Transcatheter treatment for systemic-to-pulmonary artery shunt obstruction in infants and children.
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.
Gillespie
Matthew J
MJ
Department of Pediatrics, Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. gillespie@email.chop.edu
Rome
Jonathan J
JJ
D000714:Anastomosis, Surgical / Q000009:adverse effects; D000792:Angiography; D000800:Angioplasty, Balloon / Q000295:instrumentation; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002407:Catheterization, Swan-Ganz; D002675:Child, Preschool; D003251:Constriction, Pathologic; D018618:Echocardiography, Doppler, Color; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D011651:Pulmonary Artery / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D011652:Pulmonary Circulation; D015607:Stents; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014654:Vascular Patency