Skip to main content
SpringerLink
Log in

Catheter-Based Interventions for Univentricular Hearts

  • Reference work entry
  • First Online:
Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

Abstract

Patients with single-ventricle physiology pose a wide variety of therapeutic challenges. This section describes common transcatheter and hybrid interventions for this patient population. This chapter is divided into transcatheter or hybrid interventions performed prior to the Glenn shunt, as well as those performed after the bidirectional Glenn shunt or after completion of the Fontan circulation. The most commonly performed pre-Glenn interventions discussed in this chapter include stenting of the arterial duct or right ventricular outflow tract, therapeutic options for shunt thrombosis, as well as hybrid palliation of hypoplastic left heart syndrome.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 1,299.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,799.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Chowdhury UK, Venugopal P, Kothari SS, Saxena A, Talwar S, Subramaniam G et al (2006) Criterions for selection of patients for, and results of, a new technique for construction of the modified Blalock-Taussig shunt. Cardiol Young 16(5):463–473

    Article  PubMed  Google Scholar 

  2. Al Jubair KA, Al Fagih MR, Al Jarallah AS, Al Yousef S, Ali Khan MA, Ashmeg A et al (1998) Results of 546 Blalock-Taussig shunts performed in 478 patients. Cardiol Young 8(4):486–490

    Article  CAS  PubMed  Google Scholar 

  3. Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD (2004) Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation. J Am Coll Cardiol 44(2):438–445

    Article  PubMed  Google Scholar 

  4. Michel-Behnke I, Akintuerk H, Thul J, Bauer J, Hagel KJ, Schranz D (2004) Stent implantation in the ductus arteriosus for pulmonary blood supply in congenital heart disease. Catheter Cardiovasc Interv 61(2):242–252

    Article  PubMed  Google Scholar 

  5. Lee KJ, Hinek A, Chaturvedi RR, Almeida CL, Honjo O, Koren G et al (2009) Rapamycin-eluting stents in the arterial duct: experimental observations in the pig model. Circulation 119(15):2078–2085

    Article  CAS  PubMed  Google Scholar 

  6. Dohlen G, Chaturvedi RR, Benson LN, Ozawa A, Van Arsdell GS, Fruitman DS et al (2009) Stenting of the right ventricular outflow tract in the symptomatic infant with tetralogy of Fallot. Heart 95(2):142–147

    Article  CAS  PubMed  Google Scholar 

  7. Li S, Chen W, Zhang Y, Zhang H, Hua Z, Wang D et al (2011) Hybrid therapy for pulmonary atresia with intact ventricular septum. Ann Thorac Surg 91(5):1467–1471

    Article  PubMed  Google Scholar 

  8. Burke RP, Hannan RL, Zabinsky JA, Tirotta CF, Zahn EM (2009) Hybrid ventricular decompression in pulmonary atresia with intact septum. Ann Thorac Surg 88(2):688–689

    Article  PubMed  Google Scholar 

  9. Laudito A, Bandisode VM, Lucas JF, Radtke WA, Adamson WT, Bradley SM (2006) Right ventricular outflow tract stent as a bridge to surgery in a premature infant with tetralogy of Fallot. Ann Thorac Surg 81(2):744–746

    Article  PubMed  Google Scholar 

  10. Holzer RJ, Sisk M, Phillips A (2008) Hybrid balloon pulmonary valvuloplasty in a 700-g infant: thinking outside the box. Catheter Cardiovasc Interv 72(1):93–96

    PubMed  Google Scholar 

  11. Ashburn DA, McCrindle BW, Tchervenkov CI, Jacobs ML, Lofland GK, Bove EL et al (2003) Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia. J Thorac Cardiovasc Surg 125(5):1070–1082

    Article  PubMed  Google Scholar 

  12. Ohye RG, Sleeper LA, Mahony L, Newburger JW, Pearson GD, Lu M et al (2010) Comparison of shunt types in the Norwood procedure for single-ventricle lesions. N Engl J Med 362(21):1980–1992

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Tabbutt S, Nord AS, Jarvik GP, Bernbaum J, Wernovsky G, Gerdes M et al (2008) Neurodevelopmental outcomes after staged palliation for hypoplastic left heart syndrome. Pediatrics 121(3):476–483

    Article  PubMed  Google Scholar 

  14. Mahle WT, Clancy RR, Moss EM, Gerdes M, Jobes DR, Wernovsky G (2000) Neurodevelopmental outcome and lifestyle assessment in school-aged and adolescent children with hypoplastic left heart syndrome. Pediatrics 105(5):1082–1089

    Article  CAS  PubMed  Google Scholar 

  15. Akintuerk H, Michel-Behnke I, Valeske K, Mueller M, Thul J, Bauer J et al (2002) Stenting of the arterial duct and banding of the pulmonary arteries: basis for combined Norwood stage I and II repair in hypoplastic left heart. Circulation 105(9):1099–1103

    Article  PubMed  Google Scholar 

  16. Galantowicz M, Cheatham JP (2005) Lessons learned from the development of a new hybrid strategy for the management of hypoplastic left heart syndrome. Pediatr Cardiol 26(2):190–199

    Article  Google Scholar 

  17. Galantowicz M, Cheatham JP, Phillips A, Cua CL, Hoffman TM, Hill SL et al (2008) Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 85(6):2063–70, discussion 70–1

    Article  PubMed  Google Scholar 

  18. Michel-Behnke I, Akintuerk H, Marquardt I, Mueller M, Thul J, Bauer J et al (2003) Stenting of the ductus arteriosus and banding of the pulmonary arteries: basis for various surgical strategies in newborns with multiple left heart obstructive lesions. Heart 89(6):645–650

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Holzer R, Marshall A, Kreutzer J, Hirsch R, Chisolm J, Hill S et al (2010) Hybrid procedures: adverse events and procedural characteristics–results of a multi-institutional registry. Congenit Heart Dis 5(3):233–242

    Article  PubMed  Google Scholar 

  20. Holzer RJ, Sisk M, Chisolm JL, Hill SL, Olshove V, Phillips A et al (2009) Completion angiography after cardiac surgery for congenital heart disease: complementing the intraoperative imaging modalities. Pediatr Cardiol 30(8):1075–1082

    Article  PubMed  Google Scholar 

  21. Thrush PT, Mackman CA, Lawrence P, Naguib A, Yates AR, Cassidy SD et al (2011) Interventional strategies for complete vascular occlusions. Pediatr Cardiol 32(6):713–723

    Article  PubMed  Google Scholar 

  22. Holzer RJ, Wood A, Chisolm JL, Hill SL, Phillips A, Galantowicz M et al (2008) Atrial septal interventions in patients with hypoplastic left heart syndrome. Catheter Cardiovasc Interv 72(5):696–704

    Article  PubMed  Google Scholar 

  23. Egan MJ, Hill SL, Boettner BL, Holzer RJ, Phillips AB, Galantowicz M et al (2011) Predictors of retrograde aortic arch obstruction after hybrid palliation of hypoplastic left heart syndrome. Pediatr Cardiol 32(1):67–75

    Article  PubMed  Google Scholar 

  24. Stoica SC, Philips AB, Egan M, Rodeman R, Chisolm J, Hill S et al (2009) The retrograde aortic arch in the hybrid approach to hypoplastic left heart syndrome. Ann Thorac Surg 88(6):1939–46, discussion 416–7

    Article  PubMed  Google Scholar 

  25. Caldarone CA, Benson LN, Holtby H, Van Arsdell GS (2005) Main pulmonary artery to innominate artery shunt during hybrid palliation of hypoplastic left heart syndrome. J Thorac Cardiovasc Surg 130(4):e1–e2

    Article  PubMed  Google Scholar 

  26. Holzer RJ, Chisolm JL, Hill SL, Olshove V, Phillips A, Cheatham JP et al (2008) “Hybrid” stent delivery in the pulmonary circulation. J Invasive Cardiol 20(11):592–598

    PubMed  Google Scholar 

  27. Holzer RJ, Gauvreau K, Kreutzer J, Leahy R, Murphy J, Lock JE et al (2011) Balloon angioplasty and stenting of branch pulmonary arteries: adverse events and procedural characteristics – results of a multi-institutional registry. Circ Cardiovasc Interv 4(3):287–296

    Article  PubMed  Google Scholar 

  28. Thrush PT, Mackman CA, Lawrence P, Naguib A, Yates AR, Cassidy SD et al (2011) An institutional approach to interventional strategies for complete vascular occlusions. Pediatr Cardiol 32(6):713–723

    Article  PubMed  Google Scholar 

  29. Husain NH, Holzer RJ (2011) Complications associated with transcatheter therapy of acute vascular thrombosis. Card Interv Today 5(3):25–32

    Google Scholar 

  30. Bar-Cohen Y, Perry SB, Keane JF, Lock JE (2005) Use of stents to maintain atrial defects and Fontan fenestrations in congenital heart disease. J Interv Cardiol 18(2):111–118

    Article  PubMed  Google Scholar 

  31. Salazar JD, Zafar F, Siddiqui K, Coleman RD, Morales DL, Heinle JS et al (2010) Fenestration during Fontan palliation: now the exception instead of the rule. J Thorac Cardiovasc Surg 140(1):129–136

    Article  PubMed  Google Scholar 

  32. Mays WA, Border WL, Knecht SK, Gerdes YM, Pfriem H, Claytor RP et al (2008) Exercise capacity improves after transcatheter closure of the Fontan fenestration in children. Congenit Heart Dis 3(4):254–261

    Article  PubMed  Google Scholar 

  33. Holzer RJ, Chisolm JL, Hill SL, Cheatham JP (2008) Stenting complex aortic arch obstructions. Catheter Cardiovasc Interv 71(3):375–382

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Paediatric Cardiology, Heart Center, Nationwide Children’s Hospital, 700 Childrens Dr., Columbus, OH, 43205, USA

    Ralf J. Holzer & Mark Galantowicz

  2. Department of Paediatric Cardiology, The Heart Center, Nationwide Children’s Hospital The Ohio State University College of Medicine, 700 Childrens Dr, Columbus, OH, 43207, USA

    Ralf J. Holzer

  3. Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children’s Hospital The Ohio State University College of Medicine, 700 Children’s Drive, Columbus, OH, 43205, USA

    Mark Galantowicz

  4. Paediatric Cardiology, The Heart Center, Nationwide Children’s Hospital The Ohio State University College of Medicine, 700 Children’s Drive, Columbus, OH, 43205, USA

    John P. Cheatham

Authors
  1. Ralf J. Holzer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mark Galantowicz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. John P. Cheatham
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ralf J. Holzer .

Editor information

Editors and Affiliations

  1. Dept. of Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Eduardo M. Da Cruz

  2. Dept. Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Dunbar Ivy

  3. Pediatric Cardiac Surgery, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    James Jaggers

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this entry

Cite this entry

Holzer, R.J., Galantowicz, M., Cheatham, J.P. (2014). Catheter-Based Interventions for Univentricular Hearts. In: Da Cruz, E., Ivy, D., Jaggers, J. (eds) Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-4619-3_74

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4619-3_74

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4618-6

  • Online ISBN: 978-1-4471-4619-3

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation