Document Detail

Single-stage balloon valvuloplasty for critical pulmonary valve stenosis in the neonate.
MedLine Citation:
PMID:  9062735     Owner:  NLM     Status:  MEDLINE    
Balloon valvuloplasty (BV) in neonates with critical pulmonary valve stenosis (CPVS) is limited by technical considerations, mainly the difficulty of traversing the stenotic valve. To simplify the procedure we used a 4F Cobra Type I catheter to cross the pulmonary valve (PV) without the aid of a guidewire, and performed single-stage BV, using low-profile balloons, in 12 neonates with CPVS. Procedure and total fluoroscopy times were 69 +/- 33 min (42-125 min) and 34 +/- 19 min (20-58 min), respectively. Following BV, right ventricular systolic pressure (RVSP) decreased from 102 +/- 17 mm Hg to 56 +/- 15 mm Hg (p < 0.001); and the ratio of RVSP to aortic systolic pressure decreased from 1.39 +/- 0.22 to 0.73 +/- 0.21 (p < 0.001). No significant complications were observed. BV failed in two patients, who subsequently had surgery. At follow-up (a mean of 19 months), Doppler gradient was 19 +/- 12 mm Hg (0.50 mm Hg). BV was repeated in one patient. We conclude that in neonates with CPVS, the use of the 4F Cobra type I catheter facilitates crossing of the PV and allows performance of BV in a single stage; this enhances safety and time-efficiency, and shortens exposure to radiation.
B Thanopoulos; F Triposkiadis; G S Tsaousis
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  40     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-05-29     Completed Date:  1997-05-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  322-5     Citation Subset:  IM    
Department of Pediatric Cardiology, Aghia Sophia Athens Children's Hospital, Greece.
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MeSH Terms
Balloon Dilatation / instrumentation,  methods*
Echocardiography, Doppler
Follow-Up Studies
Heart Catheterization
Hemodynamics / physiology
Infant, Newborn
Oxygen Consumption
Pulmonary Valve Stenosis / diagnosis,  therapy*
Vascular Patency

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