Published on:
    Journal of Cardiovascular Disease Research, 2010; 1(4):181-190
    Original Article | doi:10.4103/0975-3583.74261

    Multiple transcatheter interventions in the same session in congenital cardiopathies

    Authors:

    Saritas Turkay, Erdem Abdullah1, Akdeniz Celal1, Zeybek Cenap1, Erol Nurdan1, Demir Fadli1, Demir Halil1, Aydemir Numan Ali2, Celebi Ahmet1

    Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center and Research Hospital,1Pediatric Cardiology, 2Cardiovascular Surgery, Istanbul, Turkey

    Abstract:

    Background: To investigate the methods of percutaneous transcatheter interventions for combined congenital heart disease and to evaluate its effi cacy in children. Materials and Methods: Thirty cases (ages 3 days-13.5 years, body weight 3-35 kg) that underwent two multiple transcatheter interventions for combined or solitary congenital heart disease were retrospectively analyzed and presented. Results: A total of 61 transcatheter interventions were performed in 30 patients as combined procedures. In 29 patients, two different procedures were combined in the same session, in remaining one patient, combination of three interventions were performed in the same catheter session. Interventions performed in combined procedures were as follows: Coarctation balloon angioplasty in 12 cases, pulmonary balloon valvuloplasty in 10, PDA coil embolization in 10, aortic balloon valvuloplasty in 8, VSD closure in 5, ASD closure in 4, ductal stent implantation in 4, palliative pulmonary balloon valvuloplasty in 3, recanalization and angioplasty of the systemic-pulmonary shunt in 2, balloon atrial septostomy in one, aortic coarctation stent implantation in one, coil embolization of a pulmonary lobar sequestration in one and pulmonary valve perforation plus pulmonary balloon valvuloplasty in one were performed as fi rst or second procedure. There was no mortality or major morbidity in relation to combined procedures. Conclusion: Multiple transcatheter interventions in the same session are feasible, safe and effective with satisfactory good results. Second intervention may be performed as complementary procedure or independently to the fi rst intervention.

    Key words: Congenital cardiac defects, percutaneous procedures, percutaneous treatment.