Transcatheter pulmonary artery debanding: Is it effective in every patient? Transkateter pulmoner arter debanding: Her hastada etkili midir?
Turkish Journal of Thoracic and Cardiovascular Surgery, cilt.32, sa.4, ss.367-377, 2024 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 4
- Basım Tarihi: 2024
- Doi Numarası: 10.5606/tgkdc.dergisi.2024.26234
- Dergi Adı: Turkish Journal of Thoracic and Cardiovascular Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.367-377
- Anahtar Kelimeler: Balloon dilation, banding, debanding, pulmonary artery, transcatheter
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: This study aimed to present our experience with transcatheter pulmonary debanding, focusing on patient outcomes. Methods: The retrospective study was conducted with 32 patients (17 males, 15 females; mean age: 3.6±2 years; range, 0.5 to 8.8 years) who underwent transcatheter pulmonary debanding between January 2010 and January 2024. The patients were evaluated in two groups. In Group 1 (n=24), total debanding was targeted for patients with spontaneously closed or restrictive ventricular septal defects or those suitable for transcatheter ventricular septal defect closure. In Group 2 (n=8), palliative debanding was utilized in children with ongoing band requirement. Results: The median body weight was 15 kg. In Group 1, the mean right ventricle-to-aortic pressure ratio (RVp/Aop) was 0.91±0.21 before the procedure, which decreased to a mean of 0.33±0.20 after the procedure. In Group 2, the mean RVp/Aop was 1.31±0.47, which decreased to 0.77±0.13 after transcatheter palliative debanding. The mean peripheral oxygen saturation was 80±6% before the procedure and 94±2.5% after the procedure. Transcatheter debanding was successful in all patients when surgical pulmonary banding was performed with 6–0 Prolene and polytetrafluoroethylene band material. Conclusion: Transcatheter banding is a safe and effective procedure that minimizes the need for reoperation.