Usefulness of cutting balloon angioplasty for the treatment of congenital heart defects

Kusa, Jacek; Mazurak, Magdalena; Skierska, Agnieszka; Szydłowski, Lesław; Cześniewicz, Paweł; Manka, Lukasz

doi:10.5603/cj.a2017.0128

Cited by 2 publications

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“…Prior studies have demonstrated significant increases in the minimal luminal diameter immediately post-CBA as well as shortterm follow-up. [3][4][5][6]9 Rothman et al reported 50% success in initial CBA, and 16% restenosis rate to the predilation diameter at a mean follow-up time of 10 months. 15 Bergersen et al demonstrated a nearly 150% mean increase immediately following CBA, though a 21% restenosis rate at a median follow-up time of 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies have demonstrated significant increases in the minimal luminal diameter immediately post‐CBA as well as short‐term follow‐up 3–6,9 . Rothman et al reported 50% success in initial CBA, and 16% restenosis rate to the predilation diameter at a mean follow‐up time of 10 months 15 .…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Prior studies have demonstrated immediate improvement in pulmonary artery diameter following CBA, yet there is limited data on both long-term outcomes following this intervention and predictors of a successful outcome. [5][6][7][8][9][10] The purpose of this study was to describe the long-term results of CBA in PAS and to identify predictors associated with successful CBA for PAS.…”

Section: Introductionmentioning

confidence: 99%

“…Cutting balloon angioplasty (CBA), was first introduced as transcatheter therapy for arterial stenoses in 1991 2 and has since been adapted as a treatment for branch PAS which is resistant to conventional balloon angioplasty 3,4 . Prior studies have demonstrated immediate improvement in pulmonary artery diameter following CBA, yet there is limited data on both long‐term outcomes following this intervention and predictors of a successful outcome 5–10 . The purpose of this study was to describe the long‐term results of CBA in PAS and to identify predictors associated with successful CBA for PAS.…”

Section: Introductionmentioning

confidence: 99%

“…Second, patients with TOF/PA/MAPCAs or with genetic syndromes associated with PAS are less likely to have a good mediumterm result. Third, an increased cutting balloon diameter-to-minimal luminal diameter ratio within a safe range is associated with sustained success.Prior studies have demonstrated significant increases in the minimal luminal diameter immediately post-CBA as well as shortterm follow-up [3][4][5][6]9. Rothman et al reported 50% success in initial CBA, and 16% restenosis rate to the predilation diameter at a mean follow-up time of 10 months 15.…”

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confidence: 99%

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Cutting balloon angioplasty on branch pulmonary artery stenosis in pediatric patients

Cobb

Spray

Daily

et al. 2021

Cathet Cardio Intervent

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Objectives: To identify medium-term results following cutting balloon angioplasty (CBA) for branch pulmonary artery stenosis (PAS) and predictors of successful intervention.Background: CBA has emerged as a successful alternative therapy for PAS resistant to conventional balloon angioplasty techniques but there is little information on medium and long-term outcomes.Methods: This is a descriptive, single center, retrospective chart review of pediatric patients who underwent CBA for PAS at Arkansas Children's Hospital between May 2005 and December 2020. We reviewed demographics, procedural specifics, and 30-day complications.Results: Forty-four patients underwent pulmonary artery CBA on 114 pulmonary artery segments through 126 catheterization cases, totaling 148 CBA events. Thirtythree individual pulmonary arteries underwent repeat intervention. Average minimal luminal diameter increase from pre-CBA to end of follow-up was 57% (CI, 38%-75%). Absence of Tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries (TOF/PA/MAPCAs) and the absence of Alagille Syndrome, Williams Syndrome, or Arterial Tortuosity Syndrome (ATS) were associated with increased odds of sustained success by 70% (CI, 0.11-0.79) and 91% (CI, 0.02-0.56), respectively. Increasing the cutting balloon diameter-to-minimal luminal diameter ratio by 0.5 increased odds of successful intervention by 2.37-fold (CI, 1.7-3.3). Seven patients had 30-day complications including one death.Conclusions: In the longest follow-up to date of children and adolescents who underwent CBA for branch PAS, we found that there was moderate medium-term success.Additionally, absence of TOF/PA/MAPCAs, absence of Alagille Syndrome, Williams Syndrome, or ATS, and high cutting balloon diameter-to-minimal luminal diameter ratio are predictors of sustained results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Cutting balloon angioplasty on branch pulmonary artery stenosis in pediatric patients

Cobb

Spray

Daily

et al. 2021

Cathet Cardio Intervent

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The Use of Surgical Threads in Kidney Surgery

Vihtenko,

Pronina

2023

VPBM

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Вісник проблем біології і медицини -2023 -Вип. 2 (169) / Bulletin of problems in biology and medicine -2023 -Issue 2 (169) 33ОГЛЯДИ ЛІТЕРАТУРИ / LITERATURE REVIEWS used indicators are supplemented with new ones, and a comprehensive approach based on indices is introduced. It is believed that efforts should be made to recognize intense oxidative stress in a timely manner in order to prevent or delay the development of free radical-related diseases and premature aging.Conclusions. The understanding of oxidative stress, from the initial view of the negative impact of an excess of reactive oxygen species, has developed into ideas about the oxidant-antioxidant balance and the need for its normal small shift to the side of oxidative processes to maintain homeostasis. This approach cautions medical professionals against excessive administration of exogenous antioxidants, which can disrupt this balance.

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Usefulness of cutting balloon angioplasty for the treatment of congenital heart defects

Abstract: Cutting balloon angioplasty is a feasible and effective treatment option in different con-genital heart defects.

Cited by 2 publications

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Cutting balloon angioplasty on branch pulmonary artery stenosis in pediatric patients

Cutting balloon angioplasty on branch pulmonary artery stenosis in pediatric patients

The Use of Surgical Threads in Kidney Surgery

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