Transcatheter treatment for systemic-to-pulmonary artery shunt obstruction in infants and children

Catheter Cardiovasc Interv. 2008 Jun 1;71(7):928-35. doi: 10.1002/ccd.21448.

Abstract

Systemic-to-pulmonary artery shunt occlusion is a life-threatening complication in patients with shunt-dependent pulmonary blood flow. In the current era, the definitive diagnosis of shunt obstruction, and interventions to re-establish shunt patency are performed in the catheterization laboratory, rather than the operating room. This review summarizes the various transcatheter techniques used by the interventionalist to re-establish flow through occluded shunts.

Publication types

  • Review

MeSH terms

  • Anastomosis, Surgical / adverse effects
  • Angiography
  • Angioplasty, Balloon / instrumentation
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Cardiac Catheterization*
  • Cardiac Surgical Procedures / adverse effects*
  • Catheterization, Swan-Ganz
  • Child, Preschool
  • Constriction, Pathologic
  • Echocardiography, Doppler, Color
  • Graft Occlusion, Vascular / diagnosis
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / therapy*
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant
  • Pulmonary Artery / pathology
  • Pulmonary Artery / physiopathology
  • Pulmonary Artery / surgery*
  • Pulmonary Circulation
  • Stents
  • Thrombectomy
  • Thrombolytic Therapy
  • Thrombosis / diagnosis
  • Thrombosis / etiology
  • Thrombosis / physiopathology
  • Thrombosis / therapy*
  • Vascular Patency