Source:http://linkedlifedata.com/resource/pubmed/id/16598389
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
2006-6-2
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| pubmed:abstractText |
We report on our experience with transhepatic access for catheter interventions in six children (age range 2.5 months-9 years). Three had systemic venous anomalies, and one infant a femoral venous occlusion. In two further patients with bradyarrhythmia after a Fontan operation with an intraatrial Gore-Tex tunnel, transhepatic access was chosen to achieve a perpendicular orientation of the transseptal needle to the atrial baffle, allowing puncture of the Gore-Tex membrane. Two of the patients underwent ablation of an accessory pathway; in one an atrial septal defect was closed. A 2.5 month old baby after Norwood I operation, underwent balloon dilation of the pulmonary arteries. Two patients after prior Fontan surgery underwent DDDR pacemaker implantation. The size of the introducer sheath ranged from 4 F up to two 9 F introducers in the same vein for pacemaker insertion. At the end of the procedure, hemostasis was achieved by external compression. RESULTS: Transhepatic access could be established in all six patients (using a mirror image approach in children with left atrial isomerism) and the interventional procedures could be performed as planned. In one patient with implantation of a permanent pacemaker, a subcutaneous hematoma occurred, requiring blood transfusion. CONCLUSION: In selected pediatric patients, transhepatic access for catheter intervention can easily be achieved.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
1861-0684
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
95
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| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
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| pubmed:pagination |
329-33
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| pubmed:meshHeading |
pubmed-meshheading:16598389-Angioplasty, Balloon,
pubmed-meshheading:16598389-Child,
pubmed-meshheading:16598389-Child, Preschool,
pubmed-meshheading:16598389-Fontan Procedure,
pubmed-meshheading:16598389-Heart Catheterization,
pubmed-meshheading:16598389-Heart Defects, Congenital,
pubmed-meshheading:16598389-Humans,
pubmed-meshheading:16598389-Liver,
pubmed-meshheading:16598389-Pacemaker, Artificial,
pubmed-meshheading:16598389-Retrospective Studies
|
| pubmed:year |
2006
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| pubmed:articleTitle |
Transhepatic approach for catheter interventions in infants and children with congenital heart disease.
|
| pubmed:affiliation |
Klinik und Poliklinik für Kinderkardiologie, Kerpener Str. 62, 50937, Köln, Germany.
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| pubmed:publicationType |
Journal Article
|