首页 > 最新文献

Annals of Pediatric Cardiology最新文献

英文 中文
Use of Zephyr stent in congenital heart diseases: A single-center study. 在先天性心脏病中使用 Zephyr 支架:单中心研究
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_78_23
Sudipta Bandyopadhyay, Muthukumaran Chinnaswamy Sivaprakasam

Large vessel stenosis is currently successfully treated with percutaneous stent implantation. Zephyr stent is a cobalt-chromium peripheral stent specifically designed for large-vessel stenting. Its specific "S-" and "C-" shaped flexible polylinks prevent stent foreshortening and recoil. We report our experience of using Zephyr among the pediatric population and their medium-term outcome. The study included a total of 19 patients treated with 21 Zephyr stents. The indications for stenting included coarctation of the aorta (four patients), stenosed pulmonary artery (eight patients), stenosed right ventricular outflow tract (five patients) or conduit (one patient), and percutaneous Fontan (one patient). All the procedures were successful. None of the patients showed any stent-related complications. Stent fractures, foreshortening, or recoil were not seen during follow-up. Our medium-term (1-20 months) follow-up showed a favorable outcome. One patient developed restenosis. Zephyr stent is a good therapeutic option for large-vessel stenting. However, it needs large-scale studies for further confirmation.

目前,经皮支架植入术可成功治疗大血管狭窄。Zephyr 支架是一种钴铬外周支架,专为大血管支架植入术而设计。其特殊的 "S "形和 "C "形柔性聚乙烯可防止支架前缩和反冲。我们报告了在儿科人群中使用 Zephyr 的经验及其中期疗效。这项研究共纳入了 19 名使用 21 个 Zephyr 支架治疗的患者。支架植入的适应症包括主动脉共动脉瘤(四名患者)、狭窄的肺动脉(八名患者)、狭窄的右室流出道(五名患者)或导管(一名患者)以及经皮丰坦(一名患者)。所有手术均获得成功。没有一名患者出现与支架相关的并发症。随访期间未发现支架断裂、变形或反冲。中期(1-20 个月)随访显示结果良好。一名患者出现了再狭窄。Zephyr 支架是大血管支架置入术的良好治疗选择。不过,它还需要大规模的研究来进一步证实。
{"title":"Use of Zephyr stent in congenital heart diseases: A single-center study.","authors":"Sudipta Bandyopadhyay, Muthukumaran Chinnaswamy Sivaprakasam","doi":"10.4103/apc.apc_78_23","DOIUrl":"https://doi.org/10.4103/apc.apc_78_23","url":null,"abstract":"<p><p>Large vessel stenosis is currently successfully treated with percutaneous stent implantation. Zephyr stent is a cobalt-chromium peripheral stent specifically designed for large-vessel stenting. Its specific \"S-\" and \"C-\" shaped flexible polylinks prevent stent foreshortening and recoil. We report our experience of using Zephyr among the pediatric population and their medium-term outcome. The study included a total of 19 patients treated with 21 Zephyr stents. The indications for stenting included coarctation of the aorta (four patients), stenosed pulmonary artery (eight patients), stenosed right ventricular outflow tract (five patients) or conduit (one patient), and percutaneous Fontan (one patient). All the procedures were successful. None of the patients showed any stent-related complications. Stent fractures, foreshortening, or recoil were not seen during follow-up. Our medium-term (1-20 months) follow-up showed a favorable outcome. One patient developed restenosis. Zephyr stent is a good therapeutic option for large-vessel stenting. However, it needs large-scale studies for further confirmation.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"276-281"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Off-label use of KONAR-MF™ occluder for transcatheter closure of patent ductus arteriosus in unusual circumstances. 在特殊情况下标签外使用 KONAR-MF™ 封堵器经导管封堵动脉导管未闭。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_49_22
Ashishkumar Banpurkar, Nageswara Rao Koneti, Prashant Thakur, Snehal M Kulkarni, Atul Prabhu, Pavan Kumar Venkata Doniparti

Background: Transcatheter patent ductus arteriosus (PDA) closure with unusual morphology associated with multiple constrictions or unusual circumstances such as interruption of inferior vena cava (IVC) is still challenging. This study evaluates the use of KONAR-MF™ (Lifetech Scientific Co Ltd., Shenzhen) for transcatheter closure of PDA in such situations.

Materials and methods and results: Between January 2021 and October 2021, 24 patients from three different tertiary care centers underwent PDA device closure using the KONAR-MF™ device and are included in the study. Patient demographics, echocardiographic assessment, procedural details including the approach, device details, complications, and follow-up data were recorded. The median age and weight of the cohort were 2 years (0.5-41) and 10 kg (5-98), respectively. The indications for using KONAR-MF™ were (a) unusual morphology of PDA in 14, long tubular PDA in 8, and long tubular with multiple constrictions in 6 patients and (b) unusual circumstances such as interrupted IVC in 6 and inability to cross PDA antegradely in 4 due to dilated main pulmonary artery. The procedure was successful in all the patients and no procedure-related complications were noted in this cohort. Median follow-up of 9 months (range: 5-18) showed no residual shunt and only one patient had flow acceleration across the left pulmonary artery (peak Doppler gradient 16 mmHg).

Conclusions: KONAR-MF™ device can be used safely and effectively for transcatheter closure of PDA with unusual anatomy or in unusual circumstances.

背景:经导管动脉导管未闭(PDA)形态异常,伴有多处收缩或下腔静脉(IVC)中断等特殊情况,仍具有挑战性。本研究评估了在这种情况下使用 KONAR-MF™(深圳力合科技有限公司)经导管闭合 PDA 的情况:在 2021 年 1 月至 2021 年 10 月期间,来自三个不同三级医疗中心的 24 名患者使用 KONAR-MF™ 装置进行了 PDA 装置闭合术。研究记录了患者的人口统计学特征、超声心动图评估、手术细节(包括方法)、装置细节、并发症和随访数据。患者年龄和体重的中位数分别为 2 岁(0.5-41 岁)和 10 公斤(5-98 公斤)。使用 KONAR-MF™ 的适应症包括:(a) PDA 形态异常(14 例)、长管状 PDA(8 例)和长管状伴多处收缩(6 例);(b) 异常情况,如 IVC 中断(6 例)和主肺动脉扩张导致无法逆行穿越 PDA(4 例)。所有患者的手术都很成功,未发现与手术相关的并发症。中位随访 9 个月(范围:5-18),未发现残余分流,只有一名患者出现左肺动脉血流加速(多普勒梯度峰值为 16 mmHg):结论:KONAR-MF™ 装置可安全有效地用于解剖结构异常或特殊情况下的 PDA 经导管封堵。
{"title":"Off-label use of KONAR-MF™ occluder for transcatheter closure of patent ductus arteriosus in unusual circumstances.","authors":"Ashishkumar Banpurkar, Nageswara Rao Koneti, Prashant Thakur, Snehal M Kulkarni, Atul Prabhu, Pavan Kumar Venkata Doniparti","doi":"10.4103/apc.apc_49_22","DOIUrl":"https://doi.org/10.4103/apc.apc_49_22","url":null,"abstract":"<p><strong>Background: </strong>Transcatheter patent ductus arteriosus (PDA) closure with unusual morphology associated with multiple constrictions or unusual circumstances such as interruption of inferior vena cava (IVC) is still challenging. This study evaluates the use of KONAR-MF™ (Lifetech Scientific Co Ltd., Shenzhen) for transcatheter closure of PDA in such situations.</p><p><strong>Materials and methods and results: </strong>Between January 2021 and October 2021, 24 patients from three different tertiary care centers underwent PDA device closure using the KONAR-MF™ device and are included in the study. Patient demographics, echocardiographic assessment, procedural details including the approach, device details, complications, and follow-up data were recorded. The median age and weight of the cohort were 2 years (0.5-41) and 10 kg (5-98), respectively. The indications for using KONAR-MF™ were (a) unusual morphology of PDA in 14, long tubular PDA in 8, and long tubular with multiple constrictions in 6 patients and (b) unusual circumstances such as interrupted IVC in 6 and inability to cross PDA antegradely in 4 due to dilated main pulmonary artery. The procedure was successful in all the patients and no procedure-related complications were noted in this cohort. Median follow-up of 9 months (range: 5-18) showed no residual shunt and only one patient had flow acceleration across the left pulmonary artery (peak Doppler gradient 16 mmHg).</p><p><strong>Conclusions: </strong>KONAR-MF™ device can be used safely and effectively for transcatheter closure of PDA with unusual anatomy or in unusual circumstances.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"242-246"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful treatment of pulmonary arterial hypertension in a 2-month-old female infant with incontinentia pigmenti: A case report. 成功治疗一名 2 个月大的猪尿失禁女婴的肺动脉高压:病例报告。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_75_23
Marta Marcia, Paola Coppo, Giuseppe Alberto Annoni, Gaetana Ferraro, Gabriella Agnoletti, Giuseppe Antonio Mazza

Incontinentia pigmenti (IP) is a rare X-linked dominant neuroectodermal dysplasia affecting almost exclusively females. It is caused by loss-of-function mutations in the inhibitor of kappa light polypeptide gene enhancer in B cells, kinase gamma gene, formerly known as NF-κB essential modulator. The disorder is typically identified by peculiar skin findings that develop throughout the 1st year of life. Approximately one-third of patients has ocular and neurologic abnormalities causing severe disability. Defects of hair, nails, and teeth can also occur. Among systemic complications, pulmonary arterial hypertension (PAH) is uncommon but potentially life-threatening. Only six cases have been described in the literature so far, and four of them died before reaching 1 year of age. Herein, we report the case of a 2-month-old girl with IP and severe PAH, successfully treated with pulmonary antihypertensive and anti-inflammatory therapy.

猪尿失禁症(IP)是一种罕见的 X 连锁显性神经外胚层发育不良症,几乎只影响女性。它是由 B 细胞中的卡巴轻多肽基因增强子抑制剂、激酶伽马基因(以前称为 NF-κB 重要调节因子)的功能缺失突变引起的。这种疾病通常是通过出生后第一年出现的特殊皮肤症状来识别的。约三分之一的患者有眼部和神经系统异常,导致严重残疾。毛发、指甲和牙齿也可能出现缺陷。在全身并发症中,肺动脉高压(PAH)并不常见,但可能危及生命。迄今为止,文献中仅描述了六例,其中四例在一岁前死亡。在此,我们报告了一例 2 个月大的 IP 重度 PAH 女婴的病例,她在接受肺部降压和抗炎治疗后获得成功。
{"title":"Successful treatment of pulmonary arterial hypertension in a 2-month-old female infant with incontinentia pigmenti: A case report.","authors":"Marta Marcia, Paola Coppo, Giuseppe Alberto Annoni, Gaetana Ferraro, Gabriella Agnoletti, Giuseppe Antonio Mazza","doi":"10.4103/apc.apc_75_23","DOIUrl":"https://doi.org/10.4103/apc.apc_75_23","url":null,"abstract":"<p><p>Incontinentia pigmenti (IP) is a rare X-linked dominant neuroectodermal dysplasia affecting almost exclusively females. It is caused by loss-of-function mutations in the inhibitor of kappa light polypeptide gene enhancer in B cells, kinase gamma gene, formerly known as NF-κB essential modulator. The disorder is typically identified by peculiar skin findings that develop throughout the 1<sup>st</sup> year of life. Approximately one-third of patients has ocular and neurologic abnormalities causing severe disability. Defects of hair, nails, and teeth can also occur. Among systemic complications, pulmonary arterial hypertension (PAH) is uncommon but potentially life-threatening. Only six cases have been described in the literature so far, and four of them died before reaching 1 year of age. Herein, we report the case of a 2-month-old girl with IP and severe PAH, successfully treated with pulmonary antihypertensive and anti-inflammatory therapy.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"297-300"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arterial thoracic outlet syndrome in an adolescent. 一名青少年的胸廓出口动脉综合征。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_47_23
Shyam S Kothari, Bhavik Champaneri, Nirav Panchal

Arterial thoracic outlet syndrome (aTOS) is rarely diagnosed in children. A 15-year-old boy with recent-onset claudication was found to have aTOS on investigation. Bony abnormality other than the cervical rib might also cause aTOS. Enhanced awareness of aTOS as a cause of vascular symptoms in children is warranted.

动脉胸廓出口综合征(aTOS)很少在儿童中确诊。一名最近出现跛行的 15 岁男孩在接受检查时被发现患有 aTOS。除颈椎肋骨外,骨骼异常也可能导致胸廓出口综合征。因此,有必要加强对导致儿童血管症状的 aTOS 的认识。
{"title":"Arterial thoracic outlet syndrome in an adolescent.","authors":"Shyam S Kothari, Bhavik Champaneri, Nirav Panchal","doi":"10.4103/apc.apc_47_23","DOIUrl":"https://doi.org/10.4103/apc.apc_47_23","url":null,"abstract":"<p><p>Arterial thoracic outlet syndrome (aTOS) is rarely diagnosed in children. A 15-year-old boy with recent-onset claudication was found to have aTOS on investigation. Bony abnormality other than the cervical rib might also cause aTOS. Enhanced awareness of aTOS as a cause of vascular symptoms in children is warranted.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"301-302"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intermittent obstruction of the left coronary artery ostia by a congenital supravalvular aortic membrane in an adult. 成人先天性主动脉瓣上膜间歇性阻塞左冠状动脉开口。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_25_23
Tanae El Ghali, Nadia Fellat, Nawal Doghmi, Mohamed Cherti

Left main coronary artery obstruction due to a congenital supra-aortic membrane is a rare anomaly, but it can have serious consequences, including significant myocardial ischemia that may result in impaired ventricular function or even sudden death. Therefore, early diagnosis and treatment of this condition are crucial for improving patient outcomes. We present, in this report, a patient with intermittent obstruction of the left coronary arteries caused by a congenital ostial membrane diagnosed in adulthood that resulted in myocardial ischemia.

先天性主动脉瓣上膜导致的左冠状动脉主干阻塞是一种罕见的异常现象,但它可能造成严重后果,包括心肌严重缺血,可能导致心室功能受损甚至猝死。因此,早期诊断和治疗对改善患者预后至关重要。在本报告中,我们介绍了一名在成年后被诊断出患有先天性骨膜引起的左冠状动脉间歇性阻塞并导致心肌缺血的患者。
{"title":"Intermittent obstruction of the left coronary artery ostia by a congenital supravalvular aortic membrane in an adult.","authors":"Tanae El Ghali, Nadia Fellat, Nawal Doghmi, Mohamed Cherti","doi":"10.4103/apc.apc_25_23","DOIUrl":"https://doi.org/10.4103/apc.apc_25_23","url":null,"abstract":"<p><p>Left main coronary artery obstruction due to a congenital supra-aortic membrane is a rare anomaly, but it can have serious consequences, including significant myocardial ischemia that may result in impaired ventricular function or even sudden death. Therefore, early diagnosis and treatment of this condition are crucial for improving patient outcomes. We present, in this report, a patient with intermittent obstruction of the left coronary arteries caused by a congenital ostial membrane diagnosed in adulthood that resulted in myocardial ischemia.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"286-289"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Left sided Scimitar syndrome. 左侧弯刀综合征
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_73_23
Sabyasachi Pandey, Adaligere Paraswanath Bharath, Aditya P Mohata, Ashita Barthur, Anand P Subramanian, Mahimarangaiah Jayranganath

The images depict a rare case of Scimitar syndrome involving the left lower pulmonary vein.

图片描述的是一个罕见的涉及左下肺静脉的弯刀综合征病例。
{"title":"Left sided Scimitar syndrome.","authors":"Sabyasachi Pandey, Adaligere Paraswanath Bharath, Aditya P Mohata, Ashita Barthur, Anand P Subramanian, Mahimarangaiah Jayranganath","doi":"10.4103/apc.apc_73_23","DOIUrl":"https://doi.org/10.4103/apc.apc_73_23","url":null,"abstract":"<p><p>The images depict a rare case of Scimitar syndrome involving the left lower pulmonary vein.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"303-305"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in left ventricular systolic function after transcatheter patent ductus arteriosus closure in premature infants. 早产儿经导管动脉导管未闭后左心室收缩功能的变化。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_52_23
Aravinth Karunanandaa, Joseph Paolillo, Amanda Cook, Kamala Swayampakala, Matthew C Schwartz

Background: Changes in left ventricular (LV) systolic function have not been well described in premature neonates after transcatheter patent ductus arteriosus (PDA) closure.

Methods and results: We retrospectively identified all premature neonates < 3 kg who underwent a transcatheter PDA closure at our center between January 1 2015 and January 31, 2021. LV indices before and after closure were extracted and an analysis was performed. Overall, 23 neonates were included with a mean procedural weight of 1894 ± 622 g. At 24 h after closure, the median left ventricular ejection fraction (LVEF) (66% interquartile range [IQR] 12% vs. 61% IQR 12, P< 0.001) and median LV end-diastolic dimension z-score (3.3 IQR 1.8 vs. 1.4 IQR 2.6, P < 0.001) both decreased and 5 (22%) neonates had an LVEF <55%. Patients who had an LVEF <55% at 24 h had a higher preprocedure LV end-diastolic dimension z-score (4.2 IQR 1.2 vs. 2.8 IQR 1.6, P = 0.01), a higher preprocedure LV end-diastolic volume (19 mL IQR 4 mL vs. 11 mL IQR 11, P = 0.03), a higher birth weight (940 g IQR 100 g vs. 760 g IQR 140, P = 0.04), and were more likely to receive intravenous calcium during the procedure (60% vs. 11%, P = 0.04) compared to those with an LVEF ≥55% at 24 h after closure. Of those with LVEF <55% at 24 h, all normalized before discharge.

Conclusion: In preterm neonates who underwent successful transcatheter PDA closure, 23% developed abnormal LVEF after closure and those with significant LV dilation before the procedure were at increased risk for the development of LVEF <55% after closure.

背景:经导管动脉导管未闭(PDA)术后早产新生儿左心室(LV)收缩功能的变化尚未得到很好的描述:我们对 2015 年 1 月 1 日至 2021 年 1 月 31 日期间在本中心接受经导管动脉导管关闭术的所有体重小于 3 千克的早产新生儿进行了回顾性鉴定。我们提取了闭合前后的左心室指数并进行了分析。在闭合后 24 小时,中位左心室射血分数(LVEF)(66% 四分位间距 [IQR] 12% vs. 61% IQR 12,P< 0.001)和中位左心室舒张末期维度 z 评分(3.3 IQR 1.8 vs. 1.4 IQR 2.6,P< 0.001)均下降,5 名(22%)新生儿的 LVEF P = 0.01)、术前左心室舒张末期容积较高(19 mL IQR 4 mL vs. 11 mL IQR 11,P = 0.03)、出生体重较高(940 g IQR 100 g vs. 760 g IQR 140,P = 0.04),并且与关闭术后 24 小时 LVEF ≥55% 的新生儿相比,更有可能在术中静脉注射钙剂(60% vs. 11%,P = 0.04)。结论在成功进行经导管 PDA 关闭术的早产新生儿中,23% 的新生儿在关闭术后出现 LVEF 异常。
{"title":"Changes in left ventricular systolic function after transcatheter patent ductus arteriosus closure in premature infants.","authors":"Aravinth Karunanandaa, Joseph Paolillo, Amanda Cook, Kamala Swayampakala, Matthew C Schwartz","doi":"10.4103/apc.apc_52_23","DOIUrl":"https://doi.org/10.4103/apc.apc_52_23","url":null,"abstract":"<p><strong>Background: </strong>Changes in left ventricular (LV) systolic function have not been well described in premature neonates after transcatheter patent ductus arteriosus (PDA) closure.</p><p><strong>Methods and results: </strong>We retrospectively identified all premature neonates < 3 kg who underwent a transcatheter PDA closure at our center between January 1 2015 and January 31, 2021. LV indices before and after closure were extracted and an analysis was performed. Overall, 23 neonates were included with a mean procedural weight of 1894 ± 622 g. At 24 h after closure, the median left ventricular ejection fraction (LVEF) (66% interquartile range [IQR] 12% vs. 61% IQR 12, <i>P</i>< 0.001) and median LV end-diastolic dimension z-score (3.3 IQR 1.8 vs. 1.4 IQR 2.6, <i>P</i> < 0.001) both decreased and 5 (22%) neonates had an LVEF <55%. Patients who had an LVEF <55% at 24 h had a higher preprocedure LV end-diastolic dimension z-score (4.2 IQR 1.2 vs. 2.8 IQR 1.6, <i>P</i> = 0.01), a higher preprocedure LV end-diastolic volume (19 mL IQR 4 mL vs. 11 mL IQR 11, <i>P</i> = 0.03), a higher birth weight (940 g IQR 100 g vs. 760 g IQR 140, <i>P</i> = 0.04), and were more likely to receive intravenous calcium during the procedure (60% vs. 11%, <i>P</i> = 0.04) compared to those with an LVEF ≥55% at 24 h after closure. Of those with LVEF <55% at 24 h, all normalized before discharge.</p><p><strong>Conclusion: </strong>In preterm neonates who underwent successful transcatheter PDA closure, 23% developed abnormal LVEF after closure and those with significant LV dilation before the procedure were at increased risk for the development of LVEF <55% after closure.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"260-265"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrent mycotic aneurysm of the aorta due to Rhizopus microsporus after cardiac surgery. 心脏手术后因小孢子根瘤菌而复发的主动脉霉菌性动脉瘤。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI: 10.4103/apc.apc_46_23
Deepank Sahni, Saad Feroz, Mamdouh Al Ahmadi, Jocelyn Y Ang, Janet Poulik, Raya Safa
{"title":"Recurrent mycotic aneurysm of the aorta due to <i>Rhizopus microsporus</i> after cardiac surgery.","authors":"Deepank Sahni, Saad Feroz, Mamdouh Al Ahmadi, Jocelyn Y Ang, Janet Poulik, Raya Safa","doi":"10.4103/apc.apc_46_23","DOIUrl":"https://doi.org/10.4103/apc.apc_46_23","url":null,"abstract":"","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 4","pages":"306-307"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10856611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the impact of clinical and leadership development activities for pediatric cardiac nurses in India. 了解临床和领导力发展活动对印度儿科心脏病护士的影响。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-05-01 Epub Date: 2023-09-08 DOI: 10.4103/apc.apc_83_23
Magdeline Aagard, Adriana Dobrzycka, Bistra Zheleva, Veeralakshmi Rajasekhar, Shubhitha Menon, Vaisakh Gopakumar

The major challenges for pediatric cardiac nursing in India include inadequacies in their levels of education and lack of recognition of their vital role in the health-care system. The aim of this study was to understand the impact of the leadership educational initiatives on pediatric cardiac nursing taken by Children's HeartLink and the Pediatric Cardiac Society of India. Semi-structured interviews were conducted with eight pediatric cardiac nurse leaders from different Indian hospitals. A review of interviews from a previous study and an extensive literature review provided further foundational data on two major themes. The first theme on nursing education focused on nursing curriculum update, continuing education, and leadership development. The second theme focused on improving the value of nursing in public perception, value in hospitals, and their career promotions. The study identified the potential targets for improvement and provided a nursing career development ladder applicable to India.

印度儿科心脏护理面临的主要挑战包括教育水平不足,以及对其在医疗保健系统中的重要作用缺乏认识。本研究的目的是了解儿童心脏链接和印度儿科心脏学会采取的领导力教育举措对儿科心脏护理的影响。对来自印度不同医院的八名儿科心脏科护士领导进行了半结构化访谈。对先前研究的访谈进行回顾和广泛的文献综述提供了关于两个主要主题的进一步基础数据。护理教育的第一个主题是护理课程更新、继续教育和领导力发展。第二个主题侧重于提高护理在公众认知中的价值、在医院的价值以及他们的职业晋升。该研究确定了潜在的改进目标,并提供了适用于印度的护理职业发展阶梯。
{"title":"Understanding the impact of clinical and leadership development activities for pediatric cardiac nurses in India.","authors":"Magdeline Aagard,&nbsp;Adriana Dobrzycka,&nbsp;Bistra Zheleva,&nbsp;Veeralakshmi Rajasekhar,&nbsp;Shubhitha Menon,&nbsp;Vaisakh Gopakumar","doi":"10.4103/apc.apc_83_23","DOIUrl":"10.4103/apc.apc_83_23","url":null,"abstract":"<p><p>The major challenges for pediatric cardiac nursing in India include inadequacies in their levels of education and lack of recognition of their vital role in the health-care system. The aim of this study was to understand the impact of the leadership educational initiatives on pediatric cardiac nursing taken by Children's HeartLink and the Pediatric Cardiac Society of India. Semi-structured interviews were conducted with eight pediatric cardiac nurse leaders from different Indian hospitals. A review of interviews from a previous study and an extensive literature review provided further foundational data on two major themes. The first theme on nursing education focused on nursing curriculum update, continuing education, and leadership development. The second theme focused on improving the value of nursing in public perception, value in hospitals, and their career promotions. The study identified the potential targets for improvement and provided a nursing career development ladder applicable to India.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 3","pages":"204-207"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/c8/APC-16-204.PMC10593282.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50156883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current career perspective of pediatric cardiologists in India. 当前印度儿科心脏病专家的职业前景。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-05-01 Epub Date: 2023-09-08 DOI: 10.4103/apc.apc_121_23
Sakshi Sachdeva, Bhargavi Dhulipudi

A survey was conducted to ascertain the current situation of early-mid-career pediatric cardiologists (<20 years of experience) practicing in India. A formatted questionnaire was sent as a Google Form through email and WhatsApp link. Out of 275 eligible participants, 138 responses were received. Two pediatric cardiologists independently analyzed the data and responses are presented. Results showed pediatric cardiology is not considered a lucrative career option by most of the surveyed Indian pediatric cardiologists. Urgent remedial measures are needed to maintain the recently found momentum in the field in the country.

进行了一项调查,以确定职业早期和中期儿科心脏病专家的现状(
{"title":"Current career perspective of pediatric cardiologists in India.","authors":"Sakshi Sachdeva,&nbsp;Bhargavi Dhulipudi","doi":"10.4103/apc.apc_121_23","DOIUrl":"10.4103/apc.apc_121_23","url":null,"abstract":"<p><p>A survey was conducted to ascertain the current situation of early-mid-career pediatric cardiologists (<20 years of experience) practicing in India. A formatted questionnaire was sent as a Google Form through email and WhatsApp link. Out of 275 eligible participants, 138 responses were received. Two pediatric cardiologists independently analyzed the data and responses are presented. Results showed pediatric cardiology is not considered a lucrative career option by most of the surveyed Indian pediatric cardiologists. Urgent remedial measures are needed to maintain the recently found momentum in the field in the country.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"16 3","pages":"201-203"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/66/APC-16-201.PMC10593283.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50156801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Annals of Pediatric Cardiology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1