INETRVENTIONAL PROCEDURES FOR CONGENITAL HEART DISEASE
Zan Mitrev, Anguseva N. Tanja, IV.
Spec.Hospital for Cardiosurgery, Skopje, Macedonia, The Former Yugoslav Republic of.
OBJECTIVE: Interventional techniques available for use in treating congenital heart disease include balloon dilation of valves and vessels, stent placement and coil embolization of collaterals, patent ducts and other arterial fistulae. In addition, a variety of devices for closure of atrial and ventricular septal defects and patent ducts currently are under investigation. Radiofrequency ablation of arrhythmias also is applicable to the pediatric population
METHODS: During last 8 years 253 patients with congenital heart disease had been treated with interventional procedures in our hospital. All of them had been diagnosed by transthoracic and transoesophageal echocardiograpfy. All patients had one day hospitalization.
RESULTS: 123pts with atrial septal defects had been occluded with amplatzer septal occluder, 43pts had interventional closure of the persistent arterial channel between aorta and pulmonary artery by amplatzer AGA vascular plug et coil, 8 pts got ventricular septal defect occlusion by amplatzer septal occluder; balloon valvuloplasty of the congenital aortic valve stenosis was performed in 5 pts. and balloon valvuloplasty for pulmonary valve stenosis was performed in 52 pts.Aortic stent for treatment of the aortic coarctation was implanted in 19pts.With an anplatzer AGA vascular plug coronary AV fistula was occluded in 3 pts. No mortality and no complications were noted. Follow up period is up to8years.
CONCLUSION: interventional catheterization has become solidified as an integral component of the comprehensive management of patients with essentially all forms of congenital heart disease. Patients are getting permanent solution with minimum side-effects of their health.
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