title: First implantable hemodynamic monitoring device placement in single ventricle fontan anatomy.
abstract: The Fontan anatomy leads to elevated central venous pressure along with chronic venous congestion and low cardiac output; this is felt to be responsible for deterioration of exercise tolerance and functional capacity over time. Real-time hemodynamic evaluation of the Fontan anatomy has not been evaluated until now. Here, we report the technical aspects of the first two adult Fontan patients to undergo placement of an invasive hemodynamic monitor (IHM). We validate IHM readings with invasive pulmonary artery catheter derived hemodynamics in the Fontan and show successful home transmission of pulmonary artery hemodynamic tracings. This technology has the capacity to change current understanding of Fontan hemodynamics and treatment in patients with complex single-ventricle anatomy. © 2016 Wiley Periodicals, Inc.
authors.affiliation: The Ohio State University & Nationwide Children's Hospital, the Heart Center, Columbus, Ohio.
authors.forename: Elisa A
authors.initials: EA
authors.lastname: Bradley
authors.affiliation: The Ohio State University & Nationwide Children's Hospital, the Heart Center, Columbus, Ohio.
authors.forename: Darren
authors.initials: D
authors.lastname: Berman
authors.affiliation: The Ohio State University & Nationwide Children's Hospital, the Heart Center, Columbus, Ohio.
authors.forename: Curt J
authors.initials: CJ
authors.lastname: Daniels
mesh_terms: D000328:Adult; D000792:Angiography; D062186:Arterial Pressure; D018660:Blood Pressure Monitoring, Ambulatory / Q000295:instrumentation*; D015924:Blood Pressure Monitors; D002302:Cardiac Output; D002407:Catheterization, Swan-Ganz; D004867:Equipment Design; D005260:Female; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006339:Heart Rate; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D058998:Remote Sensing Technology; D013997:Time Factors; D014160:Transducers, Pressure; D016896:Treatment Outcome
keywords: Fontan; implantable hemodynamic monitor; single ventricle