CHD Intervention Featured Articles of May 2017

Interventional Cardiology Reviews of May 2017 Manuscripts

 

Interventional Treatment of Patients with Congenital Heart Disease: Nationwide Danish Experience Over 39 Years.

Larsen SH, Olsen M, Emmertsen K, Hjortdal VE.

J Am Coll Cardiol. 2017 Jun 6;69(22):2725-2732. doi: 10.1016/j.jacc.2017.03.587.

PMID: 28571637

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Take Home Points:

 

  • Over the last 39 years, interventional (surgical or catheter based) treatment of congenital heart disease (CHD) is being performed on younger and more preterm patients.
  • There has been an increase in the percent of catheter-based interventions over time.
  • 10-year survival following interventions for CHD has increased however CHD, even simple lesions alone, is still associated with lower long-term survival than non-CHD controls.

 

Whiteside, WendyComment from Dr. Wendy Whiteside (Cincinnati), section editor of Congenital Heart Disease Interventions Journal Watch: The Danish National Registry of Patients is uniquely positioned to provide extensive longitudinal population-based health data. In this article, Larsen et al make use of this database to bring meaningful numbers in support of what we all know to be true—the exciting progression of interventional therapies for CHD over the last nearly 40 years.

 

From the database, Larsen et al analyzed all children (<18 years of age) treated with congenital heart surgery or catheter-based interventions (beginning in 1990 for catheter procedures) for CHD in Denmark from 1977 through 2015. Dates were divided into 3 periods (1977-1989; 1990-1999, and 2003-2015) to allow for comparison across time periods. The study population represented 3.9% of the live births in Denmark.  Over the three time periods, median age at first procedure decreased (median 3.4 to 0.8 to 0.6 years in the 3 periods, respectively), and the percentage of preterm patients increased (median 6.7 to 14.3 to 18.5% of the population) suggesting interventions being performed in younger and smaller patients over time in parallel with advances in surgical techniques and improved neonatal care.  While there was an increase in the percent of the cohort treated for CHD from periods 1 to 2 (26.7% vs 37.4%) there was not a continued increase in period 3 and there were fewer interventions for complex lesions, which may reflect introduction of second trimester screening for CHD in period 3 and more frequent terminations of pregnancy for severe CHD.  In addition, the distribution of surgical to catheter-based interventions has evolved over time with an increase in catheter based procedures (0 to 5.8 to 25.9% of procedures, in the 3 periods), and more patients undergoing no surgery at all (0% in period 1, 4.8% in period 2, 24% in period 3).

 

Thirty-day survival increased across periods from 97% to 98% to 100% in period 3, with 10-year survival also increasing (from 80% to 87% to 93%).  Despite this improvement over time, both simple and complex CHD are associated with lower survival compared with the age and sex matched control population, though with the difference between the CHD and control populations decreasing over time.

 

While the depth of this dataset is impressive, there are some limitations to generalization of these data that should be considered when utilizing these data in the US.  In Denmark, there has been centralization of cardiothoracic surgery care to 2 hospitals, which may impact overall outcomes and survival.  In addition, frequent termination of pregnancy in the setting of a fetus with severe CHD, impacts the complexity of patients being born and requiring subsequent interventions, and may therefore limit generalizability in the US where this practice differs.

 

Initial clinical experience with the Medtronic Micro Vascular Plug™ in transcatheter occlusion of PDAs in extremely premature infants.

Sathanandam S, Justino H, Waller BR 3rd, Radtke W, Qureshi AM.

Catheter Cardiovasc Interv. 2017 May;89(6):1051-1058. doi: 10.1002/ccd.26878. Epub 2016 Nov 26.

PMID: 27888552

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Take Home Points:

 

  • The Medtronic Micro Vascular Plug (MVP) provides a low profile, flexible, and “diskless” device that may be well suited for closure of the long tubular PDA seen in small, extremely premature infants.
  • Procedural success with the MVP for ductal closure was 93% with no complications seen, no device impingement on the LPA or aorta, and only 1 small residual shunt (resolved in follow-up).
  • Minimal diameter to unconstrained device diameter was ~1:2, with the MVP-5Q device being the most commonly used device size.

 

Comment from Dr. Wendy Whiteside (Cincinnati), section editor of Congenital Heart Disease Interventions Journal Watch: Santhanandam et al, report their two-center experience with the use of the Medtronic Micro Vascular Plug (MVP) specifically for closure of PDAs in extremely premature infants.  While the experience remains small (15 total patients) this paper provides technical detail and procedural tips for individuals seeking to utilize this device in their practice.

 

Transcatheter PDA occlusion may provide benefit over surgical ligation in the extremely premature infants by offering less disruption of respiratory mechanics and post-procedure escalation of respiratory support.  Previously, our ability to provide Transcatheter closure for these patients has been limited by the availability of an appropriately sized device (both in actual device length and diameter as well as device delivery profile) to accommodate the small vasculature and tight intracardiac relations in these small patients. The MVP, used mostly in adult neuroradiology and interventional radiology procedures, meets many of these requirements—it is low profile (deliverable through a microcatheter), delivered on an 0.018 nitinol pusher wire that is flexible and may allow for less device distortion on the delivery system, and has a diskless design with an uncovered distal (aortic) end, allowing for some flexibility in positioning of the aortic end without causing aortic obstruction.

 

Of the 15 patients, the MVP was used in 2 patients in whom the “more traditional” AVP-II device was unable to be placed due to LPA stenosis by the device.  One patient had a short, vertically oriented ductus that would not accommodate the length of the MVP (1 procedural failure, 93% success rate).  Median weight at the time of the procedure was 1210 grams (range 700-3500 grams). The ratio of the minimal PDA diameter to the unconstrained device diameter was ~1:2, with the MVP-5Q device chosen in all but 3 patients.  Technically, arterial access was not obtained in patients <2 kg, so the entirety of the procedure, including angiographic imaging of the ductus, was performed successfully antegrade through the PDA, and device positioning augmented by use of intraprocedural transthoracic echo guidance.    There were no procedural complications.  One patient had a small residual shunt after device placement (resolved on follow-up) thought to be secondary to disruption of the PFTE membrane due to multiple resheathings of the device.  Procedural times, fluoroscopy times, and contrast doses were all favorable.  The MVP provides a promising device for the transcatheter occlusion of PDA in extremely premature infants, and allows us to keep pushing the lower limit of patient weight for successful transcatheter occlusion.  Ongoing experience with this device across more operators and in more ductal anatomies will be necessary.

 

Catheter Cardiovasc Interv. 2017 May 4. doi: 10.1002/ccd.27115. [Epub ahead of print]

Stenting of the ascending aorta revisited.

Moiduddin NJ1,2Rios R1El-Said H1Moore JW1.

10.1002/ccd.27115. [Epub ahead of print]

PMID: 28471087

 

Take Home Points:

 

  • Transcatheter ascending aortic interventions have been avoided in the past due to potential damage to the aortic valve leaflets or coronary ostia
  • With improved imaging modalities, such as 3D rotational angiography, more accurate anatomic assessments can be made to guide transcatheter interventions
  • Adding transcatheter ascending aortic interventions for patients with acquired post-operative ascending aortic intervention can be a safe alternative to help avoid additional cardiac surgeries for this patient population

 

Seckler, MikeCommentary from Dr. Michael Seckeler (Tucson), section editor of Congenital Heart Disease Interventions Journal Watch:   Transcatheter intervention on ascending aortic narrowing has been somewhat controversial, particularly because of potential damage to the aortic valve leaflets and coronary ostia. The authors present a series of three successful ascending aortic interventions in patients with acquired aortic narrowing. All were post-operative from various congenital heart defect interventions and the narrowings were far enough distal from the aortic valve leaflets to allow for safe stent placement.

The authors emphasize the importance of 3D rotational angiography to help accurately measure both the greater and lesser curvatures of the ascending aorta and using a long sheath larger than needed to allow for hand injections to accurately guide stent positioning. They also acknowledge the risk of recoil after angioplasty alone and aortic wall injury or disruption, so advocate for primary stent placement to minimize this risk with covered stents available in the case of injury.

 

Transcatheter Retrieval of Cardiovascular Foreign Bodies in Children: A 15-Year Single Centre Experience.

Kudumula V, Stumper O, Noonan P, Mehta C, De Giovanni J, Stickley J, Dhillon R, Bhole V.

Pediatr Cardiol. 2017 May 24. doi: 10.1007/s00246-017-1639-0. [Epub ahead of print]

PMID:  28540398

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Take Home Points:

 

  • As interventional congenital catheterization procedures increase in complexity, the chance for embolized devices has also increased
  • Transcatheter retrieval of embolized devices and other foreign bodies has been utilized for over 50 years, but there are limited data for pediatric patients
  • The authors present a 15-year review with a 90% success rate for retrieval of a variety of embolized devices and catheter fragments with minimal adverse events
  • Despite the high success rate, the authors emphasize the importance of careful planning and surgical backup

 

Commentary from Dr. Michael Seckeler (Tucson), section editor of Congenital Heart Disease Interventions Journal Watch:   As interventional congenital cardiology has evolved, there is an increased risk for embolized devices. In addition, patients with chronic medical conditions frequently require long term central venous access and these catheters can become damaged with fragments embolizing. Both situations can frequently be treated by transcatheter retrieval techniques, which has yet to be studied in the pediatric population. The authors present a 15-year review of their single center experience.

 

During the study period, 62% of the 8956 catheterizations were interventional, with 78 (1.4%) involving retrieval of embolized foreign bodies. Mean patient age and weight were 4 years and 15 kg. The majority of foreign bodies (78%) were embolized devices and central venous catheter fragments. Of the embolized devices and stents, 96% were identified either during the initial catheterization or within the first 48 hours after implantation.

 

Embolization rates for common procedures were:

PDA devices/coils – 3%

ASD devices – 1.9%

VSD devices – 2.8%

Stents – 1.7%

Overall success rate for foreign body retrieval was 90%, with the highest individual success for PDA devices/coils. Retrieval was successful from both venous and arterial approaches with a variety of sheath sizes. The best results were reported with gooseneck snares. Importantly, devices that embolized to the left ventricle were not approached from a transcatheter route because of the risk to mitral valve chordae. There were minimal adverse events, with 5 patients with transient pulse loss and 2 requiring blood transfusion. Not surprisingly, complications were more common in younger, smaller patients. Also, the authors stress the importance of having surgical backup available, as transcatheter foreign body retrieval can be risky to the patient and is not always possible depending on the patient anatomy and location of embolized material.

 

 

CHD Interventions May 2017

 

  1. Comparison of self-expandable and balloon-expanding stents for hybrid ductal stenting in hypoplastic left heart complex.

Goreczny S, Qureshi SA, Rosenthal E, Krasemann T, Nassar MS, Anderson DR, Morgan GJ.

Cardiol Young. 2017 Jul;27(5):837-845. doi: 10.1017/S1047951116001347.

PMID: 28555538

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  1. Interventional Treatment of Patients With Congenital Heart Disease: Nationwide Danish Experience Over 39 Years.

Larsen SH, Olsen M, Emmertsen K, Hjortdal VE.

J Am Coll Cardiol. 2017 Jun 6;69(22):2725-2732. doi: 10.1016/j.jacc.2017.03.587.

PMID: 28571637

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Select item 28580763

 

  1. Simultaneous transcatheter therapy for perimembranous ventricular septal defect combined with patent ductus arteriosus.

Wang Q, Zhu X, Duanzhen Z, Zhang P, Chen H, Han X, Sheng X, Meng L.

J Card Surg. 2017 Jun;32(6):370-375. doi: 10.1111/jocs.13138. Epub 2017 May 11.

PMID: 28497553

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  1. Percutaneous management of failed bioprosthetic pulmonary valves in patients with congenital heart defects.

Tarzia P, Conforti E, Giamberti A, Varrica A, Giugno L, Micheletti A, Negura D, Piazza L, Saracino A, Carminati M, Chessa M.

J Cardiovasc Med (Hagerstown). 2017 Jun;18(6):430-435. doi: 10.2459/JCM.0000000000000486.

PMID: 27828833

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  1. Short-term cardiopulmonary efficiency improvement after transcatheter baffle leak closure in a Mustard-operated patient.

Mezzani A, Butera G, Chessa M, Micheletti A, Negura D, Calaciura R, Carminati M.

J Cardiovasc Med (Hagerstown). 2017 Jun;18(6):447-449. doi: 10.2459/JCM.0b013e32835dbbde. No abstract available.

PMID: 23314595

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  1. Coronary Sinus Defect Following Transcatheter Closure of ASD Using Amplatzer Septal Occluder: Potential Erosion by the Device.

Mohammad Nijres B, Al-Kubaisi M, Bokowski J, Abdulla RI, Awad S.

Pediatr Cardiol. 2017 Jun;38(5):1084-1086. doi: 10.1007/s00246-017-1613-x. Epub 2017 Apr 10.

PMID: 28396933

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  1. RV to PA conduits: impact of transcatheter pulmonary valve replacement in adults – a national register study.

Skoglund K, Svensson G, Thilén U, Dellborg M, Eriksson P.

Scand Cardiovasc J. 2017 Jun;51(3):153-158. doi: 10.1080/14017431.2017.1291988. Epub 2017 Feb 15.

PMID: 28276717

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  1. Perceptions of transcatheter device closure of patent ductus arteriosus in veterinary cardiology and evaluation of a canine model to simulate device placement: a preliminary study.

Saunders AB, Keefe L, Birch SA, Wierzbicki MA, Maitland DJ.

J Vet Cardiol. 2017 May 30. pii: S1760-2734(17)30026-7. doi: 10.1016/j.jvc.2017.04.002. [Epub ahead of print]

PMID: 28576477

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  1. Real-time 3D transesophageal echocardiography-guided closure of a complicated patent ductus arteriosus in a dog.

Doocy KR, Nelson DA, Saunders AB.

J Vet Cardiol. 2017 May 29. pii: S1760-2734(17)30036-X. doi: 10.1016/j.jvc.2017.04.001. [Epub ahead of print]

PMID: 28571753

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  1. Novel Three-Dimensional Image Fusion Software to Facilitate Guidance of Complex Cardiac Catheterization : 3D image fusion for interventions in CHD.

Goreczny S, Dryzek P, Morgan GJ, Lukaszewski M, Moll JA, Moszura T.

Pediatr Cardiol. 2017 May 27. doi: 10.1007/s00246-017-1627-4. [Epub ahead of print]

PMID: 28551818

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Select item 28566198

 

  1. Transcatheter Retrieval of Cardiovascular Foreign Bodies in Children: A 15-Year Single Centre Experience.

Kudumula V, Stumper O, Noonan P, Mehta C, De Giovanni J, Stickley J, Dhillon R, Bhole V.

Pediatr Cardiol. 2017 May 24. doi: 10.1007/s00246-017-1639-0. [Epub ahead of print]

PMID: 28540398

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  1. Embolic Foreign Material in the Central Nervous System of Pediatric Autopsy Patients With Instrumented Heart Disease.

Torre M, Lechpammer M, Paulson V, Prabhu S, Marshall AC, Juraszek AL, Padera RF, Bundock EA, Vargas SO, Folkerth RD.

J Neuropathol Exp Neurol. 2017 May 19. doi: 10.1093/jnen/nlx037. [Epub ahead of print]

PMID: 28525615

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  1. Radiation Safety in Children with Congenital and Acquired Heart Disease: A Scientific Position Statement on Multimodality Dose Optimization from the Image Gently Alliance.

Hill KD, Frush DP, Han BK, Abbott BG, Armstrong AK, DeKemp RA, Glatz AC, Greenberg SB, Herbert AS, Justino H, Mah D, Mahesh M, Rigsby CK, Slesnick TC, Strauss KJ, Trattner S, Viswanathan MN, Einstein AJ; Image Gently Alliance.

JACC Cardiovasc Imaging. 2017 May 17. pii: S1936-878X(17)30381-9. doi: 10.1016/j.jcmg.2017.04.003. [Epub ahead of print] Review.

PMID: 28514670 Free Article

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  1. Intergenerational differences in the effects of transcatheter closure of atrial septal defects on cardiac function.

Tashiro H, Suda K, Iemura M, Teramachi Y.

J Cardiol. 2017 May 13. pii: S0914-5087(17)30112-0. doi: 10.1016/j.jjcc.2017.03.014. [Epub ahead of print]

PMID: 28511801

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Select item 28500278

 

  1. Transcatheter interventions in adults with congenital heart disease: Surveys from the Society for Cardiovascular Angiography and Interventions to identify current patterns of care and perception on training requirements.

Wadia SK, Accavitti MJ Jr, Morgan GJ, Kenny D, Hijazi ZM, Jones TK, Cabalka AK, McElhinney DB, Kavinsky CJ.

Catheter Cardiovasc Interv. 2017 May 11. doi: 10.1002/ccd.27151. [Epub ahead of print]

PMID: 28493591

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  1. Real-time MRI guidance of cardiac interventions.

Campbell-Washburn AE, Tavallaei MA, Pop M, Grant EK, Chubb H, Rhode K, Wright GA.

J Magn Reson Imaging. 2017 May 11. doi: 10.1002/jmri.25749. [Epub ahead of print]

PMID: 28493526

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  1. Stenting of the ascending aorta revisited.

Moiduddin NJ, Rios R, El-Said H, Moore JW.

Catheter Cardiovasc Interv. 2017 May 4. doi: 10.1002/ccd.27115. [Epub ahead of print]

PMID: 28471087

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Select item 28471080

 

  1. Twenty years of experience with intraoperative pulmonary artery stenting.

Zampi JD, Loccoh E, Armstrong AK, Yu S, Lowery R, Rocchini AP, Hirsch-Romano JC.

Catheter Cardiovasc Interv. 2017 May 4. doi: 10.1002/ccd.27094. [Epub ahead of print]

PMID: 28471080

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  1. Modified transjugular approach for percutaneous atrial septal defect closure.

Bhargava RA, Phatarpekar A, Lanjewar CP, Kerkar PG.

Ann Pediatr Cardiol. 2017 May-Aug;10(2):197-199. doi: 10.4103/apc.APC_167_16.

PMID: 28566830 Free PMC Article

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  1. Pitfalls of stenting coarctation of an angulated right circumflex aortic arch in Goldenhar syndrome.

Rad EM, Mortezaeian H, Pouraliakbar HR, Hijazi ZM.

Ann Pediatr Cardiol. 2017 May-Aug;10(2):194-196. doi: 10.4103/apc.APC_134_16.

PMID: 28566829 Free PMC Article

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  1. Catheter hemodynamic assessment of the univentricular circulation.

Stumper O, Penford G.

Ann Pediatr Cardiol. 2017 May-Aug;10(2):167-174. doi: 10.4103/apc.APC_160_16. Review.

PMID: 28566825 Free PMC Article

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  1. Transcatheter closure of large atrial septal defects using 40 mm amplatzer septal occluder: Single group experience with short and intermediate term follow-up.

Dalvi B, Sheth K, Jain S, Pinto R.

Catheter Cardiovasc Interv. 2017 May;89(6):1035-1043. doi: 10.1002/ccd.26858. Epub 2016 Nov 12.

PMID: 27862916

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  1. Single-center experience in percutaneous closure of arterial duct with Amplatzer duct Occluder II additional sizes.

Mahmoud HT, Santoro G, Gaio G, D’Aiello FA, Capogrosso C, Palladino MT, Russo MG.

Catheter Cardiovasc Interv. 2017 May;89(6):1045-1050. doi: 10.1002/ccd.26860. Epub 2016 Nov 10.

PMID: 27862909

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  1. Novel use of the medtronic micro vascular plug for PDA closure in preterm infants.

Wang-Giuffre EW, Breinholt JP.

Catheter Cardiovasc Interv. 2017 May;89(6):1059-1065. doi: 10.1002/ccd.26855. Epub 2016 Nov 10.

PMID: 27860173

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  1. Transcatheter closure of large patent ductus arteriosus using custom made devices.

Rohit MK, Gupta A.

Catheter Cardiovasc Interv. 2017 May;89(6):E194-E199. doi: 10.1002/ccd.25349. Epub 2014 Jan 7.

PMID: 24323820

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  1. Acute and long-term effects of endovascular debanding of pulmonary arteries in a swine model.

Perez M, Kumar TS, Hoskoppal D, Akkhawattanangkul Y, Allen K, Knott-Craig CJ, Waller BR, Sathanandam S.

Congenit Heart Dis. 2017 May;12(3):340-349. doi: 10.1111/chd.12449.

PMID: 28580610

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  1. Transcatheter closure of calcified patent ductus arteriosus in older adult patients: Immediate and 12-month follow-up results.

Gu X, Zhang Q, Sun H, Fei J, Zhang X, Kutryk MJ.

Congenit Heart Dis. 2017 May;12(3):289-293. doi: 10.1111/chd.12437. Epub 2016 Nov 22.

PMID: 27874259

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  1. Dehiscence of a pulmonary bioprosthesis with a focal dissection of the pulmonary artery in a patient with congenital pulmonic stenosis.

Yucel E, Bhatt A, Mihos CG, Ghoshhajra BB, DeFaria Yeh D.

Echocardiography. 2017 May;34(5):776-778. doi: 10.1111/echo.13502. Epub 2017 Mar 27.

PMID: 28345243

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  1. Neurodevelopmental Outcome in Children after Fetal Cardiac Intervention for Aortic Stenosis with Evolving Hypoplastic Left Heart Syndrome.

Laraja K, Sadhwani A, Tworetzky W, Marshall AC, Gauvreau K, Freud L, Hass C, Dunbar-Masterson C, Ware J, Lafranchi T, Wilkins-Haug L, Newburger JW.

J Pediatr. 2017 May;184:130-136.e4. doi: 10.1016/j.jpeds.2017.01.034. Epub 2017 Feb 21.

PMID: 28233547

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  1. [Interventional cardiac catheterization in congenital heart disease].

Godart F, Houeijeh A.

Presse Med. 2017 May;46(5):497-508. doi: 10.1016/j.lpm.2016.11.013. Epub 2016 Dec 27. French.

PMID: 28038838

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  1. Utility and Clinical Profile of Dexmedetomidine in Pediatric Cardiac Catheterization Procedures: A Matched Controlled Analysis.

Riveros R, Makarova N, Riveros-Perez E, Chodavarapu P, Saasouh W, Yılmaz HO, Cuko E, Babazade R, Kimatian S, Turan A.

Semin Cardiothorac Vasc Anesth. 2017 May 1:1089253217708035. doi: 10.1177/1089253217708035. [Epub ahead of print]

PMID: 28549395

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Select item 28482733

 

  1. Exercise Capacity Before and After Stent Placement for Coarctation of the Aorta: A Single-Center Case Series.

Morrical BD, Anderson JH, Taggart NW.

Pediatr Cardiol. 2017 May 18. doi: 10.1007/s00246-017-1628-3. [Epub ahead of print]

PMID: 28523342

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  1. Transcatheter correction of Scimitar syndrome: occlusion of abnormal pulmonary venous drainage and vascular supply in an infant.

Saltik L, Ugan Atik S, Bornaun H.

Cardiol Young. 2017 May 16:1-3. doi: 10.1017/S1047951117000750. [Epub ahead of print]

PMID: 28506323

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Select item 28506322

 

  1. Transcatheter closure of a membranous ventricular septal defect in a 1.8-kg infant using Amplatzer Duct Occluder II additional size device.

Champaneri B, Kappanayil M, Kumar RK.

Cardiol Young. 2017 May 16:1-4. doi: 10.1017/S1047951117000695. [Epub ahead of print]

PMID: 28506322

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Select item 28508510

 

  1. Intergenerational differences in the effects of transcatheter closure of atrial septal defects on cardiac function.

Tashiro H, Suda K, Iemura M, Teramachi Y.

J Cardiol. 2017 May 13. pii: S0914-5087(17)30112-0. doi: 10.1016/j.jjcc.2017.03.014. [Epub ahead of print]

PMID: 28511801

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Select item 28506578

 

  1. Transcatheter interventions in adults with congenital heart disease: Surveys from the Society for Cardiovascular Angiography and Interventions to identify current patterns of care and perception on training requirements.

Wadia SK, Accavitti MJ Jr, Morgan GJ, Kenny D, Hijazi ZM, Jones TK, Cabalka AK, McElhinney DB, Kavinsky CJ.

Catheter Cardiovasc Interv. 2017 May 11. doi: 10.1002/ccd.27151. [Epub ahead of print]

PMID: 28493591

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Select item 28493451

 

  1. Long-term outcome after percutaneous closure of persistent left superior caval vein draining into the left atrium: a contrast-enhanced CT study.

Marini D, Castagno M, Millesimo M, Ferroni F, Ferraro G, Pace Napoleone C, Agnoletti G.

Cardiol Young. 2017 May 8:1-7. doi: 10.1017/S1047951117000737. [Epub ahead of print]

PMID: 28478769

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  1. Transcatheter closure of hemodynamic significant patent ductus arteriosus in 32 premature infants by amplatzer ductal occluder additional size-ADOIIAS.

Morville P, Akhavi A.

Catheter Cardiovasc Interv. 2017 May 4. doi: 10.1002/ccd.27091. [Epub ahead of print]

PMID: 28471089

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  1. Access to the native atria following conduit total cavopulmonary anastomosis.

Petersen RL, Danon S, Jureidini S.

Catheter Cardiovasc Interv. 2017 May 4. doi: 10.1002/ccd.27044. [Epub ahead of print]

PMID: 28470999

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  1. Transcatheter closure of the patent foramen ovale in children: intermediate-term follow-up results.

Sel K, Aykan HH, Duman D, Aypar E, Özkutlu S, Alehan D, Karagöz T.

Cardiol Young. 2017 May 2:1-5. doi: 10.1017/S1047951117000725. [Epub ahead of print]

PMID: 28460651

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  1. Cost-effectiveness analysis of different devices used for the closure of small-to-medium-sized patent ductus arteriosus in pediatric patients.

El-Saiedi SA, El Sisi AM, Mandour RS, Abdel-Aziz DM, Attia WA.

Ann Pediatr Cardiol. 2017 May-Aug;10(2):144-151. doi: 10.4103/0974-2069.205138.

PMID: 28566822 Free PMC Article

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Select item 28566821

 

  1. A roadmap for the aspiring interventional pediatric cardiologist.

Kumar RK.

Ann Pediatr Cardiol. 2017 May-Aug;10(2):109-113. doi: 10.4103/apc.APC_52_17. No abstract available.

PMID: 28566816 Free PMC Article

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Select item 28431725

 

  1. Percutaneous closure of an aortopulmonary window using Amplatzer Duct Occluder II: Additional Sizes: the first reported case.

Fiszer R, Zbroński K, Szkutnik M.

Cardiol Young. 2017 May;27(4):812-815. doi: 10.1017/S1047951116002134. Epub 2016 Nov 21.

PMID: 27869054

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Select item 27869041

 

  1. Transcatheter closure of patent ductus arteriosus using the AMPLATZER™ duct occluder II (ADO II).

Gruenstein DH, Ebeid M, Radtke W, Moore P, Holzer R, Justino H.

Catheter Cardiovasc Interv. 2017 May;89(6):1118-1128. doi: 10.1002/ccd.26968. Epub 2017 Mar 4.

PMID: 28258658

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  1. Initial clinical experience with the Medtronic Micro Vascular Plug™ in transcatheter occlusion of PDAs in extremely premature infants.

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