Balloon pulmonary valvuloplasty in neonates with critical pulmonary stenosis: Jugular or femoral

Hoetama, Erick; Prakoso, Radityo; Roebiono, Poppy Surwianti; Sakidjan, Indriwanto; Kurniawati, Yovi; Siagian, Sisca Natalia; Lelya, Olfi; Rahajoe, Anna Ulfah; Harimurti, Ganesja M; Lilyasari, Oktavia

doi:10.4103/apc.apc_14_19

Cited by 10 publications

(12 citation statements)

References 10 publications

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“…In study of Hoetama et al, BPV was done on 8 neonates with transjugular approach and they mentioned that using BPV with transjugular access is safe in neonate with critical PS. 19 …”

Section: Discussionmentioning

confidence: 99%

Percutaneous Balloon Pulmonary Valvuloplasty of Critical Pulmonary Stenosis and severe pulmonary stenosis in Neonates and Early Infancy: A Challenge in the Cyanotic

Mortezaeian

Khorgami

Omidi

et al. 2021

J Cardiovasc Thorac Res

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Introduction: Pulmonary stenosis with an intact ventricular septum (PS-IVS) is one of the common causes of cyanotic heart disease in neonates with diverse morphologies as well as management and treatment protocols. The aim of this study was to evaluate short and midterm results of balloon pulmonary valvuloplasty (BPV) for this disorder. Methods: Between 2012 and 2016, Totally 45 neonates and infants under 6 months old were evaluated.The patients had a minimum right-to-left ventricular pressure ratio of 1, right-to-left shunting at the patent foramen ovale or atrial septal defect level, and tricuspid valve Z-scores higher than -4. Results: Immediately after the procedure, the right ventricular pressure dropped to the normal values in 8 (20%) patients. The immediate procedural success rate was seen in 42 (93.3%) cases: the right-to-left ventricular pressure ratio dropped to below 50% or the level of O2 saturation rose above 75%. Of three cases unresponsive to BPV, two of them underwent patent ductus arteriosus (PDA) stenting and one procedural death occurred. At 6 months’ follow-up, of 42 patients, this pressure was still with in the normal range in 36 (80%) infants, while it had returned to high values in 9 (20%) patients and necessitated repeat valvuloplasty. After BPV, severe pulmonary valve regurgitation was observed in14.2% patients; the condition was more common when high-profile noncompliant balloons were used. Conclusion: Balloon pulmonary valvuloplasty in infants with PS-IVS confers acceptable results insofar as it improves echocardiographic parameters and hemodynamic changes at short- and midterm followups.Balloon selection with sizes more than 1.2 of the diameter of the pulmonary valve annulus and the use of noncompliant high-pressure balloons results in higher degrees of pulmonary regurgitation.

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“…In study of Hoetama et al, BPV was done on 8 neonates with transjugular approach and they mentioned that using BPV with transjugular access is safe in neonate with critical PS. 19 …”

Section: Discussionmentioning

confidence: 99%

Percutaneous Balloon Pulmonary Valvuloplasty of Critical Pulmonary Stenosis and severe pulmonary stenosis in Neonates and Early Infancy: A Challenge in the Cyanotic

Mortezaeian

Khorgami

Omidi

et al. 2021

J Cardiovasc Thorac Res

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“…У випадку відсутності лікування прогресування правошлуночкової недостатності призводить до летального кінця. При значному стенозі ЛА необхідне термінове хірургічне втручання [4].…”

Section: Plys2005@ukrnetunclassified

“…Єдиним ефективним лікуванням стенозу ЛА є хірургічне втручання [4]. Вибір конкретної операції залежить від локалізації звуження: ендоваскулярне лікування (балонна вальвулопластика) може бути застосовано лише при клапанних і периферійних стенозах гілок ЛА [12]; в інших випадках проводять відкриту вальвулопластику, реконструктивну пластику (надклапанного стенозу із застосуванням ксеноперикардіального протеза або заплатки, інфундібулектоміюпри підклапанному стенозі) [13].…”

Section: Plys2005@ukrnetunclassified

Endovascular Methods of Treatment Pulmonary Artery Stenosis

Imanov¹,

Truba²,

Pliska³

et al. 2020

Ukr. ž. med. bìol. sportu

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“…There are times when patients need femoral and RIJ access. Internal jugular access has been used to place septal occluders in the atrial septum [1,2] and even to perform pulmonary valvuloplasty in small patients [3,4]. Maintaining a sterile field with access into the neck can be complicated by not having a sterile field beyond the patients head and anesthesia checking on the patient from time to time.…”

Section: Introduction/backgroundmentioning

confidence: 99%

Improving the Way Catheterizations Are Performed From the Neck

2022

Ann Case Report

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Background: A focus on patient protection is a priority for all physicians when patients need to be treated using ionizing radiation. Countless publications report on these risks. Aims: What about our intervention lists; they are exposed and work tirelessly without concern for what they are enduring to care and protect their patient. How can we improve their longevity and exposure? Methods: Discussions with Radux to modify the Stand Tall allowing use in pediatrics. Once approved these were added to procedures at Children's Wisconsin. Attachment to the sheath that were placed in the neck and or the groin to evaluate. Results: Improved physician positioning and posture results in improved wellbeing along with improving care for patients with sterility of neck access. Conclusions: Standing up straighter, further from the scatter, secured to table for patient protection, and improved sterility for jugular access are all possible with the Stand Tall added to the access site(s). Customizable too many scenarios without increased risk to the patient.

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Balloon pulmonary valvuloplasty in neonates with critical pulmonary stenosis: Jugular or femoral

Cited by 10 publications

References 10 publications

Percutaneous Balloon Pulmonary Valvuloplasty of Critical Pulmonary Stenosis and severe pulmonary stenosis in Neonates and Early Infancy: A Challenge in the Cyanotic

Percutaneous Balloon Pulmonary Valvuloplasty of Critical Pulmonary Stenosis and severe pulmonary stenosis in Neonates and Early Infancy: A Challenge in the Cyanotic

Endovascular Methods of Treatment Pulmonary Artery Stenosis

Improving the Way Catheterizations Are Performed From the Neck

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