Pulmonary artery debanding in the cath lab: Lessons learned!

Zareef, Rana; Hassan, Sally Al; Younis, Nour K.; Tannoury, Theresia; Rassi, Issam El; Bitar, Fadi; Arabi, Mariam

doi:10.3389/fcvm.2022.950123

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Catheter-directed relief of a PAB has been reported on a limited basis with other PAB materials. 3 However, residual gradients were higher in those studies. PA pseudoaneurysm formation has been reported in instances of attempted catheter debanding with other nondilatable materials; indeed, a therapeutic contained tear was encountered in our patient as well.…”

Section: Discussionmentioning

confidence: 69%

Successful dilation of a novel expandable polytetrafluoroethylene pulmonary artery band negating need for further surgery

Coyan,

Gillespie,

Ewing

et al. 2023

JTCVS Techniques

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Section: Discussionmentioning

confidence: 69%

Successful dilation of a novel expandable polytetrafluoroethylene pulmonary artery band negating need for further surgery

Coyan,

Gillespie,

Ewing

et al. 2023

JTCVS Techniques

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“…The banding technique has been described in details in another study ( 9 ). Briefly, the procedure may be performed either through a thoracotomy or a partial or complete sternotomy.…”

Section: Methodsmentioning

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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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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Transcatheter pulmonary artery debanding: Is it effective in every patient?

Halil Demir,

Muhammed Özdemir,

Oktay Ergin

et al. 2024

Turk Gogus Kalp Dama

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Background: This study aimed to present our experience with transcatheter pulmonary debanding, focusing on patient outcomes. Methods: The retrospective study was conducted with 32 patients (17 males, 15 females; mean age: 3.6±2 years; range, 0.5 to 8.8 years) who underwent transcatheter pulmonary debanding between January 2010 and January 2024. The patients were evaluated in two groups. In Group 1 (n=24), total debanding was targeted for patients with spontaneously closed or restrictive ventricular septal defects or those suitable for transcatheter ventricular septal defect closure. In Group 2 (n=8), palliative debanding was utilized in children with ongoing band requirement. Results: The median body weight was 15 kg. In Group 1, the mean right ventricle-to-aortic pressure ratio (RVp/Aop) was 0.91±0.21 before the procedure, which decreased to a mean of 0.33±0.20 after the procedure. In Group 2, the mean RVp/Aop was 1.31±0.47, which decreased to 0.77±0.13 after transcatheter palliative debanding. The mean peripheral oxygen saturation was 80±6% before the procedure and 94±2.5% after the procedure. Transcatheter debanding was successful in all patients when surgical pulmonary banding was performed with 6-0 Prolene and polytetrafluoroethylene band material. Conclusion: Transcatheter banding is a safe and effective procedure that minimizes the need for reoperation.

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Pulmonary artery debanding in the cath lab: Lessons learned!

Cited by 3 publications

References 19 publications

Successful dilation of a novel expandable polytetrafluoroethylene pulmonary artery band negating need for further surgery

Successful dilation of a novel expandable polytetrafluoroethylene pulmonary artery band negating need for further surgery

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

Transcatheter pulmonary artery debanding: Is it effective in every patient?

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