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双“动态”球囊房间隔造口术。针对房间隔增厚病例对拉什金德医生技术的新改良。

Double "dynamic" balloon atrial septostomy. New modification of Dr. Rashkind's technique for cases with thickened interatrial septum.

作者信息

Colín-Ortiz José L, Silva-Quijano Roberto, Silva-Estrada Jorge Alberto, Maldonado-Alonso Roberto I, Munive-Molina Ever, Pérez-Pérez Linda F, Zamudio-Meneses Rigoberto, Corona-Villalobos Carlos A, Cabrera-González Hugo, Tepatzi-Carranco Roberto, Sánchez-González Sylvia K, Garrido-García Luis Martin, Bobadilla-Aguirre Alfredo, López-Terrazas Javier

机构信息

Department of Pediatric Cardiology, National Institute of Pediatrics, México City, México.

Department of Pediatric Cardiology, Hospital for the Poblano Child, Puebla, México.

出版信息

Arch Cardiol Mex. 2025 May 7;95(3):206-214. doi: 10.24875/ACM.24000128.

DOI:10.24875/ACM.24000128
PMID:40397904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12324840/
Abstract

OBJECTIVES

Balloon atrial septostomy (BAS) is a palliative procedure mainly for newborns with transposition of the great arteries, currently, this procedure has a class IA recommendation. However, in some cases, this procedure does not achieve an adequate interatrial defect, due mainly to a thickened interatrial septum, this situation led to the development of various techniques to tackle this problem. Therefore, we made a modification to the original technique using two balloons simultaneously instead of one. The objective of this study is to analyze the results of this new modification to the traditional technique (with one balloon) as an alternative for cases with thickened interatrial septum.

METHODS

A retrospective and descriptive study from May 2010 to December 2022 was conducted in three pediatric centers.

RESULTS

Six patients were identified (median age 35 days, median weight 3.4 kg, median size of atrial septal defect before procedure 2.6 mm). All patients underwent to this modification of the BAS with good results and without complications. The modification has some advantages: including to avoid the using of cutting devices or stent placement. In addition, we share the description of this new technique, titled: double "dynamic" BAS.

CONCLUSION

This brief evidence shown that this modification of de original technique is easy, safe, and cost-effective for cases with a thickened interatrial septum.

摘要

目的

球囊房间隔造口术（BAS）是一种主要用于大动脉转位新生儿的姑息性手术，目前该手术有IA类推荐。然而，在某些情况下，该手术无法形成足够的房间隔缺损，主要原因是房间隔增厚，这种情况促使人们开发各种技术来解决这个问题。因此，我们对原技术进行了改进，同时使用两个球囊而非一个。本研究的目的是分析这种对传统技术（使用一个球囊）的新改进在房间隔增厚病例中的应用效果。

方法

2010年5月至2022年12月在三个儿科中心进行了一项回顾性描述性研究。

结果

共确定6例患者（中位年龄35天，中位体重3.4kg，术前房间隔缺损中位大小2.6mm）。所有患者均接受了这种改良的BAS，效果良好且无并发症。该改良有一些优点：包括避免使用切割装置或放置支架。此外，我们分享了这项新技术的描述，名为：双“动态”BAS。

结论

这一简短证据表明，对于房间隔增厚的病例，这种对原技术的改良简单、安全且具有成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/1b3d290e27fd/10971AMEX253-ACM-95-206-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/98d1f3b393b3/10971AMEX253-ACM-95-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/6cd1084ba682/10971AMEX253-ACM-95-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/298c6a3593f1/10971AMEX253-ACM-95-206-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/ae1b66c357aa/10971AMEX253-ACM-95-206-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/fa92c700a4ad/10971AMEX253-ACM-95-206-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/d8df68dced76/10971AMEX253-ACM-95-206-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/5f99e16e63e1/10971AMEX253-ACM-95-206-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/1b3d290e27fd/10971AMEX253-ACM-95-206-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/98d1f3b393b3/10971AMEX253-ACM-95-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/6cd1084ba682/10971AMEX253-ACM-95-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/298c6a3593f1/10971AMEX253-ACM-95-206-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/ae1b66c357aa/10971AMEX253-ACM-95-206-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/fa92c700a4ad/10971AMEX253-ACM-95-206-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/d8df68dced76/10971AMEX253-ACM-95-206-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/5f99e16e63e1/10971AMEX253-ACM-95-206-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c721/12324840/1b3d290e27fd/10971AMEX253-ACM-95-206-g008.jpg

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Improvised bespoke technique for atrial septostomy in the shortage of atrioseptostomy balloon catheters.在缺乏房间隔造口术球囊导管的情况下，用于房间隔造口术的简易定制技术。
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