Division of Pediatric Cardiology and Congenital Heart Disease, Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Universitas Indonesia, Jakarta, Indonesia.
Department of Cardiology and Vascular Medicine, Sultan Sulaiman Government Hospital, Serdang Bedagai, North Sumatera, Indonesia.
Cardiovasc Hematol Disord Drug Targets. 2024;24(3):163-171. doi: 10.2174/011871529X320825240925073605.
Inter-atrial septum (IAS) stenting in duct-dependent congenital heart disease patient has shown to be an effective way to maintain inter-atrial blood flow, however it is still considered a high risk procedure and inter-atrial septum stenting remains a low-frequency procedure.
A single-center observational cohort study was carried out at the National Cardiovascular Center Harapan Kita (NCCHK) between April 2019 and April 2023. This study included duct-dependent congenital heart disease patients. The extracted data were baseline characteristics, clinical findings, complications, and outcomes of the patients.
Eleven patients with duct-dependent physiology were intervened with inter-atrial septum stenting. The patients were 4 females and 7 males with the median age of implantation being 150 days (range 11-703 days) and the median weight being 3.9 (range 2.8-9) kg, with 2 patients weighing less than 3 kg. The average stent diameter was 8.50 (2.03) mm with an average length of 24.45 (7.94) mm. Non-restrictive atrial flow was successfully achieved in 90.90% of the procedures, corresponding to 10 patients.
Inter-atrial septum stenting in duct-dependent congenital heart disease patients produces reliable patency with a very good intra-procedural success rate.
在依赖导管的先天性心脏病患者中进行房间隔（IAS）支架置入术已被证明是维持房间隔血流的有效方法，然而，它仍被认为是一种高风险的手术，房间隔支架置入术仍然是一种低频率的手术。
本研究是在 2019 年 4 月至 2023 年 4 月期间在国家心血管中心 Harapan Kita（NCCHK）进行的单中心观察性队列研究。本研究纳入了依赖导管的先天性心脏病患者。提取的数据包括患者的基线特征、临床发现、并发症和结局。
11 例依赖导管的生理学患者接受了房间隔支架置入术。患者为 4 名女性和 7 名男性，植入时的中位年龄为 150 天（范围 11-703 天），中位体重为 3.9（范围 2.8-9）kg，其中 2 名患者体重小于 3kg。平均支架直径为 8.50（2.03）mm，平均长度为 24.45（7.94）mm。90.90%（10 例）的手术成功实现了非限制性房性血流。
在依赖导管的先天性心脏病患者中进行房间隔支架置入术可产生可靠的通畅性，术中成功率非常高。
