Early results of balloon dilatation of the stenotic bovine jugular vein graft in the right ventricular outflow tract in children.

Details

Serval ID
serval:BIB_73D28AEEE60A
Type
Article: article from journal or magazin.
Collection
Publications
Title
Early results of balloon dilatation of the stenotic bovine jugular vein graft in the right ventricular outflow tract in children.
Journal
Journal of Interventional Cardiology
Author(s)
Steinberg J., Dave H., Knirsch W., Prêtre R., Weiss M., Harpes P., Kretschmar O.
ISSN
0896-4327 (Print)
ISSN-L
0896-4327
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
21
Number
3
Pages
265-272
Language
english
Abstract
The aim of this study was to evaluate the early results of interventional balloon dilatation of stenotic bovine jugular vein (BJV) grafts implanted for reconstruction of the right ventricular outflow tract (RVOT) in children.
METHODS: From May 2001 to December 2005, 153 BJV grafts were implanted in children in our institution. An average of 16.9 (7.6-41.1) months after implantation, 17 balloon dilatations in a significant stenosis proximal (n = 1), distal anastomosis (n = 8), BJV valve (n = 3), or at multiple sites (n = 5) were performed in 15 children (male:female = 9:6) with a mean age of 3.9 (0.8-13.0) years. Balloon diameter was 75-133.3% (mean 100.3) of the original BJV size. Mean follow-up was 8.8 (2 days to 22.8 months) months.
RESULTS: In 10 interventions (58.8%) the instantaneous peak gradient was reduced below 50 mmHg. A balloon diameter > or =100% of the original BJV size correlated significantly with a successful intervention. No major complications, two minor (nonobstructive floating membranes at the dilatation site and one septicemia) occurred afterward. Freedom from reintervention after 6 months was 58.2% for all, 77.8% for dilatations of the proximal anastomosis and mixed stenotic lesions, and 33.3% for the distal anastomosis.
CONCLUSION: Balloon dilatation of stenotic BJV grafts is safe and can significantly reduce the pressure gradient in two-thirds of interventions. Balloon diameters above the original graft size should be aimed for. The most frequent stenosis of the distal anastomosis tends to renarrow early after dilatation. Nevertheless, balloon dilatation should be considered in nearly every stenotic graft to gain time until a surgical or interventional graft exchange.
Pubmed
Web of science
Create date
16/12/2014 19:12
Last modification date
20/08/2019 14:31
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