Percutaneous Stent Placement in Children Weighing Less Than 10 Kilograms

The objectives of this study were to evaluate the safety, efficacy, and outcomes of palliative percutaneous stent placement in infants with congenital heart disease (CHD). There is interest in improving outcomes of infants with CHD through interventional/surgical collaboration. Small, high-risk pati...

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Bibliographic Details
Published in:Pediatric cardiology 2008-05, Vol.29 (3), p.562-567
Main Authors: Ashwath, Ravi, Gruenstein, Daniel, Siwik, Ernest
Format: Article
Language:English
Subjects:
Blood Vessel Prosthesis Implantation - methods
Body Weight
Cardiac Surgery
Cardiology
Child, Preschool
Heart Defects, Congenital - therapy
Humans
Infant
Medicine
Medicine & Public Health
Original Article
Palliative Care
Retrospective Studies
Stents
Treatment Outcome
Vascular Surgery
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Summary:The objectives of this study were to evaluate the safety, efficacy, and outcomes of palliative percutaneous stent placement in infants with congenital heart disease (CHD). There is interest in improving outcomes of infants with CHD through interventional/surgical collaboration. Small, high-risk patients may benefit from delayed open operations, and endovascular stents may provide a means to defer surgery to more advantageous times in select infants. Patients weighing ≤10 kg in whom stent placement was attempted during 2003–2006 were identified. Diagnoses, indications, angiographic and hemodynamic data, complications, and outcomes were reviewed. Seventeen stents were successfully placed in 15 patients. The mean age was 10.21 months; the mean weight was 6.08 kg. Indications were branch pulmonary artery stenosis, coarctation, total anomalous pulmonary venous return with obstructed venous egress, right ventricle-pulmonary artery conduit, and shunt stenosis. Premounted Palmaz Genesis and Driver Mx stents were used. Average vessel diameter increased from 3.65 to 6.72 mm ( p  
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-007-9141-8