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INETRVENTIONAL PROCEDURES FOR CONGENITAL HEART DISEASE
Zan K. 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 12 years 522 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: 268pts with atrial septal defects had been occluded with amplatzer septal occluder, 50pts had interventional closure of the persistent arterial channel between aorta and pulmonary artery by amplatzer AGA vascular plug et coil, 35 pts got ventricular septal defect occlusion by amplatzer septal occluder; balloon valvuloplasty of the congenital aortic valve stenosis was performed in 17 pts. and balloon valvuloplasty for pulmonary valve stenosis was performed in 120 pts.Aortic stent for treatment of the aortic coarctation was implanted in 29pts.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 to 12 years.
CONCLUSIONS: 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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