Expansion Characteristics of Stents Used in Congenital Heart Disease: Serial Dilation Offers Improved Expansion Potential Compared to Direct Dilation: Results from a Pediatric Interventional Cardiology Early Career Society (PICES) Investigation.

Abstract:

OBJECTIVE:Intravascular stents are now routinely used to treat young patients with vascular stenoses. Future stent redilations are often necessary to account for somatic growth. The purpose of this study was to compile a database of characteristics for stents commonly used in the treatment of congenital heart disease patients, and compare serial dilation to direct dilation to the maximal diameter. DESIGN:A standardized bench testing protocol was established and utilized in the assessment of all stents. Ultra high pressure balloons were used to serially dilate each stent by set increments until the stent reached at least 24 mm in diameter, developed a napkin-ring configuration, or fractured. Length and diameter of each stent were measured at baseline and following each stage of dilation. Maximal stent diameters, foreshortening properties, and ability to fracture were reported. Stents were then tested for direct dilation from the primary diameter to the maximal diameter, and the same data was obtained. RESULTS:A total of 127 stents were bench-tested, 80 of which were serially dilated and 47 directly dilated. Most premounted stents could be serially dilated to approximately twice their stated nominal diameter. All tested unmounted stents could be serially dilated to ≥20 mm. Foreshortening occurred at larger diameters, but varied significantly among different stent types. Serial dilation offered more consistent results with significantly less foreshortening and more symmetric expansion when compared with direct dilation. Most premounted stents could be fractured when serially dilated. CONCLUSIONS:All tested vascular stents can be dilated beyond their nominal implantation diameter. Serial dilation offers a much more reliable response with uniform expansion, less foreshortening, greater maximal diameter, and improved intentional fracture potential, as compared to direct dilation from the nominal to maximal diameter. In vivo studies are necessary to corroborate these findings in the congenital heart disease population.

journal_name

Congenit Heart Dis

journal_title

Congenital heart disease

authors

Danon S,Gray RG,Crystal MA,Morgan G,Gruenstein DH,Goldstein BH,Gordon BM

doi

10.1111/chd.12399

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

741-750

issue

6

eissn

1747-079X

issn

1747-0803

journal_volume

11

pub_type

杂志文章
  • Echocardiographic and Surgical Correlation of Coronary Artery Patterns in Transposition of the Great Arteries.

    abstract:OBJECTIVE:Determine the accuracy of echocardiography to diagnose coronary anatomy in transposition of the great arteries and to evaluate the effect of accuracy on surgical outcomes and changes in accuracy over time. DESIGN:Retrospective chart review of neonates admitted February 1999 to March 2013 with transposition. ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12338

    authors: Fundora MP,Aregullin EO,Wernovsky G,Welch EM,Muniz JC,Sasaki N,Hannan RL,Burke RP,Lopez L

    更新日期:2016-12-01 00:00:00

  • Repair of tetralogy of Fallot in or beyond the fourth decade of life.

    abstract:OBJECTIVE:Patients with tetralogy of Fallot (TOF) undergoing surgery in adulthood represent a challenge. We report our experience with such patients in or beyond the fourth decade of life. DESIGN:Retrospective cohort. SETTING:Multispeciality tertiary level referral center PATIENTS:Forty-one (age 30-52 years) with TO...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12162

    authors: Talwar S,Meena A,Choudhary SK,Saxena A,Kothari SS,Juneja R,Airan B

    更新日期:2014-09-01 00:00:00

  • Clinical, echocardiographic, and therapeutic aspects of congenital heart diseases of children at Douala General Hospital: A cross-sectional study in sub-Saharan Africa.

    abstract:INTRODUCTION:Cardiovascular diseases in pediatric pathologies have emerged in the recent years in sub-Saharan Africa (SSA), with congenital heart diseases (CHDs) being the most frequent. Unfortunately, their diagnosis is usually delayed, thereby increasing childhood morbidity and mortality. OBJECTIVES:Describe the cli...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12529

    authors: Kamdem F,Kedy Koum D,Hamadou B,Yemdji M,Luma H,Doualla MS,Noukeu D,Barla E,Akazong C,Dzudie A,Ngote H,Monkam Y,Mouliom S,Kingue S

    更新日期:2018-01-01 00:00:00

  • Echocardiography and management of sick neonates in the intensive care unit.

    abstract::To evaluate the influence of echocardiographic examination in the clinical management of the sick neonate, 241 patients, admitted to the neonatal intensive care unit of a tertiary referral center that had echocardiograms with data available for review, were enrolled in a retrospective study. Asymptomatic murmurs (45%)...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00209.x

    authors: Kadivar M,Kiani A,Kocharian A,Shabanian R,Nasehi L,Ghajarzadeh M

    更新日期:2008-09-01 00:00:00

  • Creatinine-based estimation of glomerular filtration rate in patients with a Fontan circulation.

    abstract:BACKGROUND:Patients with a Fontan circulation are at risk of renal dysfunction. We analyzed cross-sectional data in pediatric and adult Fontan patients in order to assess the accuracy of commonly used serum creatinine-based methods in estimating glomerular filtration rate (GFR). METHODS:A total of 124 Fontan patients ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12746

    authors: Wilson TG,d'Udekem Y,Winlaw DS,Cordina RL,Ayer J,Gentles TL,Weintraub RG,Grigg LE,Cheung M,Cain TM,Rao P,Verrall C,Plessis KD,Rice K,Iyengar AJ

    更新日期:2019-05-01 00:00:00

  • Diagnostic role of magnetic resonance imaging in identifying aortic arch anomalies.

    abstract:PURPOSE:The aim of this article was to assess the role of MRI in the diagnosis and management of a variety of complex aortic arch anomalies. MATERIALS AND METHODS:Imaging was performed on a 1.5T Philips Gyroscan Intera. We retrospectively reviewed all cardiac MR scans performed from November 2003 to February 2007 at o...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00174.x

    authors: Cantinotti M,Hegde S,Bell A,Razavi R

    更新日期:2008-03-01 00:00:00

  • Correlates of posttraumatic stress disorder in adults with congenital heart disease.

    abstract:OBJECTIVE:The aims of this study were to compare the level of posttraumatic stress disorder between adults with and without congenital heart disease, and to examine the correlates of posttraumatic stress disorder (e.g., sociodemographics). DESIGN:Cross-sectional. SETTING:Two university-affiliated heart hospitals in T...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/chd.12452

    authors: Eslami B

    更新日期:2017-05-01 00:00:00

  • Comprehensive evaluation of a patient with Kawasaki disease and giant coronary aneurysms with cardiac magnetic resonance.

    abstract::In patients with Kawasaki disease (KD) and coronary artery aneurysms (CAAs), serial evaluation with multiple imaging modalities is recommended to guide risk stratification and management. We present the case of a 7-year-old boy with a history of KD and multiple giant CAAs who developed thrombosis in one of the aneurys...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12131

    authors: Prsa M,Hussain T,McCrindle BW,Grosse-Wortmann L

    更新日期:2014-11-01 00:00:00

  • Pathologic features of dilated cardiomyopathy with localized noncompaction in a child with deletion 1p36 syndrome.

    abstract::Dilated cardiomyopathy and ventricular noncompaction have been reported in association with deletion 1p36 syndrome. Previous descriptions include echocardiographic and/or gross pathologic descriptions. There are no previous reports of microscopic findings. We report a case with descriptions of echocardiographic, gross...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00514.x

    authors: Pearce FB,Litovsky SH,Dabal RJ,Robin N,Dure LJ,George JF,Kirklin JK

    更新日期:2012-01-01 00:00:00

  • A different therapeutic strategy for severe tetralogy of Fallot with origin of the left pulmonary artery from the ascending aorta: stenting of the right ventricular outflow tract before complete repair.

    abstract::The origin of pulmonary artery branches (particularly the left pulmonary artery) from the ascending aorta is a rare condition. We detected prominent hypoplasia of the main and right pulmonary arteries in a 3.5-month-old 3.7 kg female infant who had tetralogy of Fallot with origin of the left pulmonary artery in the as...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00542.x

    authors: Saritas T,Erdem A,Karaci AR,Demir F,Celebi A

    更新日期:2012-05-01 00:00:00

  • A restrictive ventilatory pattern is common in patients with univentricular heart after Fontan palliation and associated with a reduced exercise capacity and quality of life.

    abstract:AIM:The Fontan circulation is highly dependent on ventilation, improving pulmonary blood flow and cardiac output. A reduced ventilatory function is reported in these patients. The extent of this impairment and its relation to exercise capacity and quality of life is unknown and objective of this study. METHODS:This mu...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12694

    authors: Callegari A,Neidenbach R,Milanesi O,Castaldi B,Christmann M,Ono M,Müller J,Ewert P,Hager A

    更新日期:2019-03-01 00:00:00

  • Hydrogel expandable coils for vascular occlusion in congenital cardiovascular disease: a single center experience.

    abstract:OBJECTIVE:  The objective of this study is to evaluate the safety and feasibility of the AZUR hydrogel-polymer coated platinum coil (hydrocoil) for vascular occlusion in patients with congenital cardiovascular disease (CCVD). DESIGN:  Retrospective case review. PATIENTS:  Eight patients with CCVD who underwent attemp...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00583.x

    authors: Goldstein BH,Aiyagari R,Bocks ML,Armstrong AK

    更新日期:2012-05-01 00:00:00

  • Determinants of right ventricular outflow tract conduit longevity: a multinational analysis.

    abstract:OBJECTIVE:The need for conduit replacement in the growing child remains a major problem after right ventricular outflow tract reconstruction. We compared two diverse surgical centers with considerable practice variation in Europe and the United States to identify modifiable risk factors that can increase conduit longev...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00190.x

    authors: Niemantsverdriet MB,Ottenkamp J,Gauvreau K,Del Nido PJ,Hazenkamp MG,Jenkins KJ

    更新日期:2008-05-01 00:00:00

  • Thrombus in right ventricular outflow tract: unique cause of refractory cyanotic spell.

    abstract::Iron deficiency state in patients with cyanotic congenital heart disease can mimic as well as aggravate hyperviscosity symptoms. Correction of iron deficiency in these cases is expected to improve symptoms. We report an unexpected occurrence of refractory cyanotic spell in a child with tetralogy of Fallot due to throm...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00608.x

    authors: Gupta SK,Saxena A,Anil OM,Bisoi AK

    更新日期:2012-07-01 00:00:00

  • Patient Preference and Perception of Care Provided by Advance Nurse Practitioners and Physicians in Outpatient Adult Congenital Clinics.

    abstract:OBJECTIVE:Nurse practitioners (NPs) have an established role for delivering competent care to patients in the primary care setting. The aim of this study was to compare satisfaction of patients managed by NPs vs. physicians in the outpatient adult congenital heart disease (CHD) clinic. DESIGN:A prospective study condu...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12273

    authors: Maul TM,Zaidi A,Kowalski V,Hickey J,Schnug R,Hindes M,Cook S

    更新日期:2015-09-01 00:00:00

  • Circulating biomarkers of left ventricular hypertrophy in pediatric coarctation of the aorta.

    abstract:OBJECTIVE:Patients undergoing surgical repair of aortic coarctation have a 50% risk of pathologic left ventricular remodeling (increased left ventricular mass or relative wall thickness). Endothelin 1, ST2, galectin 3, norepinephrine and B-natriuretic peptide are biomarkers that have been associated with pathologic LV ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12744

    authors: Frank BS,Urban TT,Lewis K,Tong S,Cassidy C,Mitchell MB,Nichols CS,Davidson JA

    更新日期:2019-05-01 00:00:00

  • "Frontiers in Fontan failure: A summary of conference proceedings".

    abstract::"Frontiers in Fontan Failure" was the title of a 2015 conference sponsored by Children's Healthcare of Atlanta and Emory University School of Medicine. In what is hoped to be the first of many such gatherings, speakers and attendees gathered to discuss the problem of long-term clinical deterioration in these patients....

    journal_title:Congenital heart disease

    pub_type:

    doi:10.1111/chd.12407

    authors: Hebson C,Book W,Elder RW,Ford R,Jokhadar M,Kanter K,Kogon B,Kovacs AH,Levit RD,Lloyd M,Maher K,Reshamwala P,Rodriguez F,Romero R,Tejada T,Marie Valente A,Veldtman G,McConnell M

    更新日期:2017-01-01 00:00:00

  • Outcomes of tracheostomy following congenital heart surgery: a contemporary experience.

    abstract:INTRODUCTION:Following congenital heart surgery, pediatric patients may experience persistent respiratory failure that requires tracheostomy placement. Currently, definitive knowledge of the optimal timing for tracheostomy placement in this patient population is lacking. METHODS:An 8-year retrospective review of 17 pe...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12192

    authors: Costello JP,Emerson DA,Shu MK,Peer SM,Zurakowski D,Reilly BK,Klugman D,Jonas RA,Nath DS

    更新日期:2015-01-01 00:00:00

  • Chances of employment in women and men after surgery of congenital heart disease: comparisons between patients and the general population.

    abstract:OBJECTIVE:It was examined whether women and men (17-45 years) with operated congenital heart disease differ with respect to chances of employment. Patients were compared with the general population. DESIGN:Patients (n = 314) were classified by type of surgery (curative, reparative, palliative) as indicator of initial ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00239.x

    authors: Geyer S,Norozi K,Buchhorn R,Wessel A

    更新日期:2009-01-01 00:00:00

  • Rasmussen's aneurysm in childhood: a case report.

    abstract::In medical literature, few cases of Rasmussen's aneurysm have been reported until now, and to the best of our knowledge, there has been no description of a case of Rasmussen's aneurysm in childhood. The child described in the case report had a restrictive cardiomyopathy, complicated by pulmonary hypertension, in assoc...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00609.x

    authors: Gesuete V,Corzani A,Bronzetti G,Lovato L,Picchio FM

    更新日期:2013-03-01 00:00:00

  • Echocardiographic evaluation of pressure gradient across the stent in patients treated for coarctation of the aorta.

    abstract:OBJECTIVE:Stent placement has become a widely used method of treatment for coarctation of the aorta (COA). Our goal was to find echocardiographic indices that would correlate best with directly measured gradients across the coarctation stent. MATERIAL AND METHODS:Pediatric patients with COA who underwent intra-aortic ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2009.00300.x

    authors: Tang L,Forbes TJ,Du W,Zilberman MV

    更新日期:2009-07-01 00:00:00

  • Health care-associated infections are associated with increased length of stay and cost but not mortality in children undergoing cardiac surgery.

    abstract:INTRODUCTION:Health care-associated infections (HAIs) increase mortality, length of stay, and cost in hospitalized patients. The incidence of and risk factors for developing HAIs in the pediatric population after cardiac surgery have been studied. This study evaluates the impact of HAIs on length of stay, inpatient mor...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12779

    authors: Tweddell S,Loomba RS,Cooper DS,Benscoter AL

    更新日期:2019-09-01 00:00:00

  • On-table Extubation after Open Heart Surgery in Children: An Experience from a Tertiary Care Hospital in a Developing Country.

    abstract:BACKGROUND:Recent advances in various disciplines of medicine have significantly changed the courses following cardiac surgery in children. On-table extubation (OTE) after open heart surgery in children is evolving. OBJECTIVE:To assess the rate of postoperative complications in children extubated on table after open h...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12277

    authors: Hoda M,Haque A,Aijaz F,Akhtar MI,Rehmat A,Amanullah M,Hasan BS

    更新日期:2016-01-01 00:00:00

  • Screening for thoracic aortic pathology: Clinical practice in a single tertiary center.

    abstract:OBJECTIVE:The aim is to present current clinical practice of thoracic aorta screening in a tertiary referral center. We identified how often imaging techniques were used for screening and established the value of transthoracic echocardiography (TTE) in comparison with computed tomography (CT) to detect aortic dilation....

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12663

    authors: Bons LR,Uchoa de Assis L,Dekker S,Kauling RM,Cuypers JAAE,Verhagen HJM,Budde RPJ,Roos-Hesselink JW

    更新日期:2018-11-01 00:00:00

  • Device closure of a secundum atrial septal defect in a 4-month-old infant with a marginal left ventricle following coarctation repair.

    abstract::A male infant presented at birth with severe coarctation of the aorta and marginal left ventricular and mitral valve dimensions associated with a large secundum atrial septal defect. Following successful arch repair, the left ventricle remained small with preferential left-to-right atrial shunting and a dilated right ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2007.00140.x

    authors: Jean-St-Michel E,Hosking MC,Potts JE,Sandor GG

    更新日期:2007-11-01 00:00:00

  • Impaired atrioventricular transport in patients with transposition of the great arteries palliated by atrial switch and preserved systolic right ventricular function: A magnetic resonance imaging study.

    abstract:OBJECTIVES:We aimed (1) determine if systemic right ventricle filling parameters influence systemic right ventricle stroke volume in adult patients with D-transposition of the great arteries (D-TGA) palliated by atrial switch, using cardiac magnetic resonance imaging and echocardiography, and (2) to study relationship ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12472

    authors: Ladouceur M,Kachenoura N,Soulat G,Bollache E,Redheuil A,Azizi M,Delclaux C,Chatellier G,Boutouyrie P,Iserin L,Bonnet D,Mousseaux E

    更新日期:2017-07-01 00:00:00

  • Acute and long-term effects of endovascular debanding of pulmonary arteries in a swine model.

    abstract:OBJECTIVES:The primary objective of this study was to demonstrate that pulmonary artery (PA) debanding via cardiac catheterization using balloon angioplasty is feasible and safe in swine. The secondary objectives were to determine the acute and long-term effects of this therapy. DESIGN:This is a chronic survival exper...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12449

    authors: Perez M,Kumar TS,Hoskoppal D,Akkhawattanangkul Y,Allen K,Knott-Craig CJ,Waller BR,Sathanandam S

    更新日期:2017-05-01 00:00:00

  • Atrial baffle problems following the Mustard operation in children and young adults with dextro-transposition of the great arteries: the need for improved clinical detection in the current era.

    abstract:OBJECTIVE:Intraatrial Mustard baffle repair of dextro-transposition of the great arteries (d-TGA) is vulnerable to complications, typically obstruction and leaks. Because patients often require pacemakers or intracardiac electrophysiology studies (EPS)/ablation for arrhythmias, narrowed or obstructed baffles restrict c...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00532.x

    authors: Patel S,Shah D,Chintala K,Karpawich PP

    更新日期:2011-09-01 00:00:00

  • Pulmonary hypertension associated with congenital heart disease: a practical review for the pediatric cardiologist.

    abstract::Pulmonary hypertension (PH) is a complex condition with a broad range of etiologies that result in a common outcome--elevated pulmonary arterial pressure. For the pediatric cardiologist, this entity provides a manifest demonstration of the interrelationship of cardiac and pulmonary physiology. A thoughtful approach mu...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/chd.12012

    authors: Kyle WB

    更新日期:2012-11-01 00:00:00

  • Needles in Hay II: Detecting Cardiac Pathology by the Pediatric Chest Pain Standardized Clinical Assessment and Management Plan.

    abstract:OBJECTIVES:To determine if patients evaluated using the pediatric chest pain standardized clinical assessment and management plan (SCAMP) in cardiology clinic were later diagnosed with unrecognized cardiac pathology, and to determine if other patients with cardiac pathology not enrolled in the SCAMP would have been ide...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12335

    authors: Kane DA,Friedman KG,Fulton DR,Geggel RL,Saleeb SF

    更新日期:2016-09-01 00:00:00