Hybrid approach to pulmonary vein stenting after Fontan palliation

Daniel R. Critchfield, Reid C. Chamberlain, Joseph W. Turek, Gregory A. Fleming

Duke University Medical Center.
United States

Catheterization and Cardiovascular Interventions
Catheter Cardiovasc Interv 2023;
DOI: 10.1002/ccd.30831

Abstract
Pulmonary vein stenosis is poorly tolerated in patients who have undergone Fontan palliation and typically requires surgical or transcatheter intervention. Percutaneous transcatheter approaches to intervention can be technically difficult due to challenging anatomy. A hybrid per-atrial transcatheter approach for stenting pulmonary veins provides a direct approach to the pulmonary veins and has the potential to improve safety and efficacy of this complex intervention. We describe our experience with hybrid per-atrial pulmonary vein stenting in three patients with pulmonary vein stenosis following Fontan palliation.

Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Surgical Interventions for Pulmonary Venous Obstruction After the Onset of Disease
Catheter-mediated Interventions: Efficacy or Lack of Efficacy

Year of Publication: 2023

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