Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Predictors of reintervention in neonates with critical pulmonary stenosis or pulmonary atresia with intact ventricular septum
Catheterization and Cardiovascular Interventions, Volume 79, No. 4, Year 2012
Notification
URL copied to clipboard!
Description
Objectives: Describe the short and midterm outcome and to determine the predictors of reintervention in neonates with critical pulmonary stenosis (PS) or pulmonary atresia with intact ventricular septum (PA/IVS). Background: The transcatheter intervention for critical PS and PA/IVS resulted in improvement in the patient's survival and the quality of life. The procedure is not free of complications and there is still a significant rate of reintervention. Method: All neonates with critical PS or PA/IVS who underwent interventional cardiac catheterization between November 2004 and January 2009 were reviewed retrospectively. We performed a comparison between those who required reintervention and those who did not, to identify the predictors of reintervention. Results: Forty-three neonates were included, 23 (53.5%) had critical PS and 20 (46.5%) had PA/IVS. Twenty-six patients (60%) were males, the mean age was 11 ± 8 days, and the mean weight was 3.2 ± 0.6 kg. Two patients died (4.6%). The mean follow-up period was 19 ± 13 months for 42 patients. Fifteen patients (36%) required reintervention, 11 of them (73%) had PA/IVS, and 4 (27%) had critical PS. Reintervention was more in patients with PA/IVS than those with critical PS (P = 0.003). Other predictors for reintervention included hospital stay ≥ 7.5 days (P = 0.001) and tricuspid valve regurgitation peak gradient in day one post first intervention (TR1) ≥43 mm Hg (P = 0.03). Conclusion: Interventional cardiac catheterization shows favorable outcome for patients with critical PS and PA/IVS. Predictors for reintervention included the diagnosis of PA/IVS, hospital stay ≥7.5 days after first intervention and TR1 gradient ≥43 mm Hg. © 2011 Wiley Periodicals, Inc.
Authors & Co-Authors
Shaath, Ghassan A.
Saudi Arabia, Riyadh
King Abdulaziz Medical City - Riyadh
Al-Mutairi, Mansour Bader
Saudi Arabia, Riyadh
King Abdulaziz Medical City - Riyadh
al-Tamimi, Omar R.J.
Saudi Arabia, Riyadh
King Abdulaziz Medical City - Riyadh
Al-Akhfash, Ali A.
Saudi Arabia, Riyadh
King Abdulaziz Medical City - Riyadh
Abolfotouh, Mostafa A.
Saudi Arabia, Riyadh
King Abdulaziz Medical City - Riyadh
Alhabshan, Fahad M.
Saudi Arabia, Riyadh
King Abdulaziz Medical City - Riyadh
Statistics
Citations: 13
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1002/ccd.23320
ISSN:
15221946
e-ISSN:
1522726X
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases
Study Design
Randomised Control Trial
Cohort Study