| Stenting of stenotic or occluded iliofemoral veins, superior and inferior vena cavae in children with congenital heart disease: acute results and intermediate follow up. | |
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MedLine Citation:
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PMID: 19156885 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To determine the short and intermediate term outcome following systemic venous stent placement in children with congenital heart disease. BACKGROUND: Patients with congenital heart disease are at risk of stenosis or occlusion of systemic veins following indwelling lines or catheterizations. Stent dilation may ameliorate symptoms and open the vessel for use during future procedures. We report our acute and intermediate results. METHODS: All patients with systemic venous stent placement in the iliofemoral veins, inferior or superior vena cava at our institution between 1998 and 2006 were included. Initial and the follow-up catheterization data were reviewed retrospectively. RESULTS: 70 stents were placed in 33 patients (36 vessels). Median age was 2.6 years (0.2-14.2) and weight 11.5 kg (3.8-78.7). 17/36 vessels (47%) were occluded requiring recanalization. Following stent delivery, the mean minimum vessel diameter increased from 3.1 +/- 3.2 to 7.2 +/- 3.0 mm (P < 0.001). There were no major complications. Seventeen patients and vessels had a total of 62 follow-up catheterizations, with median length of follow-up 4.1 years (0.7-9.3). During intermediate follow up, 7/17 vessels (41%) required additional intervention. Six patients had additional balloon dilation of existing stents, and one additional stent was placed. Vessels were further dilated to 8.4 +/- 3.5 mm at the last catheterization. CONCLUSION: Systemic venous stents are safe and effective in recanalizing stenosed or occluded vessels. At follow-up, reocclusion can occur, however, previously placed stents can be safely recanalized if necessary. Future studies will determine if stenting is indicated in a broader population. |
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Authors:
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Jeffrey R Frazer; Frank F Ing |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 73 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-01-28 Completed Date: 2009-03-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 181-8 Citation Subset: IM |
Copyright Information:
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(c) 2009 Wiley-Liss, Inc. |
Affiliation:
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Rady Children's Hospital, San Diego, CA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Balloon Dilatation / instrumentation* Catheterization, Peripheral / adverse effects Catheters, Indwelling / adverse effects Child Child, Preschool Constriction, Pathologic Female Femoral Vein* / physiopathology, radiography Heart Catheterization / adverse effects Heart Defects, Congenital / therapy* Humans Iliac Vein* / physiopathology, radiography Infant Male Peripheral Vascular Diseases / etiology, radiography, therapy* Phlebography Recurrence Retrospective Studies Stents* Superior Vena Cava Syndrome / etiology, therapy Time Factors Treatment Outcome Vascular Patency Vena Cava, Inferior* / physiopathology, radiography Vena Cava, Superior* / physiopathology, radiography Venous Insufficiency / etiology, therapy Venous Thrombosis / etiology, therapy |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2009 Feb 1;73(2):189
[PMID:
19156886
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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