Analysis of interventional treatment for neonatal critical pulmonary stenosis
10.3760/cma.j.cn101070-20200317-00424
- VernacularTitle:新生儿危重症肺动脉瓣狭窄介入治疗分析
- Author:
Boning LI
1
;
Cong LIU
;
Zhenheng OU
;
Lin LIU
;
Ying XIE
;
Ying XIN
;
Weifen LI
;
Jing YAO
;
Wei WANG
;
Xiaoxia SHI
;
Yanhua LIU
Author Information
1. 深圳市儿童医院心血管内科,广东 深圳 518038
- Keywords:
Neonatal critical pulmonary stenosis;
Intervention;
Balloon dilation
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(14):1074-1076
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness of interventional treatment for neonatal critical pulmonary stenosis(NCPS).Methods:Clinical data of 12 neonates with NCPS who received percutaneous balloon pulmonary valvuloplasty (PBPV) from January 2016 to December 2019 in Department of Cardiology, Shenzhen Children′s Hospital were summarized and analyzed.The collected data included transthoracic echocardiography (TTE), percutaneous oxygen saturation (SPO 2), relevant data on interventional surgery, and follow-up results. Results:All 12 neonates with NCPS received PBPV successfully.The postoperative pressure difference between the right ventricle and the pulmonary artery ranged from 8 to 35 mmHg[(20±7) mmHg, 1 mmHg=0.133 kPa]. The postoperative SPO 2 ranged from 74%-100%[(93.0±5.9)%]. Three neonates with NCPS received Blalock-Taussig (B-T) shunt.One neonate with NCPS developed supraventricular tachycardia during the operation.There was no death for these 12 neonates with NCPS. Conclusions:Interventional treatment of neonates with NCPS could achieve a better effect and be employed as the first treatment option.Some neonates with NCPS would require cardiac B-T shunt or patent ductus arteriosus stent implantation.