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Advances in paediatric interventional cardiology since 2000

Archives of cardiovascular diseases, 2009-06, Vol.102 (6), p.569-582 [Peer Reviewed Journal]

Elsevier Masson SAS ;2009 Elsevier Masson SAS ;2009 INIST-CNRS ;ISSN: 1875-2136 ;EISSN: 1875-2128 ;DOI: 10.1016/j.acvd.2009.04.006 ;PMID: 19664577

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Title:
Advances in paediatric interventional cardiology since 2000
Author: Abadir, Sylvia ; Sarquella-Brugada, Georgia ; Mivelaz, Yvan ; Dahdah, Nagib ; Miró, Joaquim
Subjects: Atherosclerosis (general aspects, experimental research) ; Balloon Occlusion - trends ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiac Catheterization - history ; Cardiac Catheterization - trends ; Cardiology - history ; Cardiology - trends ; Cardiology. Vascular system ; Cardiopathies congénitales ; Cardiovascular ; Catheterization - trends ; Cathétérisme cardiaque interventionnel ; Congenital heart defects ; Embolization, Therapeutic - trends ; Fetal Therapies - trends ; Heart Defects, Congenital - embryology ; Heart Defects, Congenital - therapy ; History, 21st Century ; Humans ; Internal Medicine ; Interventional paediatric cardiology ; Medical sciences ; Nouvelles techniques ; Pediatrics - history ; Pediatrics - trends ; Recent advances ; Septal Occluder Device - trends ; Stents - trends ; Treatment Outcome
Is Part Of: Archives of cardiovascular diseases, 2009-06, Vol.102 (6), p.569-582
Description: Summary Interventional paediatric and congenital cardiology is expanding at a rapid pace. Validated techniques (such as aortic or pulmonary valve dilatations and occlusion of persistent ductus arteriosus and atrial septal defects) are improving thanks to the use of smaller introducers and sheaths, low-profile balloons and novel devices. Moreover, catheter-based interventions have emerged as an attractive alternative to surgery in other fields: pulmonary valve replacement, balloon and stent implantation for native and recurrent coarctation, and percutaneous closure of ventricular septal defects. On the other hand, percutaneous interventions in the paediatric population may be limited by patient size or the anatomy of the defect. Hybrid approaches involving both cardiac interventionists and surgeons are being developed to overcome these limitations. Based on a better understanding of cardiac development, fetal cardiac interventions are being attempted in order to alter the history of severe obstructive lesions. Finally, some interventional procedures still carry a low success rate—for example, pulmonary vein stenosis, even with the use of conventional stents. Biodegradable stents and devices are being developed and may find an application in this setting as well as in others. The purpose of this review is to highlight the advances in paediatric interventional cardiology since the beginning of the third millennium.
Publisher: Amsterdam: Elsevier Masson SAS
Language: English
Identifier: ISSN: 1875-2136
EISSN: 1875-2128
DOI: 10.1016/j.acvd.2009.04.006
PMID: 19664577
Source: MEDLINE
Alma/SFX Local Collection

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Advances in paediatric interventional cardiology since 2000

Elsevier Masson SAS ;2009 Elsevier Masson SAS ;2009 INIST-CNRS ;ISSN: 1875-2136 ;EISSN: 1875-2128 ;DOI: 10.1016/j.acvd.2009.04.006 ;PMID: 19664577

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