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Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems
INTRODUCTION: An individually designed strategy of comprehensive alternative hybrid and staged interventional treatment (AHASIT) can be a reasonable alternative to conventional treatment of congenital heart defects, reduce the risk of cardiac surgery or interventions performed separately, and give a...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520833/ https://www.ncbi.nlm.nih.gov/pubmed/26240625 http://dx.doi.org/10.5114/wiitm.2015.49474 |
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author | Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radosław Steffens, Mariusz Szofer-Sendrowska, Aneta Paczkowski, Konrad Kwaśniak, Ewelina Zieliński, Jacek Gierat-Haponiuk, Katarzyna Leszczyńska, Katarzyna |
author_facet | Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radosław Steffens, Mariusz Szofer-Sendrowska, Aneta Paczkowski, Konrad Kwaśniak, Ewelina Zieliński, Jacek Gierat-Haponiuk, Katarzyna Leszczyńska, Katarzyna |
author_sort | Haponiuk, Ireneusz |
collection | PubMed |
description | INTRODUCTION: An individually designed strategy of comprehensive alternative hybrid and staged interventional treatment (AHASIT) can be a reasonable alternative to conventional treatment of congenital heart defects, reduce the risk of cardiac surgery or interventions performed separately, and give an additional chance for critically ill children. AIM: To present our experience and the results of AHASIT of severely ill or borderline children referred for surgery with the diagnosis of congenital heart defects. MATERIAL AND METHODS: A group of 22 patients with complex cardiac and non-cardiac pathologies was retrospectively selected and analyzed. An individual preoperative severity scale was established for AHASIT patients, with one point for each of the following preoperative complications: prematurity, low body weight, cyanosis, intolerance to drug therapy, failed interventional treatment prior to admission, mechanical ventilation prior to the procedure, chronic respiratory failure and non-cardiac, mainly congenital malformations (congenital diaphragmatic hernia, lower extremity agenesia, duodenal atresia) and acquired problems (newborn edema, necrotic enterocolitis, intracranial hemorrhage, liver and renal failure, anemia and thrombocytopenia, infections or colonization with drug-resistant pathogens). RESULTS: The analysis of the postoperative course showed that the patients with 5 AHASIT points or more had a more complicated postoperative course than the patients with 1 to 4 AHASIT points. CONCLUSIONS: The AHASIT of pediatric congenital heart defects with complex and non-cardiac problems appeared to be an attractive option for selected severely ill patients. The strategy was found to be effective in selected neonates suffering from complex and accompanying non-cardiac pathologies, with positive final results of both cardiological intervention and planned surgery. |
format | Online Article Text |
id | pubmed-4520833 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-45208332015-08-03 Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radosław Steffens, Mariusz Szofer-Sendrowska, Aneta Paczkowski, Konrad Kwaśniak, Ewelina Zieliński, Jacek Gierat-Haponiuk, Katarzyna Leszczyńska, Katarzyna Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: An individually designed strategy of comprehensive alternative hybrid and staged interventional treatment (AHASIT) can be a reasonable alternative to conventional treatment of congenital heart defects, reduce the risk of cardiac surgery or interventions performed separately, and give an additional chance for critically ill children. AIM: To present our experience and the results of AHASIT of severely ill or borderline children referred for surgery with the diagnosis of congenital heart defects. MATERIAL AND METHODS: A group of 22 patients with complex cardiac and non-cardiac pathologies was retrospectively selected and analyzed. An individual preoperative severity scale was established for AHASIT patients, with one point for each of the following preoperative complications: prematurity, low body weight, cyanosis, intolerance to drug therapy, failed interventional treatment prior to admission, mechanical ventilation prior to the procedure, chronic respiratory failure and non-cardiac, mainly congenital malformations (congenital diaphragmatic hernia, lower extremity agenesia, duodenal atresia) and acquired problems (newborn edema, necrotic enterocolitis, intracranial hemorrhage, liver and renal failure, anemia and thrombocytopenia, infections or colonization with drug-resistant pathogens). RESULTS: The analysis of the postoperative course showed that the patients with 5 AHASIT points or more had a more complicated postoperative course than the patients with 1 to 4 AHASIT points. CONCLUSIONS: The AHASIT of pediatric congenital heart defects with complex and non-cardiac problems appeared to be an attractive option for selected severely ill patients. The strategy was found to be effective in selected neonates suffering from complex and accompanying non-cardiac pathologies, with positive final results of both cardiological intervention and planned surgery. Termedia Publishing House 2015-02-25 2015-07 /pmc/articles/PMC4520833/ /pubmed/26240625 http://dx.doi.org/10.5114/wiitm.2015.49474 Text en Copyright © 2015 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Paper Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radosław Steffens, Mariusz Szofer-Sendrowska, Aneta Paczkowski, Konrad Kwaśniak, Ewelina Zieliński, Jacek Gierat-Haponiuk, Katarzyna Leszczyńska, Katarzyna Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems |
title | Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems |
title_full | Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems |
title_fullStr | Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems |
title_full_unstemmed | Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems |
title_short | Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems |
title_sort | alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520833/ https://www.ncbi.nlm.nih.gov/pubmed/26240625 http://dx.doi.org/10.5114/wiitm.2015.49474 |
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