Relation of Aortic Valve Morphologic Characteristics to Aortic Valve Insufficiency and Residual Stenosis in Children With Congenital Aortic Stenosis Undergoing Balloon Valvuloplasty

Petit, Christopher J.; Gao, Kevin; Goldstein, Bryan H.; Lang, Sean M.; Gillespie, Scott; Kim, Sung-In H; Sachdeva, Ritu

doi:10.1016/j.amjcard.2015.12.034

Cited by 23 publications

(18 citation statements)

References 27 publications

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“…A retrospective analysis was performed on infants less than 1 year of age with ductal dependent pulmonary blood flow who underwent PDA stenting between January 1, 2008 and October 1, 2017 from six members of the Congenital Catheterization Research Collaborative (CCRC). The CCRC, as previously described, is a multicenter research collaborative including: Children's Hospital of Philadelphia, Cincinnati Children's Hospital Medical Center, Texas Children's Hospital, Children's Healthcare of Atlanta, Vanderbilt Children's Hospital, and University of California at San Francisco Children's Hospital . We included all infants (age < 1 year of age) with confluent pulmonary arteries and ductal‐dependent pulmonary blood flow who underwent PDA stenting as a form of initial palliation to provide a stable source of pulmonary blood flow.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, we reviewed the impact of the "flip technique" whereby the patient is reoriented on the catheterization table to enhance procedural simplicity as recently described. 15 16,17 We included all infants (age < 1 year of age) with confluent pulmonary arteries and ductal-dependent pulmonary blood flow who underwent PDA stenting as a form of initial palliation to provide a stable source of pulmonary blood flow. Approach for PDA stenting was noted and codified as either (a) FA or (b) CA or AA upon review of catheterization records.…”

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confidence: 99%

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Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal‐dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

Bauser‐Heaton

Qureshi

Goldstein

et al. 2019

Cathet Cardio Intervent

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Background Carotid artery (CA) and axillary artery (AA) access are increasingly used for transcatheter stenting of the patent ductus arteriosus (PDA), although reports are limited. Methods The Congenital Catheterization Research Collaborative (CCRC) reviewed multicenter data from infants who underwent PDA stenting via the CA or AA approach from 2008 to 2017, and compared outcomes to those of infants undergoing PDA stenting via the femoral artery (FA) approach. Post‐procedure ultrasound (US) imaging was reviewed. Results Forty‐nine infants underwent PDA stenting from the CA (n = 43) or AA (n = 6) approach, compared with 55 infants who underwent PDA stenting from the FA approach. The PDA was the sole pulmonary blood flow (PBF) source in 61% of infants in the CA/AA cohort, compared with 33% of the FA cohort (p < .01). Ductal tortuosity for CA/AA cohort was Type I (straight) in 10 (20%), Type II (one turn) in 17 (35%), and Type III (multiple turns) in 22 (45%) infants and reflected a greater degree of tortuosity when compared to the FA cohort (p < .01). In 17 infants with CA/AA approach, the “flip technique” was used, and was associated with shorter procedure times for highly tortuous PDA (Type III) patients. Rates of procedural complications were similar across access sites. Most common complications were access site injury (thrombus or bleeding) and stent malposition. No complications were specifically related to the “flip technique.” Conclusions Use of CA and AA approach for PDA stenting was found to be more commonly employed in sole source PBF and highly tortuous PDAs. Procedural modifications such as the “flip technique” may lead to shorter procedure times. CA and AA approaches are associated with a similar burden of procedural or late complications. Post‐procedural surveillance of the CA and AA is suggested, given the incidence of vascular findings on US.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal‐dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

Bauser‐Heaton

Qureshi

Goldstein

et al. 2019

Cathet Cardio Intervent

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“…A few studies focused on assessments of myocardial response before and after valvuloplasty. [28][29][30][31][32]34 Others have investigated morphological characteristics of the aortic valve and ability to predict 35,36,[68][69][70][71][72] outcomes after percutaneous or surgical intervention.…”

Section: Aortic Valve Stenosismentioning

confidence: 99%

“…The lack of standardization in the echocardiographic assessment of aortic and pulmonary valve disease in children may produce heterogeneities in the assessment of disease severity. For example, varied thresholds for transvalvular gradient have been used to define mild, moderate, or severe obstruction in aortic and pulmonary stenosis . The aim of this article was to review the literature on pediatric semilunar valvular heart disease, focusing specifically on the heterogeneity and limitations of current echocardiographic classification systems.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic assessment of pediatric semilunar valve disease

et al. 2017

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We reviewed echocardiography literature for the assessment and management of semilunar valve disease in children. A search was performed within the National Library of Medicine using the keywords aortic stenosis (AS), aortic regurgitation, pulmonary stenosis (PS), and pulmonary regurgitation in children. The search was further refined adding the keywords-pediatric, neonates, echocardiographic definition, classification, evaluation. Thirty-eight studies were included. For stenotic lesions, there were sufficient consistencies between Doppler and invasive gradients (especially for PS), while other quantitative parameters used in adults showed significant limitations when applied to children. Heterogeneities remain in the range of Doppler measurements utilized to define mild vs moderate vs severe AS/PS, and to guide management. There is sufficient consensus regarding indications for interventions. In regurgitant lesions, there is weak evidence supporting the use of quantitative or semiquantitative parameters after correction for body surface area; clear indications for intervention are lacking. Because adult echocardiographic recommendations cannot be simply translated to the pediatric age, more specific pediatric guidelines and standards for the assessment of semilunar valve disease are needed.

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“…Nevertheless, until recently the most widespread CHD like bicuspid aortic valve (BAV) with the populational prevalence is from 10 to 20 cases per 1000 was considered as the small anomaly of the heart. That's why the problem of children management with BAV currently remains quite actual [1,2]. First of all, because oBAV is the most widespread congenital heart disease which is mainly revealed occasionally by heart ultrasound and has low manifestation during childhood.…”

Section: Introductionmentioning

confidence: 99%

Myocardial hypertrophy and intracardial hemodynamics in children with bicuspid aortic valve

Каmеnshchyk

Іванько

2017

Patologìâ

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Bicuspid aortic valve is one of the most common congenital heart diseases with low manifestation in childhood and severe consequences in adults that determines the importance in early diagnostics of myocardial changes in this anomaly. According to the literature the polymorphisms in the genes of NFATC family could result both in impaired embriogenetic valves formation and development of postnatal myocardial hypertrophy.The aim of the study was to detect the early changes of intracardial hemodynamics at aortic valve in children with bicuspid aortic valve (BAV) and establish their interrelations to the signs of myocardial hypertrophy in these children.Materials and methods: Dopplerograhphic study of basic intracardiac hemodynamics parameters in 38 children with BAV and in 28 children of control group was conducted. The results were processed statistically by Student's t-test, correlation analysis and multiple regression. Results:In the result of study the moderate concentric left ventricle myocardial hypertrophy development was detected in 62 % of children with BAV which is accompanying to significant increasing of blood flow velocity and pressure gradient at aortic valve. There were not established significant correlations between the parameters of hemodynamics at valve and left ventricle's posterior wall depth and septum depth whereas the highest inputs of these values were obtained in the left ventricle systolic dimension and volume and less in the hypertrophic signs. Conclusions:In children with BAV the moderate concentric myocardial hypertrophy with significant changes of intracardial hemodynamics at aortic valve takes place with the highest inputs in left ventricle volumetric values The obtained data serves as a substantiation for the treatment and prevention of it further development.Гіпертрофія міокарда та внутрішньосерцева гемодинаміка в дітей із двостулковим аортальним клапаном серцяДвостулковий аортальний клапан є однією з найпоширеніших вроджених вад серця, котра має малосимптомний перебіг у дитинстві та важкі прояви в дорослому віці, що визначає важливість ранньої діагностики змін у міокарді при цій аномалії. Згідно з науковими літературними даними, поліморфізми генів сімейства NFATC можуть впливати як на ембріогенетичний формування клапанів серця, так і на розвиток постнатальної гіпертрофії міокарда.Мета роботи -визначення ранніх змін внутрішньосерцевої гемодинаміки на аортальному клапані в дітей із двостулковим клапаном серця (ДАК) і встановлення взаємозв'язків цих параметрів із показниками гіпертрофії міокарда.Матеріали та методи. У 38 хворих із ДАК та у 28 умовно здорових дітей контрольної групи здійснили доплерографічне дослідження параметрів внутрішньосерцевої гемодинаміки зі статистичним опрацюванням даних за критерієм Стьюдента, методами кореляційного аналізу та множинної регресії.Результати. У результаті дослідження в 62 % хворих із ДАК встановлена наявність помірної концентричної гіпертрофії міокарда, що поєднувалася зі значним підвищенням градієнта тиску та швидкості кровотоку на аортальном...

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Relation of Aortic Valve Morphologic Characteristics to Aortic Valve Insufficiency and Residual Stenosis in Children With Congenital Aortic Stenosis Undergoing Balloon Valvuloplasty

Cited by 23 publications

References 27 publications

Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal‐dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal‐dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

Echocardiographic assessment of pediatric semilunar valve disease

Myocardial hypertrophy and intracardial hemodynamics in children with bicuspid aortic valve

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