The Y-stenting technique for pulmonary artery bifurcation stenosis: Initial results and mid-term outcomes

Conijn, Maartje; Breur, Hans; Molenschot, Mirella; Voskuil, Michiel; Krings, Gregor

doi:10.1016/j.ijcard.2018.03.100

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Gregor Krings: With the new imaging system at the Heart Center in Utrecht, introduced in 2011, we had the opportunity to start with this 3DRA technique. Our experience so far is some 700-800 cases over the last years [19,20,[30][31][32]. From the interventions we do in our institution I would say that probably 70-80% are based on 3DRA or imported previous CTs.…”

Section: Introductionmentioning

confidence: 89%

“…These structured interviews recorded during the 21 st Pediatric and Adult Interventional Cardiac Symposium (PICS, November 2018) illustrate the challenges and sticking points as well as giving an insight into the direction of travel for 3D imaging and fusion techniques. Covering a wide range of career development, seniority and experience, the interviewees in this article are probably responsible for the majority of the published literature on invasive 3D imaging in congenital heart disease [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. They each collaborate with a broad range of industry partners to map out the future direction of invasive imaging with specific reference to our complex patient group.…”

Section: Introductionmentioning

confidence: 99%

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Pros, cons and future perspectives – three questions on three dimensional guidance for cardiac catheterization in congenital heart disease

Góreczny

Krings

Hijazi

et al. 2019

pwki

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Step changes in angiographic imaging are not commonplace. Since the move from analogue to digital and flat detector plates, two-dimensional imaging technology has certainly evolved but not jumped forward. Of all the routine imaging techniques used in cardiology, angiography has been the last modality to embrace the third dimension. Although the development of rotational angiography was initially for the benefit of neuroimaging and fusion of cross sectional datasets was aimed at the treatment of descending aortic pathology, interventional physicians in congenital and structural cardiology have immersed themselves in this technology over the last 10 years. Like many disruptive technologies, its introduction has divided opinion. We aimed to explore the mindset of those in the field of interventional cardiology who are driving imaging forward. These structured interviews recorded during the 21 st Pediatric and Adult Interventional Cardiac Symposium illustrate the challenges and sticking points as well as giving an insight into the direction of travel for three-dimensional imaging and fusion techniques. Covering a wide range of career development, seniority and experience, the interviewees in this article are probably responsible for the majority of the published literature on invasive three-dimensional imaging in congenital heart disease.

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Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Pros, cons and future perspectives – three questions on three dimensional guidance for cardiac catheterization in congenital heart disease

Góreczny

Krings

Hijazi

et al. 2019

pwki

Self Cite

View full text Add to dashboard Cite

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Pulmonary Artery Stent Implantation

Fagan,

Ahluwalia

2024

Interventional Cardiology Clinics

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Percutaneous approach to residual pulmonary bifurcation stenosis in conotruncal diseases

et al. 2023

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Residual stenosis after right ventricle outflow tract surgery represents a major issue to manage in the children and adult patient with conotruncal defects. Despite a detailed multimodality imaging, the anatomy of distal pulmonary trunk and pulmonary artery bifurcation may be challenging in these patients. The aim of this study was to analyse retrospectively the outcome of the percutaneous transcatheter treatment in children with post-surgical stenosis of pulmonary artery bifurcation. We enrolled 39 patients with a median age of 6.0 years. Standard high-pressure balloon dilation was attempted in 33 patients, effective in 5 of them. Pulmonary branch stenting was performed in 10 patients, effective in 6. A kissing balloon approach was chosen in 17 patients (6 after angioplasty or stenting failure), and this technique was effective in 16 cases. Finally, a bifurcation stenting was performed in 10 patients (second step in 9 cases), effective in all the cases. None of the patients approached by kissing balloon needed a bifurcation stenting. In conclusion, standard balloon angioplasty and standard stenting might be ineffective in post-surgical stenosis involving pulmonary artery bifurcation. In this population, kissing balloon or bifurcation stenting, followed by side branch de-jailing, may be more effective in relieving the gradient.

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The Y-stenting technique for pulmonary artery bifurcation stenosis: Initial results and mid-term outcomes

Cited by 3 publications

References 18 publications

Pros, cons and future perspectives – three questions on three dimensional guidance for cardiac catheterization in congenital heart disease

Pros, cons and future perspectives – three questions on three dimensional guidance for cardiac catheterization in congenital heart disease

Pulmonary Artery Stent Implantation

Percutaneous approach to residual pulmonary bifurcation stenosis in conotruncal diseases

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