Multiple transcatheter interventions in the same session in congenital cardiopathies

Abstract

Background:To investigate the methods of percutaneous transcatheter interventions for combined congenital heart disease and to evaluate its efficacy 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 first 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 first intervention.

Mid-term Safety and Efficacy of Transcatheter Closure of Ostium Secundum Atrial Septal Defect under Transthoracic Echocardiographic Guidance in Children Weighing Less than 15 Kg

“…[5,6,7,24] Combined cardiac intervention with ostium secundum atrial septal defect closure and correction of the associated anomaly was done in 25 (30.1%) patients; balloon pulmonary valvuloplasty was the commonest combined intervention done, as has been reported in other studies. [25,26] Balloon coarctoplasty and balloon aortic valvuloplasty along with ostium secundum atrial septal defect closure were done in two patients. This combination of intervention in the same sitting has not been reported earlier in literature.…”

Comparison of Transcatheter Atrial Septal Defect Closure in Children, Adolescents and adults: Differences, Challenges and Short-, Mid- and Long-Term Results

“…For that reason, the possibility to perform a combined procedure in the same session would naturally be higher in patients undergoing a transcatheter ASD closure in the pediatric age group 15). There were no patients undergoing a combined procedure during the same session in the group of adults while a total of 9 patients in Group 1 underwent transcatheter PDA closure or PBV procedure in the same session.…”

Clinical Outcomes of Extrapleural Closure of a Patent Ductus Arteriosus Concomitant with Aortic Coarctation Repair

“…There is a limited number of case series with hemodynamically significant coarctation that was treated with the E178 transcatheter approach in the literature [Celermajer 2002;Uddin 2000;de Bono 2005;Roos-Hesselink 2003]. Multiple transcatheter interventions in the same session for treatment of PDA in combination with CoA have been reported by Turkay et al [Turkay 2010]. Simultaneous treatment of native coarctation of the aorta combined with patent ductus arteriosus using a covered stent [Sadiq 2003], and stent implantation for aortoplasty and closure of patent ductus arteriosus using the Amplatzer duct occluder [Hakim 1999] have been described.…”