Three years of interventional pediatric cardiology experience in a newly built city hospital

Authors : Süleyman SUNKAK, Mustafa ARGUN

Pages : 1073-1080

Doi:10.32322/jhsm.1124163

View : 29 | Download : 14

Publication Date : 2022-07-20

Article Type : Research Paper

Abstract :Aim: The importance of interventional methods in the treatment of congenital heart disease insert ignore into journalissuearticles values(CHD); is increasing. In this article, we retrospectively evaluated our angiography experience for the diagnosis and treatment of congenital heart diseases in the newly built Kayseri City Hospital for 3 years. Material and Method: The demographic data of the patients, their diagnoses and information about interventions were evaluated retrospectively. Results: In our center, 291 interventional procedures were performed in a 36-month period. 71 insert ignore into journalissuearticles values(24%); procedures were for diagnostic evaluation and 220 insert ignore into journalissuearticles values(76%); procedures were for treatment. 74 insert ignore into journalissuearticles values(25%); atrial septal defect insert ignore into journalissuearticles values(ASD); closure procedures, 9 insert ignore into journalissuearticles values(3%); ventricular septal defect insert ignore into journalissuearticles values(VSD); closure procedures and 62 insert ignore into journalissuearticles values(21.3%); patent ductus arteriosus insert ignore into journalissuearticles values(PDA); closure procedures were performed via percutaneous technique. Eleven of the patients who underwent PDA closure were <2500 g infants who hospitalized in the neonatal intensive care unit. Balloon valvuloplasty was performed for 17 insert ignore into journalissuearticles values(5.8%); pulmonary valvular stenosis and 9 insert ignore into journalissuearticles values(3%); aortic valvular stenosis. Balloon angioplasty was performed to aortic coarctation in 21 insert ignore into journalissuearticles values(7.2%); patients and stent angioplasty was performed in 4 insert ignore into journalissuearticles values(1.3%); patients. As rare procedures, stent angioplasty to ductus arteriosus in 4 insert ignore into journalissuearticles values(1.3%); patients, pericardiocentesis in 5 insert ignore into journalissuearticles values(1.7%); patients, and temporary pacemaker implantation in 1 patients were performed. Major complications occurred in 2 procedure for ASD closure, 1 procedure for stent implantation to the ductus arteriosus, and 1 procedure for aortic balloon valvuloplasty insert ignore into journalissuearticles values(1.3 %);. Two patients died due to major complications related to angiographic procedures insert ignore into journalissuearticles values(0.68%);. Conclusion: Treatment of CHD with interventional methods should be preferred instead of surgery if anatomically appropriate, due to the lower rate of major complications, not requiring sternotomy, and shorter hospital stay. More experience is needed in pediatric cardiology teams who are new to these procedures.
Keywords : Congenital heart diseases, interventional treatments, city hospitals