Kathryn J. Shell, Makram R. Ebeid, Jorge D. Salazar, Ali Dodge-Khatami, Sarosh P. Batlivala
University of Mississippi Medical Center and Batson Children’s Hospital.
United States
World Journal of Pediatric and Congenital Heart Surgery
World J Pediatr Congenit Heart Surg 2015; 6: 284-287
DOI: 10.1177/2150135114559405
Abstract
Pulmonary vein stenosis (PVS) is often progressive and severe. Surgical and percutaneous angioplasty are acutely successful; however, restenosis is common and many patients require multiple reinterventions. We perform intraoperative “hybrid” stent placement to deliver larger, stronger stents. Hybrid stent placement is well described for pulmonary arterial stenosis (PAS). The PAS data demonstrate that smaller stents are associated with rapid in-stent restenosis. Data from PVS in adults demonstrate superior outcomes with larger stents. Hybrid stent placement requires a strong collaborative effort between congenital heart surgeons and interventional cardiologists.
Category
Catheter-mediated Interventions: Efficacy or Lack of Efficacy
Surgical Interventions for Pulmonary Venous Obstruction After the Onset of Disease
Year of Publication: 2015
Age Focus: Pediatric
Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)
Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No