Di Bernardo S, Mivelaz Y, MeijBoom E J, Sekarski N
Département medico-chirurgical de pédiatrie, Cardiologie pédiatrique CHUV, 01 1 Lausanne.
Rev Med Suisse. 2005 Sep 7;1(31):2049-50, 2053-5.
The development in pediatric interventional cardiology has changed the therapeutic strategy for many patients with congenital heart disease. Interventional catheterization became the first choice for valvuloplasty, angioplasty and collateral vessel occlusion. Effective and safe transcatheter interventions exist for closure of atrial or ventricular septal defects and for patent ductus arteriosus. The progress in the technology used in the catheterization laboratory will permit to continue the expansion of the range of interventions performed without surgery. Pediatric cardiologists and congenital heart surgeons must understand each other's interventional techniques and how they can be used in a coordinated fashion. This interaction is essential for the optimal management of patients with both simple and complex congenital heart disease.
儿科介入心脏病学的发展改变了许多先天性心脏病患者的治疗策略。介入导管插入术已成为瓣膜成形术、血管成形术和侧支血管闭塞的首选方法。对于房间隔或室间隔缺损以及动脉导管未闭的封堵,存在有效且安全的经导管干预措施。导管实验室所使用技术的进步将使无需手术的干预范围得以继续扩大。儿科心脏病学家和先天性心脏病外科医生必须了解彼此的介入技术以及如何以协调的方式应用这些技术。这种互动对于单纯性和复杂性先天性心脏病患者的最佳管理至关重要。