Mid-term outcomes of patients undergoing adjustable pulmonary artery banding

Talwar, Sachin; Kamat, Neeraj; Choudhary, Shiv Kumar; Ramakrishnan, Sivasubramanian; Saxena, Anitá; Juneja, Rajnish; Kothari, Shyam Sunder; Airan, Balram

doi:10.1016/j.ihj.2015.06.036

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…This study aimed to describe the 20-year experience with pulmonary artery banding at the Children's Heart Center of American University of Beirut Medical Center, a tertiary care center in a developing country. First, and in accordance with the literature and the surgical experience worldwide, we have observed a significant decline over the years in the number of pulmonary artery banding surgeries, particularly between 2012 and 2016 ( 4 , 10 ). This decline can be attributed to the replacement of the old, staged approach in managing complex congenital heart disease with early corrective surgery.…”

Section: Discussionsupporting

confidence: 85%

“…Age at total repair (months) 24 [12,36] Weight at total repair (kg) 10 [8, 12] Time between banding and total repair (months) 18.5 [10,25] Post-operative data Mean (±SD) or N (%) Agasthi revisited the current indications for banding in 2022, which include, but are not limited to: multiple or single VSDs with comorbidities, unbalanced atrioventricular septal defects with borderline left ventricular hypoplasia as a palliation before potential biventricular repair, as well as for left ventricular training as an adjunct in patients with single ventricle anatomy (12).…”

Section: Characteristic Median [Iqr]mentioning

confidence: 99%

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Pulmonary artery banding: a 20-year experience at a tertiary care center in a developing country

Ghoussaini,

Zareef,

Makarem

et al. 2024

Front. Cardiovasc. Med.

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AimPulmonary artery banding serves as an important palliative procedure used for the management of several congenital heart lesions. This study aims to describe a 20-year experience of pulmonary artery banding at a tertiary care center in a developing country.MethodsThis is a retrospective chart review of patients who underwent pulmonary artery banding over a 20-year period between January 2000 and July 2020 in a tertiary care center in a developing country. Data regarding demographics, indications, diagnosis, echocardiographic findings, postoperative complications, hospital stay, and outcomes were recorded.ResultsA total of 143 patients underwent pulmonary artery banding between 2000 and 2020, with a decrease from approximately 15 surgeries per year in 2012 to 1–2 surgeries a year in 2020. At the time of banding, the median age of patients was approximately 90 days [interquartile range, IQR, 30–150 days]. Four patients (2.8%) died during the band placement. No significant association was observed between baseline characteristics or type of heart defect at presentation and postoperative morbidity and mortality.ConclusionPulmonary artery banding remains useful in a subset of congenital heart lesions and as a surgical palliation, with relatively low mortality, allowing postponement of total correction to a higher weight. This technique continues to be valuable in developing countries or for heart surgical programs with limited resources.

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Section: Discussionsupporting

confidence: 85%

Section: Characteristic Median [Iqr]mentioning

confidence: 99%

Pulmonary artery banding: a 20-year experience at a tertiary care center in a developing country

Ghoussaini,

Zareef,

Makarem

et al. 2024

Front. Cardiovasc. Med.

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Univentricular Pulmonary Artery Banding: How Tight is Tight Enough for Successful Progress?

et al. 2021

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The outcome of surgery for congenital heart disease in India: A systematic review and metanalysis

Kadiyani,

Kalaivani,

Iyer

et al. 2024

Annals of Pediatric Cardiology

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Background: The mortality risks of children undergoing various cardiac surgeries for congenital heart disease (CHD) in India are not well defined. We conducted a systematic review and meta-analysis to estimate the inhospital mortality of various common CHD surgeries reported in India and compared it to representative data from established Western databases. Methods and Results: We searched four bibliographic databases for studies published in India over the last 25 years. In total, 135 studies met the inclusion criteria and included 30,587 patients aged from 1 day to 65 years. The pooled mortality rate of 43 Indian studies reporting multiple CHD surgical outcomes is 5.63% (95% confidence interval [CI]: 4.26–7.16; I 2 = 93.9%), whereas the Western data showed a pooled mortality rate of 2.65% (P value for comparison <0.0001). The pooled mortality risk for ventricular septal defect closure and tetralogy of Fallot repair in Indian studies was 2.87% (95% CI: 0.76–5.91; I 2 = 62.4%) and 4.61% (95% CI: 2.0–8.02; I 2 = 87.4%), respectively. The estimated mortality risk was higher than the Western databases for all subcategories studied except for surgeries in the grown-ups with CHD population and coarctation repair. Conclusions: The estimated mortality risks are higher among Indian patients undergoing cardiac surgery for CHD as compared to Western data. We need prospective multicentric data to document whether the observed excess mortality exists after adjusting for various high-risk features and comorbidities in Indian patients. We need systemic measures to improve the outcomes of CHD surgeries in India.

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Mid-term outcomes of patients undergoing adjustable pulmonary artery banding

Abstract: Patients undergoing APAB fulfilled the desired objectives of the pulmonary artery banding (PAB) with minimum PA complications in the mid-term. This added to the early postoperative benefits, makes the APAB an attractive alternative to the CPAB.

Cited by 4 publications

References 10 publications

Pulmonary artery banding: a 20-year experience at a tertiary care center in a developing country

Pulmonary artery banding: a 20-year experience at a tertiary care center in a developing country

Univentricular Pulmonary Artery Banding: How Tight is Tight Enough for Successful Progress?

The outcome of surgery for congenital heart disease in India: A systematic review and metanalysis

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