Results of pulmonary balloon valvuloplasty persist and improve at late follow-up in isolated pulmonary valve stenosis

Parent, John J.; Ross, Michael; Bendaly, Edgard A.; Breinholt, John P.

doi:10.1017/s1047951117000804

Cited by 11 publications

(15 citation statements)

References 15 publications

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“…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%). In our study self-limited vasovagal syncope as a minor complication was noted in 7.3% of patients but our total study subjects were only 41.…”

Section: Discussionmentioning

confidence: 92%

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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Section: Discussionmentioning

confidence: 92%

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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“…5 Among the 502 patients, 3 (0.6%) had major adverse events while 104 (20.7%) had minor complications. Among our 19 patients who underwent VSD device closure, there were no major complications, while 4 (21%) had minor complications which included puncture site haematoma (1), moderate TR after VSD device closure (1) and mild residual shunt after device deployment (2).…”

Section: Discussionmentioning

confidence: 94%

“…With transcatheter based therapies in congenital heart defects (CHD) gaining popularity, the morbidity associated with the correction of these defects has been dramatically reduced. [1][2][3] Although technically less challenging, these procedures require accurate assessment of the structure and size of the CHD to be corrected, whether it be a valvular stenosis or a left to right shunt defect. The paediatric cardiologist has to be well trained in these interventional procedures for the successful outcome of these procedures.…”

Section: Introductionmentioning

confidence: 99%

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Masaraddi

Sukulal

et al. 2018

Int J Contemp Pediatr

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Background: Transcatheter based therapies in congenital heart defects have gained popularity, as the morbidity associated with the correction of these defects has been dramatically reduced. Complication rates in this group of children are low and our centre is striving to achieve the same outcome as other major centres. Objective of this study sought to determine the institutional complication rates in a group of children who underwent transcatheter interventions for their congenital heart diseaseMethods: This prospective observational study enrolled 125 patients who underwent elective transcatheter cardiac interventions for congenital heart defects between February 2014 and January 2018. Major and minor complications were predefined.Results: The age of these children ranged from 9 months to 18 years (mean age 9.22 years). The success rate was 99.2% (124/125). Few children (16%) had minor procedure related complications. Only 1 child had a major complication.Conclusions: Transcatheter cardiac interventions in children are highly successful. Meticulous planning and proper case selection are the major contributors for the success of any centre.

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“…Several studies reported the immediate, short-, intermediate-, and long-term effectiveness and safety of PBPV in different centers [11,12] . A previous study conducted by Dian Hong et al [13] reported a restenosis rate of 6.4% (10 of 158) and reintervention rate of 3.7% (6 of 158), and indicated that PBPV was the primary treatment as it was safe and minimally invasive.…”

Section: Discussionmentioning

confidence: 99%

Immediate Therapeutic Outcomes and Medium Term Follow up Results of Percutaneous Balloon Pulmonary Valvuloplasty in Pulmonary Valve Stenosis in the Pediatric Population

Yin

Xiang

et al. 2021

Preprint

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Results of pulmonary balloon valvuloplasty persist and improve at late follow-up in isolated pulmonary valve stenosis

Cited by 11 publications

References 15 publications

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

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

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Immediate Therapeutic Outcomes and Medium Term Follow up Results of Percutaneous Balloon Pulmonary Valvuloplasty in Pulmonary Valve Stenosis in the Pediatric Population

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