Pulmonary valve balloon valvuloplasty compared across three age groups of children

Ghaffari, Shamsi; Ghaffari, Mohammed Reza; Ghaffari, Ali Reza; Sagafy, Somaie

doi:10.2147/ijgm.s27203

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…9 Ghaffari group also used age categorisation in their study. 10 In our study, the smallest baby was 2.4 kg, while the maximum body weight was 40.7 kg, with a mean of 10.1 ± 8.9 kg. These results are comparable to those of Behjati et al, who reported a mean weight of 12.2 ± 4.7 kg (age ranged from 0.4 to 8 years).…”

Section: Age Categorisationmentioning

confidence: 45%

Experience with balloon pulmonary valvuloplasty and predictors of outcome: a ten-year study

et al. 2020

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Background:Balloon pulmonary valvuloplasty is the treatment of choice for patients with moderate to severe pulmonary valve stenosis.Methods:An observational retrospective cross-sectional study including neonates, small infants, and children who underwent balloon pulmonary valvuloplasty in the period from 2007 to 2016 in the cardiac catheterisation unit of the paediatric cardiology department in Cairo University. Multivariable models were built to report the predictors of the outcome of balloon pulmonary valvuloplasty and its complications.Results:A total of 1200 patients were included in the study and divided according to age into 3 groups: neonates and early infants (n = 282), infants (n = 362), and children (n = 556). Procedural success, defined as a drop pressure gradient across the pulmonary valve to less than or equal to 50% of the baseline measurements, was achieved in 82.7% of the patients. Multivariate analysis revealed that only infundibular pulmonary stenosis (p value 0.032), supravalvular in association with valvular pulmonary stenosis (p value <0.001), and pulmonary valve diameter by angiogram (p value <0.001) were significant predictors of success. The presence of supravalvular in association with valvular pulmonary stenosis (p value <0.001) was associated with a lower weight (p value 0.007) and higher right ventricular pressure before the intervention (p value <0.001), and a minor immediate drop in the pressure gradient post-intervention (p value <0.001) was found to be the most significant predictor of the occurrence of complications.Conclusion:The absence of infundibular and supravalvular stenosis and a large pulmonary valve diameter were the most significant predictors of success.

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Section: Age Categorisationmentioning

confidence: 45%

Experience with balloon pulmonary valvuloplasty and predictors of outcome: a ten-year study

et al. 2020

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“…Stanger P et al 9 in VACA registry of 26 institutions reported only 0.35 % major complications rate while 0.24 % death rate from total 822 cases of balloon pulmonary valvuloplasty. There has been a high incidence of complications of the procedure in neonates, infants and children 15,16 while most of the studies describe no major complications of BPV in children, adolescents or adult population. 17,18,3 Similarly Ezhumalai B et al 19 in his study in India reported 12% complications including major (3.7%) and minor complication (8.3%).…”

Section: Discussionmentioning

confidence: 99%

Early Outcome of Balloon Pulmonary Valvuloplasty for Pulmonary Valve Stenosis in Adolescents and Adults: Experience at A Tertiary Care Cardiac Institute

2020

APMC

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Background: Balloon pulmonary valvuloplasty is the procedure of choice for pulmonary valve stenosis in any age group. The data on efficacy of the procedure in adolescent and adult population is scanty in Pakistan. Objective: To determine the early outcome of balloon pulmonary valvuloplasty in adolescents and adults. Study Design: Descriptive retrospective case series. Settings: Pediatric cardiology department of Faisalabad Institute of Cardiology, Faisalabad-Pakistan. Duration: Three years and Six months from 01-01-2016 to 30-06-2019. Methodology: All consecutive patients of age 10 years or above who underwent percutaneous balloon pulmonary valvuloplasty in the study period were enrolled. The outcome parameters including successfulness and complications of procedure recorded. The procedure was labelled successful if peak to peak pressure gradient across pulmonary valve reduced to less than 50% or more of the pre procedure value, suboptimal if gradient reduced by 25-49% and unsuccessful if gradient reduced by less than 25%. Results: A total of 41 patients underwent balloon pulmonary valvuloplasty procedure. Mean age was 22.2± 10.5 years while female to male ratio was 1.05:1. Majority of the patients (n=26, 63.4%) were symptomatic and dyspnea on exertion was the dominant symptom (n=16, 39%). Majority of the patients had doming pulmonary valve (n=37, 90.2%). Mean balloon to pulmonary valve annulus ratio was 1.24 ± 0.1 (range 1.1-1.43). The procedure was successful in all patients (n=41, 100%) as the mean peak to peak pressure gradient across pulmonary valve decreased from 121.9 ± 53.2 mmHg (pre valvuloplasty) to 30.1±11.9 mmHg (post valvuloplasty) irrespective of doming or dysplastic valve. There were no major complications. Transient self-limiting vaso-vagal syncope was noted in 7.3% of patients (n=3). On post procedure echocardiography there was not a single case of moderate or severe pulmonary valve regurgitation (PR) while mild PR was observed in 48.8% patients (n=20). Conclusion: Balloon pulmonary valvuloplasty in adolescent and adult patients is a very safe procedure with high success but very low complications rate.

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Right Ventricular Outflow Tract: Pulmonary Valve Stenosis

Adebo

2021

Pediatric Cardiac CT in Congenital Heart Disease

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Pulmonary valve balloon valvuloplasty compared across three age groups of children

Cited by 6 publications

References 12 publications

Experience with balloon pulmonary valvuloplasty and predictors of outcome: a ten-year study

Experience with balloon pulmonary valvuloplasty and predictors of outcome: a ten-year study

Early Outcome of Balloon Pulmonary Valvuloplasty for Pulmonary Valve Stenosis in Adolescents and Adults: Experience at A Tertiary Care Cardiac Institute

Right Ventricular Outflow Tract: Pulmonary Valve Stenosis

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