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Assessment of Vascular Function by Using Cardiac Catheterization

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Abstract

Despite marked advances in cardiovascular surgery and perioperative management, children with congenital heart disease still experience many problems in their adult life. One of the issues that should be resolved is progressive heart failure toward adolescence. During cardiac catheterization, the parameters of cardiac function and vascular function, according to which the best strategy for patients could be chosen, are obtained. These data are useful for elucidating the hemodynamic features of specific structural heart disease and could clarify the mechanisms of heart failure even in children. However, vascular function tends to be overlooked as a factor for worsening heart failure in view of the long term, and only a few comprehensive reviews are available in the field of congenital heart disease.

This chapter summarizes the currently available methods for evaluating vascular function, especially based on catheterization laboratory examination in children. The first part of this chapter discusses the direct and load-independent arterial characteristics of vessels, which provide convincing information for clinical study and for predicting hemodynamic changes corresponding to changes in loading status. In the latter part, indirect evaluation of vessels is presented, which can be useful in real-time decision making in a catheterization laboratory. Last, we also discuss the venous and minor vessel functions that can affect organ congestion and dysfunction.

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Authors and Affiliations

  1. Pediatric Cardiology, Saitama Medical Center, Saitama Medical University, Saitama, Japan

    Hirofumi Saiki MD & Hideaki Senzaki MD

  2. Cardiovascular Diseases, Mayo Clinic, 200 First street S.W., Rochester, MN, 55905, USA

    Hirofumi Saiki MD

Authors
  1. Hirofumi Saiki MD
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  2. Hideaki Senzaki MD
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Correspondence to Hirofumi Saiki MD .

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Editors and Affiliations

  1. Department of Pediatric Cardiology, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan

    Hideaki Senzaki

  2. Heart Center/Pediatric Cardiology, Nagano Children's Hospital, Azumino, Nagano, Japan

    Satoshi Yasukochi

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Saiki, H., Senzaki, H. (2015). Assessment of Vascular Function by Using Cardiac Catheterization. In: Senzaki, H., Yasukochi, S. (eds) Congenital Heart Disease. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54355-8_6

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  • DOI: https://doi.org/10.1007/978-4-431-54355-8_6

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54354-1

  • Online ISBN: 978-4-431-54355-8

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