Increased periconceptual maternal glycated haemoglobin in diabetic mothers reduces fetal long axis c...
Next Document: Can atrioventricular septal defects exist with intact septal structures?