Mijangos-Vázquez Roberto, Hernández-Reyes Rogelio
Departamento de Cardiología Intervencionista Pediátrica, Hospital de Especialidades Pediátricas, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chis., México.
Arch Cardiol Mex. 2022 Apr 4;92(2):157-164. doi: 10.24875/ACM.20000450.
As a result of technological advances, more and more types of congenital heart diseases are susceptible to being treated in the hemodynamic laboratory. The sum of more advanced imaging techniques as well as the development of a diversity of devices specially manufactured for use in children has allowed a better selection of patients and therefore that many of them can be corrected through cardiac catheterization or some patients with more complex congenital heart diseases require fewer surgical procedures or, if they do require them, that these may be of less complexity and risk.
We decided to show the global experience of the interventionism in congenital heart diseases in Chiapas from its inception to recent days.
Through a retrospective study from April 2016 to August 2020, we reviewed the electronic files of the total of patients who underwent cardiac catheterism during the same period of time.
A total of 510 procedures were performed, 300 in female patients, with a median age of 4 years (8 days - 77 years). Of the total procedures, 67 (13.1%) were diagnostic catheterizations and 443 (86.9%) were interventional.
Cardiac catheterization in congenital heart disease in Chiapas has become a very valuable option with encouraging results which represents a possible decentralization in the care of congenital heart diseases in our country.
由于技术进步,越来越多类型的先天性心脏病在血流动力学实验室中易于得到治疗。更先进的成像技术以及专门为儿童制造的各种设备的发展,使得能够更好地选择患者,因此许多患者可以通过心导管插入术得到矫正,或者一些患有更复杂先天性心脏病的患者需要的外科手术更少,或者,如果他们确实需要手术,手术的复杂性和风险可能更低。
我们决定展示恰帕斯州从先天性心脏病介入治疗开始至今的全球经验。
通过对2016年4月至2020年8月的回顾性研究,我们查阅了同期接受心导管插入术的所有患者的电子病历。
共进行了510例手术,其中女性患者300例,中位年龄为4岁(8天至77岁)。在所有手术中,67例(13.1%)为诊断性心导管插入术,443例(86.9%)为介入性手术。
恰帕斯州先天性心脏病的心导管插入术已成为一个非常有价值的选择,结果令人鼓舞,这代表了我国先天性心脏病护理可能的分散化。