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Titolo:
Balloon dilatation of critical left heart stenoses in low birthweight infants
Autore:
Koch, A; Buheitel, G; Gerling, S; Klinge, J; Singer, H; Hofbeck, M;
Indirizzi:
Univ Erlangen Nurnberg, Hosp Children & Adolescents, Div Pediat Cardiol, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany D-91054 -91054 Erlangen, Germany
Titolo Testata:
ACTA PAEDIATRICA
fascicolo: 8, volume: 89, anno: 2000,
pagine: 979 - 982
SICI:
0803-5253(200008)89:8<979:BDOCLH>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
PULMONARY VALVE STENOSIS; AORTIC-STENOSIS; PREMATURE NEONATE; FOLLOW-UP; VALVULOPLASTY; COARCTATION; ANGIOPLASTY; DILATION; CHILDREN; ANTEROGRADE;
Keywords:
angioplasty; aortic; balloon dilatation; coarctation; low birthweight; valvuloplasty;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Koch, A Univ Erlangen Nurnberg, Hosp Children & Adolescents, Div Pediat Cardiol, Lochgestr 15, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Lochgestr 15 Erlangen Germany D-91054 many
Citazione:
A. Koch et al., "Balloon dilatation of critical left heart stenoses in low birthweight infants", ACT PAEDIAT, 89(8), 2000, pp. 979-982

Abstract

We describe the results of balloon angioplasty in 5 infants with body weights of 850-2400 g. Three patients with severe aortic valve stenosis and twopatients with isthmic coarctation of the aorta experienced relief of stenosis. Two patients with aortic valve stenosis developed thrombosis of the femoral artery; however, complete resolution of the compromised pulse occurred following thrombolytic therapy. In both patients with isthmic coarctation, pulses on the right leg remained diminished. All patients are doing well 0.28 to 3.32 y after the procedure; none has required additional therapy. Our results in a limited number of consecutive low birthweight infants show that balloon dilatation is feasible and can be performed successfully even in neonates with body weights <1500 g. According to our experience, balloondilatation in infants with body weights >2000 g does not differ significantly from standard procedures. In very small infants, however, balloon angioplasty requires special precautions to avoid temperature loss. Arterial access is the major problem in small children, and requires further improvement. Conclusion: Balloon dilatation is feasible even in neonates <1500 g. However, special precautions to avoid temperature loss are required and arterialaccess is the major problem.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 04:58:59