Fetal Cardiac Interventions-Polish Experience from "Zero" to the Third World Largest Program

被引：10

作者：

Debska, Marzena ^{[1
,2
]}

Kolesnik, Adam ^{[3
,4
,5
]}

Rebizant, Beata ^{[1
]}

Sekowska, Agnieszka ^{[1
,6
]}

Grzyb, Agnieszka ^{[3
,7
]}

Chaberek, Katarzyna ^{[1
]}

Witwicki, Jacek ^{[8
]}

Debski, Romuald ^{[1
]}

Dangel, Joanna ^{[3
]}

机构：

[1] Ctr Postgrad Med Educ, Dept Obstet & Gynecol 2, PL-01809 Warsaw, Poland

[2] Ctr Postgrad Med Educ, Dept Gynecol Oncol & Obstet, PL-00416 Warsaw, Poland

[3] US Clin Agatowa, Ctr Postgrad Med Educ, Dept Perinatal Cardiol & Congenital Anomalies, PL-03680 Warsaw, Poland

[4] Childrens Mem Hlth Inst, Cardiovasc Intervent Lab, PL-04730 Warsaw, Poland

[5] Med Univ Warsaw, Dept Descript & Clin Anat, PL-02004 Warsaw, Poland

[6] Ctr Postgrad Med Educ, Dept Anesthesiol & Intens Care, Pain Clin, PL-00416 Warsaw, Poland

[7] Childrens Mem Hlth Inst, Dept Cardiol, PL-04730 Warsaw, Poland

[8] Ctr Postgrad Med Educ, Dept Neonatol, PL-01809 Warsaw, Poland

来源：

JOURNAL OF CLINICAL MEDICINE | 2020年 / 9卷 / 09期

关键词：

fetal cardiac interventions; fetal valvuloplasty; fetal echocardiography; critical aortic stenosis; hypoplastic left heart syndrome; pulmonary atresia and intact ventricular septum; technical aspects; LEFT-HEART SYNDROME; SELECTION; STENOSIS;

D O I：

10.3390/jcm9092888

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This article presents the technical aspects of the Polish fetal cardiac interventions (FCI) program, including preparation of the team and modifications in the technique of the procedure that aim to increase its safety for the mother and the fetus. Over 9 years, 128 FCI in 113 fetuses have been performed: 94 balloon aortic valvuloplasties (fBAV), 14 balloon atrioseptoplasties (fBAS) with stent (BAS+), 5 balloon atrioseptoplasties without stent placement (BAS-), and 15 fetal pulmonary valvuloplasties (fBPS). The technical success rate ranged from 80% (BAS-) to 89% (fBAV), while the procedure-related death rate (defined as death within 72 hours following the procedure) ranged from 7% (fBAV and fBPV) to 20% (BAS). There were 98 live births after all FCI (3 pregnancies continue). Median gestational age at delivery was 39 weeks in our center and 38 weeks in other centers.

引用

页码：1 / 15

页数：14

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