Current outlook after 4 years since the beginning of interventional cardiology in congenital heart disease in Chiapas State

Abstract

Introduction:As a result of technological advances, more and more types of congenital heart diseases are susceptible to being treated in the hemodynamic laboratory. The sum of more advanced imaging techniques as well as the development of a diversity of devices specially manufactured for use in children has allowed a better selection of patients and therefore that many of them can be corrected through cardiac catheterization or some patients with more complex congenital heart diseases require fewer surgical procedures or, if they do require them, that these may be of less complexity and risk. Objective: We decided to show the global experience of the interventionism in congenital heart diseases in Chiapas from its inception to recent days. Methods: Through a retrospective study from April 2016 to August 2020, we reviewed the electronic files of the total of patients who underwent cardiac catheterism during the same period of time. Results: A total of 510 procedures were performed, 300 in female patients, with a median age of 4 years (8 days -77 years). Of the total procedures, 67 (13.1%) were diagnostic catheterizations and 443 (86.9%) were interventional. Conclusions: Cardiac catheterization in congenital heart disease in Chiapas has become a very valuable option with encouraging results which represents a possible decentralization in the care of congenital heart diseases in our country.

Extracción de un cuerpo extraño de la arteria descendente anterior

“…Se procedió a realizar el cateterismo mediante acceso radial derecho, evidenciándose lesión severa muy calcificada en todo territorio de descendente anterior (DA), aún así, se decidió realizar angioplastia in situ, la cual no resultó efectiva, aun cambiando de estrategia y canalización de acceso radial izquierdo, no se llegó a tener nunca suficiente soporte de los catéteres y se produjo la rotura del tubo de uno de los balones. Se intentó la extracción mediante lazos de diferentes tamaños resultando dicha técnica no efectiva 8 , por lo que se decide utilizar la técnica de catéter mother and child 9 , lo que nos permitió navegar dentro de la DA, y además poder inyectar selectivamente con poca cantidad de contraste, disminuyendo el riesgo de nefropatía y proporcionando suficiente soporte, gracias a lo cual se consiguió extraer dicho material de la DA sin necesidad de cambiar de vía de acceso y sin ningún otro signo de complicación en el flujo coronario previo.…”