Transhepatic approach for rehabilitation of stenosed pulmonary arteries
Transhepatic cardiac catheterization and intervention is used in selected cases in our institution. A retrospective review of transcatheter interventions for the pulmonary artery was conducted. Forty-five transhepatic procedures were performed. Thirteen involved intervention, to rehabilitate the bra...
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2010;volume=3;issue=1;spage=25;epage=30;aulast=Ebeid |
| _version_ | 1819294996093730816 |
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| author | Ebeid Makram |
| author_facet | Ebeid Makram |
| author_sort | Ebeid Makram |
| collection | DOAJ |
| description | Transhepatic cardiac catheterization and intervention is used in selected cases in our institution. A retrospective review of transcatheter interventions for the pulmonary artery was conducted. Forty-five transhepatic procedures were performed. Thirteen involved intervention, to rehabilitate the branch pulmonary arteries. The median weight of the patients was 9.9 Kg ± 3.4. The patients′ age ranged from eight months to 86 months (median 23 months). The largest sheath used was 7F. All the patients underwent success intervention with no complication related either to the transhepatic approach or the intervention. The branch pulmonary artery diameter increased from 4.5 ± 2.2 mm to 7 ± 3 mm. Most of the procedures were performed under conscious sedation / deep sedation protocol. Hemostasis was achieved in all patients by gradual sheath withdrawal, followed by application of upward pressure on the tract from the subcostal area. In the absence of patent femoral veins the transhepatic approach can be used to perform successful and safe interventions, to rehabilitate the pulmonary artery system. It may offer the additional advantage of using larger sheaths than would be felt appropriate for the femoral veins. |
| first_indexed | 2024-12-24T04:35:11Z |
| format | Article |
| id | doaj.art-b74cce0013c84681a2dccfe6eaf57020 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 0974-5149 |
| language | English |
| last_indexed | 2024-12-24T04:35:11Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-b74cce0013c84681a2dccfe6eaf570202022-12-21T17:15:13ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20690974-51492010-01-01312530Transhepatic approach for rehabilitation of stenosed pulmonary arteriesEbeid MakramTranshepatic cardiac catheterization and intervention is used in selected cases in our institution. A retrospective review of transcatheter interventions for the pulmonary artery was conducted. Forty-five transhepatic procedures were performed. Thirteen involved intervention, to rehabilitate the branch pulmonary arteries. The median weight of the patients was 9.9 Kg ± 3.4. The patients′ age ranged from eight months to 86 months (median 23 months). The largest sheath used was 7F. All the patients underwent success intervention with no complication related either to the transhepatic approach or the intervention. The branch pulmonary artery diameter increased from 4.5 ± 2.2 mm to 7 ± 3 mm. Most of the procedures were performed under conscious sedation / deep sedation protocol. Hemostasis was achieved in all patients by gradual sheath withdrawal, followed by application of upward pressure on the tract from the subcostal area. In the absence of patent femoral veins the transhepatic approach can be used to perform successful and safe interventions, to rehabilitate the pulmonary artery system. It may offer the additional advantage of using larger sheaths than would be felt appropriate for the femoral veins.http://www.annalspc.com/article.asp?issn=0974-2069;year=2010;volume=3;issue=1;spage=25;epage=30;aulast=EbeidCongenital heart diseaseinterventional catheterizationoccluded vesselspulmonary angioplasty |
| spellingShingle | Ebeid Makram Transhepatic approach for rehabilitation of stenosed pulmonary arteries Annals of Pediatric Cardiology Congenital heart disease interventional catheterization occluded vessels pulmonary angioplasty |
| title | Transhepatic approach for rehabilitation of stenosed pulmonary arteries |
| title_full | Transhepatic approach for rehabilitation of stenosed pulmonary arteries |
| title_fullStr | Transhepatic approach for rehabilitation of stenosed pulmonary arteries |
| title_full_unstemmed | Transhepatic approach for rehabilitation of stenosed pulmonary arteries |
| title_short | Transhepatic approach for rehabilitation of stenosed pulmonary arteries |
| title_sort | transhepatic approach for rehabilitation of stenosed pulmonary arteries |
| topic | Congenital heart disease interventional catheterization occluded vessels pulmonary angioplasty |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2010;volume=3;issue=1;spage=25;epage=30;aulast=Ebeid |
| work_keys_str_mv | AT ebeidmakram transhepaticapproachforrehabilitationofstenosedpulmonaryarteries |