Choi Perry S, Nasirov Teimour, Hanley Frank, Peng Lynn, McElhinney Doff B, Ma Michael
Department of Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, Calif.
Department of Cardiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, Calif.
JTCVS Tech. 2022 Jun 9;14:171-176. doi: 10.1016/j.xjtc.2022.06.001. eCollection 2022 Aug.
The study objective was to determine the short-term incidence of innominate artery stenosis for neonates who underwent direct innominate artery cannulation during the Norwood procedure.
This is a retrospective, single-institution review of 92 patients who underwent the Norwood procedure with direct innominate artery cannulation from 2006 to 2017. The primary outcome was angiographic evidence of patency at pre-Glenn cardiac catheterization. Patient characteristics, intraoperative surgical and hemodynamic measurements, and postoperative neurologic findings were recorded.
At a median age of 5.0 days, 92 neonates underwent the Norwood procedure with direct innominate artery cannulation. These patients underwent cardiac catheterization at a median of 3.0 months after the index operation. In 5 of 92 patients with catheterization images available for review, there was angiographic evidence of mild innominate artery stenosis, and none had moderate or severe stenosis. Review of follow-up records did not reveal evidence of clinically significant stenosis or innominate artery reintervention.
In neonates undergoing the Norwood procedure with direct innominate cannulation, innominate artery stenosis was uncommon and clinically significant stenosis did not occur.
本研究旨在确定在诺伍德手术中接受无名动脉直接插管的新生儿无名动脉狭窄的短期发生率。
这是一项对92例患者进行的回顾性单机构研究，这些患者在2006年至2017年间接受了诺伍德手术并进行了无名动脉直接插管。主要结局是在格林手术前心脏导管插入术中血管造影显示的通畅证据。记录患者特征、术中手术和血流动力学测量结果以及术后神经学检查结果。
92例新生儿在中位年龄5.0天时接受了诺伍德手术并进行了无名动脉直接插管。这些患者在首次手术后中位3.0个月接受了心脏导管插入术。在92例有可用于评估的导管插入影像的患者中，有5例血管造影显示无名动脉轻度狭窄，无中度或重度狭窄。对随访记录的审查未发现临床上有意义的狭窄或无名动脉再次干预的证据。
在接受诺伍德手术并进行无名动脉直接插管的新生儿中，无名动脉狭窄并不常见，且未发生具有临床意义的狭窄。
