Skip to main content

Advertisement

Log in

Neonatal cardiac interventions: An Indian perspective

  • Symposium on Advances in Cardiology-II
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Palliative interventions in newborn have been performed ever since balloon atrial septostomy was started. The scope and potential of these interventions have been extended to therapeutic interventions and also to replace palliative surgeries. The advancements have happened over the last two decades mainly due to the advancements in cardiac anesthesia of the newborn and primarily due to available hardware improving. The outcomes of these interventions have also improved significantly. The advantage of neonatal interventions is especially relevant in developing countries where limited resources, cost of procedure (lower with reused consumables), lower morbidity due to shorter ICU stay work in favor of the patient. Not only have newborn interventions become well established in centers specializing in pediatric cardiac care, but also premature babies requiring interventions have become successful. This article focuses on the spectrum of neonatal interventions in a contemporary pediatric cardiac centre in India.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Saxena A, Naik N, Juneja R. Aortic valve balloon dilatation in a newborn for critical aortic stenosis diagnosed during fetal life. Indian Heart J 2001;53:95–96.

    PubMed  CAS  Google Scholar 

  2. Kothari SS, Sharma SK, Naik N. Radiofrequency perforation for pulmonary atresia and intact ventricular septum. Indian Heart J 2004;56:50–53.

    PubMed  Google Scholar 

  3. Mahesh K, Kannan BR, Vaidyanathan B, Kamath P, Anil SR, Kumar RK. Stenting the patent arterial duct to increase pulmonary blood flow. Indian Heart J 2005;57:704–708.

    PubMed  Google Scholar 

  4. Miller SP. Balloon atrial septostomy is associated with preoperative stroke in neonates with transposition of the great arteries. Circulation 2006; 113:183–185.

    Article  Google Scholar 

  5. Roofthooft MT, Bergman KA, Waterbolk TW, Ebels T, Bartelds B, Berger RM. Persistent pulmonary hypertension of the newborn with transposition of the great arteries. Ann Thorac Surg 2007;83:1446–1450.

    Article  PubMed  Google Scholar 

  6. Tabatabaei H, Boutin C, Nykanen DG, Freedom RM, Benson LN. Morphologic and hemodynamic consequences after percutaneous balloon valvotomy for neonatal pulmonary stenosis: medium-term follow-up. J Am Coll Cardiol 1996;27:479–480.

    Article  Google Scholar 

  7. Han RK, Gurofsky RC, Lee KJ, Dipchand AI, Williams WG, Smallhorn JF, McCrindle BW. Outcome and growth potential of left heart structures after neonatal intervention for aortic valve stenosis. J Am Coll Cardiol 2007; 50: 2406–2414

    Article  PubMed  Google Scholar 

  8. Kohli V, Azad S, Sachdev MS, Joshi R, Makram ER.Balloon Dilation of the Pulmonary Valve in Premature Infants with Tetralogy of Fallot. Pediatr Cardiol 2008;29:946–949.

    Article  PubMed  Google Scholar 

  9. Kohli V. Balloon dilatation of pulmonary valve in Tetralogy of Fallot’s. Indian J Pediatr 2005;72:181.

    PubMed  Google Scholar 

  10. Lee CL, Lin JF, Hsieh KS, Lin CC, Huang TC. Balloon angioplasty of native coarctation and comparison of patients younger and older than 3 months. Circ J 2007; 71:1781–1784.

    Article  PubMed  Google Scholar 

  11. Rao PS, Jureidini SB, Balfour IC, Singh GK, Chen SC. Severe aortic coarctation in infants less than 3 months: successful palliation by balloon angioplasty. J Invasive Cardiol 2003;15:202–208.

    PubMed  Google Scholar 

  12. Holzer RJ, Chisolm JL, Hill SL, Cheatham JP. Stenting complex aortic arch obstructions. Catheter Cardiovascular Interventions 2008;71:375–382.

    Article  Google Scholar 

  13. Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in ductdependent pulmonary circulation. J Am Coll Cardiol 2004 21;44:438–445.

    Google Scholar 

  14. McQuillen PS, Hamrick SE, Perez MJ et al. Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 2008;85:2063–2070.

    Article  Google Scholar 

  15. Kohli V, Joshi R. Central line retrieval in a neonate. Indian J Pediatr 2007;74:692–693.

    Article  PubMed  Google Scholar 

  16. Sutton N, Lock JE, Geggel RL. Cardiac catheterization in infants weighing less than 1,500 grams. Catheter Cardiovasc Interv 2006;68:948–956.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vikas Kohli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kohli, V. Neonatal cardiac interventions: An Indian perspective. Indian J Pediatr 76, 207–214 (2009). https://doi.org/10.1007/s12098-009-0051-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-009-0051-z

Key words

Navigation