Feasibility and Safety of Percutaneous Cardiac Interventions for Congenital and Acquired Heart Defects in Infants ≤1000 g

The transcatheter closure of patent ductus arteriosus (TCPC) has been demonstrated to be feasible even in infants weighing ≤1000 g. However, other percutaneous cardiac interventions (PCI) for such small infants born with congenital heart defects (CHD) or acquired heart defects (AHD) have not been we...

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Bibliographic Details
Published in:Children (Basel) 2021-09, Vol.8 (9), p.826
Main Authors: Philip, Ranjit, Towbin, Jeffrey, Tailor, Neil, Joshi, Vijaya, Johnson, Jason N., Naik, Ronak, Waller, B. Rush, Sathanandam, Shyam
Format: Article
Language:English
Subjects:
acquired heart defects
Babies
Birth weight
cardiac catheterization
Carotid arteries
Catheters
Congenital diseases
congenital heart defects
Coronary vessels
Foreign bodies
Gestational age
Heart
low birthweight
Mortality
Patients
Pediatrics
prematurity
Pulmonary arteries
pulmonary valvuloplasty
Stents
Success
Veins & arteries
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Summary:The transcatheter closure of patent ductus arteriosus (TCPC) has been demonstrated to be feasible even in infants weighing ≤1000 g. However, other percutaneous cardiac interventions (PCI) for such small infants born with congenital heart defects (CHD) or acquired heart defects (AHD) have not been well described. The purpose of this study was to describe the feasibility and safety of PCI in infants ≤1000 g. A retrospective review was conducted between June 2015 and May 2021, looking at 148 consecutive PCIs performed on infants weighing ≤1000 g at the time of the procedure. The procedural success rate was 100%. The major adverse event (AE) rate for TCPC was 3%, while there were no major AEs for other PCI. It is feasible to perform PCIs in infants weighing ≤1000 g with CHD and AHD using currently available technologies.
ISSN:2227-9067
2227-9067
DOI:10.3390/children8090826