Öz
Amaç: Doğuştan kalp hastalığı en sık görülen doğumsal anomalidir. Doğuştan kalp hastalıklarında erken tanı ve zamanında müdahale önemlidir. Bu çalışmanın amacı merkezimizde yapılan tanısal ve girişimsel anjiyografi işlemleri deneyimlerimizi ve takip sonuçlarını paylaşmaktır.
Gereç ve Yöntem: Retrospektif çalışmaya kliniğimizde Temmuz 2018-Ekim 2021 tarihleri arasında kateter anjiyografi yapılan hastalar dahil edildi.
Bulgular: Bu çalışmaya, ortalama yaşı 5.7 (SD, 2.9) yıl (0-17 yaş) olan ve kateter anjiyografisi yapılan 47 çocuk dahil edildi. Çalışma popülasyonunun %47' si kızlardan oluşuyordu. 29 hastaya tanısal kateter anjiyografi yapıldı. Onsekiz hastaya başarılı girişimsel kateter anjiyografi yapıldı. Tanısal ve girişimsel kateter anjiyografi sırasında veya sonrasında önemli bir komplikasyon gözlenmedi.
Sonuç: Kliniğimizde tanısal ve girişimsel anjiyografi işlemleri başarı ile yapılabilmektedir. Son yıllarda hastanede kalış süresini kısaltması ve cerrahi skar dokusu oluşturmaması nedeniyle girişimsel anjiyografi işlemi daha çok tercih edilmektedir.
Anahtar Kelimeler
çocuklar doğumsal kalp kusurları Anjiografi Kardiyak kateterizasyon
Destekleyen Kurum
yok
Kaynakça
- 1. Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011;58:2241-7.
- 2. Bernstein D. Congenital heart disease. In: Behrman RE, Kliegman RM, Jenson HB, (eds). Nelson textbook of pediatrics. 21th ed. Philadelphia: Saunders; 2019:1878-1942.
- 3. Pinto Júnior VC, Branco KM, Cavalcante RC, Carvalho Junior W, Lima JR, de Freitas SM, et al. Epidemiology of congenital heart disease in Brazil. Rev Bras Cir Cardiovasc 2015;30:219-24.
- 4. Miyague NI, Cardoso SM, Meyer F, et al. Epidemiological study of congenital heart defects in children and adolescents. Analysis of 4,538cases. Arq Bras Cardiol 2003;80:269 –78.
- 5. Carlgren LE. The incidence of congenital heart disease in childrenborn in Gothenburg 1941–1950. Br Heart J 1959;21:40 –50.
- 6. Moore P, Brook MM, Heymann MA. Patent ductus arteriosus. In: Allen HD, Gutgesell HP, Clark EB, and Driscoll DJ, editors. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents. Philadelphia, PA: Lippincott, Williams & Wilkins, 2001:652– 69.
- 7. Miyague NI, Cardoso SM, Meyer F, et al. Epidemiological study of congenital heart defects in children and adolescents. Analysis of 4,538 cases. Arq Bras Cardiol 2003;80:269 –78.
- 8. Forbes TJ, Kim DW, Du W, et al. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: an observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). J Am Coll Cardiol 2011; 58:2664-74.
- 9. Roberts WC. Anatomically isolated aortic valvular disease. The case against its being of rheumatic etiology. Am J Med 1970;49: 151-9.
- 10. Moore P, Egito E, Mowrey H, Perry SB, Lock JE, Keane JF. Midterm results of balloon dilation of congenital aortic stenosis: predictors of success. J Am Coll Cardiol 1996;27:1257– 63.
- 11. Pedra CA, Sidhu R, McCrindle BW, et al. Outcomes after balloon dilation of congenital aortic stenosis in children and adolescents. Cardiol Young 2004;14:315–21.
Öz
Objective: Congenital heart disease is the most common congenital anomaly. Early diagnosis and timely intervention are important in congenital heart disease. The aim of this study to share our experience and follow-up results of diagnostic and interventional angiography procedures performed in our center.
Materials and Methods: The retrospective study included patients who underwent catheter angiography in our clinic between July 2018 and October 2021.
Results: This study included 47 children with a mean age of 5.7 (SD, 2.9) years (0-17 years) who underwent catheter angiography. 47% of study population was girls. Diagnostic catheter angiography was performed in 29 patients. Successful interventional catheter angiography was performed in 18 patients. No significant complications were observed during or after diagnostic and interventional catheter angiography.
Conclusion: Diagnostic and interventional angiography procedures can be performed successfully in our clinic. In recent years, interventional angiography procedure has been preferred more because it shortens the hospital stay and does not create surgical scar tissue.
Anahtar Kelimeler
children Congenital Heart Defects Angiography Cardiac Catheterization
Kaynakça
- 1. Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011;58:2241-7.
- 2. Bernstein D. Congenital heart disease. In: Behrman RE, Kliegman RM, Jenson HB, (eds). Nelson textbook of pediatrics. 21th ed. Philadelphia: Saunders; 2019:1878-1942.
- 3. Pinto Júnior VC, Branco KM, Cavalcante RC, Carvalho Junior W, Lima JR, de Freitas SM, et al. Epidemiology of congenital heart disease in Brazil. Rev Bras Cir Cardiovasc 2015;30:219-24.
- 4. Miyague NI, Cardoso SM, Meyer F, et al. Epidemiological study of congenital heart defects in children and adolescents. Analysis of 4,538cases. Arq Bras Cardiol 2003;80:269 –78.
- 5. Carlgren LE. The incidence of congenital heart disease in childrenborn in Gothenburg 1941–1950. Br Heart J 1959;21:40 –50.
- 6. Moore P, Brook MM, Heymann MA. Patent ductus arteriosus. In: Allen HD, Gutgesell HP, Clark EB, and Driscoll DJ, editors. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents. Philadelphia, PA: Lippincott, Williams & Wilkins, 2001:652– 69.
- 7. Miyague NI, Cardoso SM, Meyer F, et al. Epidemiological study of congenital heart defects in children and adolescents. Analysis of 4,538 cases. Arq Bras Cardiol 2003;80:269 –78.
- 8. Forbes TJ, Kim DW, Du W, et al. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: an observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). J Am Coll Cardiol 2011; 58:2664-74.
- 9. Roberts WC. Anatomically isolated aortic valvular disease. The case against its being of rheumatic etiology. Am J Med 1970;49: 151-9.
- 10. Moore P, Egito E, Mowrey H, Perry SB, Lock JE, Keane JF. Midterm results of balloon dilation of congenital aortic stenosis: predictors of success. J Am Coll Cardiol 1996;27:1257– 63.
- 11. Pedra CA, Sidhu R, McCrindle BW, et al. Outcomes after balloon dilation of congenital aortic stenosis in children and adolescents. Cardiol Young 2004;14:315–21.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Original Article |
| Yazarlar | |
| Erken Görünüm Tarihi | 24 Ekim 2022 |
| Yayımlanma Tarihi | 29 Ekim 2022 |
| Gönderilme Tarihi | 30 Haziran 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 32 Sayı: 5 |
Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.