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

Year 2022, , 1073 - 1080, 20.07.2022

Süleyman Sunkak , Mustafa Argun

https://doi.org/10.32322/jhsm.1124163

Abstract

Aim: The importance of interventional methods in the treatment of congenital heart disease (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 (24%) procedures were for diagnostic evaluation and 220 (76%) procedures were for treatment. 74 (25%) atrial septal defect (ASD) closure procedures, 9 (3%) ventricular septal defect (VSD) closure procedures and 62 (21.3%) patent ductus arteriosus (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 (5.8%) pulmonary valvular stenosis and 9 (3%) aortic valvular stenosis. Balloon angioplasty was performed to aortic coarctation in 21 (7.2%) patients and stent angioplasty was performed in 4 (1.3%) patients. As rare procedures, stent angioplasty to ductus arteriosus in 4 (1.3%) patients, pericardiocentesis in 5 (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 (1.3 %). Two patients died due to major complications related to angiographic procedures (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

Project Number

48

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