title: Evolution of hybrid interventions for congenital heart disease.
abstract: Surgical and transcatheter interventions have seen a tremendous evolution in last three decades. Hybrid technology combines the achievements of both disciplines to bring substantial hemodynamic benefit to patients with congenital heart disease (CHD) in a minimally invasive manner. This collaboration between surgeons and interventionalists will continue to grow as the technology evolves to meet the demands of CHD patients, potentially avoiding cardiopulmonary bypass and vascular access complications as well as optimizing immediate technical outcomes with exit angiography. Areas covered: This review covers application of such technology to initial palliation of infants with hypoplastic left heart syndrome, ventricular septal defect closure, pulmonary atresia with intact ventricular septum, pulmonary valve replacement, intra-operative pulmonary artery stenting and vascular cut-down in small neonates. Expert commentary: Careful planning and investment in infrastructure is necessary to optimize outcomes, however patients can benefit tremendously from integration of this approach into clinical practice.
authors.affiliation: a The Lillie Frank Abercrombie Section of Cardiology , Texas Children's Hospital, Baylor College of Medicine , Houston , TX , USA.
authors.forename: Hitesh
authors.initials: H
authors.lastname: Agrawal
authors.affiliation: b King Faisal Cardiac Center , King Saud Bin Abdulaziz University, King Abdulaziz Medical City , Jeddah , Saudi Arabia.
authors.forename: Wail
authors.initials: W
authors.lastname: Alkashkari
authors.affiliation: c Department of Cardiology , Our Lady's Children's Hospital, Crumlin , Dublin , Ireland.
authors.forename: Damien
authors.initials: D
authors.lastname: Kenny
mesh_terms: D000792:Angiography / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery; D007223:Infant; D007231:Infant, Newborn; D011651:Pulmonary Artery / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome; D054088:Ventricular Septum
keywords: Hybrid interventions; balloon atrial septostomy; congenital heart disease (CHD); hypoplastic left heart syndrome (HLHS); patent ductus arteriosus stenting; pulmonary artery banding; pulmonary atresia with intact ventricular septum (PA-IVS); pulmonary valve replacement (PVR); ventricular septal defect (VSD)