title: Catheter takedown in the management of the acutely failing Fontan circulation.
abstract: The acutely failing Fontan circulation requires urgent management to decompress the systemic venous pressures and augment cardiac output. This may involve the use of extracorporeal membrane oxygenation support to preserve life. Catheter-based effective Fontan takedown is an alternative to surgery in these patients, who are acutely unstable, and offers the potential for an adjustable fenestration.
authors: The Heart Unit, Department of Pediatric Cardiology, Birmingham Children's Hospital, Birmingham, United Kingdom.
authors: Ben W
authors: BW
authors: Anderson
authors: David J
authors: DJ
authors: Barron
authors: Timothy J
authors: TJ
authors: Jones
authors: Linda
authors: L
authors: Edwards
authors: William
authors: W
authors: Brawn
authors: Oliver
authors: O
authors: Stumper
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D002302:Cardiac Output; D002675:Child, Preschool; D020878:Device Removal; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D012039:Regional Blood Flow / Q000502:physiology; D018570:Risk Assessment; D015607:Stents; D017211:Treatment Failure; D016896:Treatment Outcome