Advances in paediatric interventional cardiology since 2000.
Details
Serval ID
serval:BIB_D046F5E57FC5
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Advances in paediatric interventional cardiology since 2000.
Journal
Archives of Cardiovascular Diseases
ISSN
1875-2136 (Print)
ISSN-L
1875-2128
Publication state
Published
Issued date
2009
Volume
102
Number
6-7
Pages
569-582
Language
english
Notes
Publication types: Historical Article ; Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
Interventional paediatric and congenital cardiology is expanding at a rapid pace. Validated techniques (such as aortic or pulmonary valve dilatations and occlusion of persistent ductus arteriosus and atrial septal defects) are improving thanks to the use of smaller introducers and sheaths, low-profile balloons and novel devices. Moreover, catheter-based interventions have emerged as an attractive alternative to surgery in other fields: pulmonary valve replacement, balloon and stent implantation for native and recurrent coarctation, and percutaneous closure of ventricular septal defects. On the other hand, percutaneous interventions in the paediatric population may be limited by patient size or the anatomy of the defect. Hybrid approaches involving both cardiac interventionists and surgeons are being developed to overcome these limitations. Based on a better understanding of cardiac development, fetal cardiac interventions are being attempted in order to alter the history of severe obstructive lesions. Finally, some interventional procedures still carry a low success rate-for example, pulmonary vein stenosis, even with the use of conventional stents. Biodegradable stents and devices are being developed and may find an application in this setting as well as in others. The purpose of this review is to highlight the advances in paediatric interventional cardiology since the beginning of the third millennium.
Keywords
Balloon Dilation/trends, Balloon Occlusion/trends, Cardiology/history, Cardiology/trends, Embolization, Therapeutic/trends, Fetal Therapies/trends, Heart Catheterization/history, Heart Catheterization/trends, Heart Defects, Congenital/embryology, Heart Defects, Congenital/therapy, History, 21st Century, Humans, Pediatrics/history, Pediatrics/trends, Septal Occluder Device/trends, Stents/trends, Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
08/10/2009 15:32
Last modification date
20/08/2019 16:50