The argument for aggressive coiling of aortopulmonary collaterals in single ventricle patients.
Aortopulmonary collaterals are present in up to 80% of single ventricle anatomy patients undergoing pre-Fontan catheterization. There is generally no consensus as to their impact in the mid-long term course of these patients. We present arguments that aggressive coiling of these vessels is warranted to prevent deterioration of ventricular function long-term. Non-invasive modalities for measuring APC are needed. Multi-institutional, prospective, randomized, double blind studies are also needed to confirm our hypotheses.
Stern
Herbert J
HJ
D001011:Aorta / Q000503:physiopathology*; D003097:Collateral Circulation; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D011652:Pulmonary Circulation; D011859:Radiography; D012039:Regional Blood Flow; D013997:Time Factors; D016896:Treatment Outcome; D016276:Ventricular Function