Repetitive percutaneous transhepatic access for myocardial biopsy in pediatric cardiac transplant recipients

Book, Wendy; Raviele, A; Vincent, Robert

doi:10.1002/(sici)1097-0304(199810)45:2<167::aid-ccd14>3.0.co;2-i

Cited by 16 publications

(4 citation statements)

References 9 publications

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“…Our report demonstrates that the transhepatic route facilitated cardiac catheterizations and establishment of central venous access in a large group of patients with complex heart disease. This series and other smaller series demonstrate that transhepatic access can be obtained in any particular patient at multiple separate procedures [3,4,15].…”

Section: Discussionmentioning

confidence: 61%

Complications related to transhepatic venous access in the catheterization laboratory—A single center 12‐year experience of 124 procedures

Qureshi

Prieto

Bradley‐Skelton

et al. 2014

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 61%

Complications related to transhepatic venous access in the catheterization laboratory—A single center 12‐year experience of 124 procedures

Qureshi

Prieto

Bradley‐Skelton

et al. 2014

Cathet Cardio Intervent

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“…Catheterization can be accomplished through alternate routes, including the transhepatic approach, although with risk of significant complications ( 8 , 9 ). Furthermore, alternate routes may not allow for optimal angles for certain interventions.…”

Section: Discussionmentioning

confidence: 99%

Direct Percutaneous Transthoracic Cardiac Access for Recanalization of Longstanding Branch Pulmonary Artery Atresia

Petit

Ligon

2021

JACC: Case Reports

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We describe the use of direct percutaneous cardiac access to recanalize an atretic right pulmonary artery in an adolescent with complex congenital heart disease and right heart failure. This case highlights the problems associated with loss of central venous access and potential advantages of a direct cardiac approach to catheterization. ( Level of Difficulty: Intermediate. )

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“…The technique that has been previously described[1-4] continues to evolve as more experience and expertise is gained in this approach. [11-15] There are important details that warrant emphasis. The procedure is preferably performed under bi-plane fluoroscopy guidance, although it can be performed using a single plane.…”

Section: Techniquementioning

confidence: 99%

Transhepatic approach for rehabilitation of stenosed pulmonary arteries

Ebeid

2010

Ann Pediatr Card

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Transhepatic cardiac catheterization and intervention is used in selected cases in our institution. A retrospective review of transcatheter interventions for the pulmonary artery was conducted. Forty-five transhepatic procedures were performed. Thirteen involved intervention, to rehabilitate the branch pulmonary arteries. The median weight of the patients was 9.9 Kg ± 3.4. The patients' age ranged from eight months to 86 months (median 23 months). The largest sheath used was 7F. All the patients underwent success intervention with no complication related either to the transhepatic approach or the intervention. The branch pulmonary artery diameter increased from 4.5 ± 2.2 mm to 7 ± 3 mm. Most of the procedures were performed under conscious sedation / deep sedation protocol. Hemostasis was achieved in all patients by gradual sheath withdrawal, followed by application of upward pressure on the tract from the subcostal area. In the absence of patent femoral veins the transhepatic approach can be used to perform successful and safe interventions, to rehabilitate the pulmonary artery system. It may offer the additional advantage of using larger sheaths than would be felt appropriate for the femoral veins.

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Repetitive percutaneous transhepatic access for myocardial biopsy in pediatric cardiac transplant recipients

Cited by 16 publications

References 9 publications

Complications related to transhepatic venous access in the catheterization laboratory—A single center 12‐year experience of 124 procedures

Complications related to transhepatic venous access in the catheterization laboratory—A single center 12‐year experience of 124 procedures

Direct Percutaneous Transthoracic Cardiac Access for Recanalization of Longstanding Branch Pulmonary Artery Atresia

Transhepatic approach for rehabilitation of stenosed pulmonary arteries

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