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An experience suggesting an expanded role for the excimer laser catheter in neonates with obstructive lesions in the heart

Published online by Cambridge University Press:  14 April 2005

Howard S. Weber
Howard S. Weber
Affiliation:
Children's Heart Group, Penn State University Children's Hospital, Hershey, Pennsylvania, United States of America
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Abstract

I have previously reported the successful use of the 0.9 millimetre excimer laser catheter in 2 neonates with pulmonary valvar atresia and intact ventricular septum. In this report, I describe the expanded role of the excimer laser in a premature infant weighing 1.8 kilograms who presented with an occluded right pulmonary artery secondary to an organized thrombus. Successful reconstruction of the right pulmonary artery was performed by sequential use of lasers of 0.9, 1.4, and 2 millimetres diameter, followed by conventional balloon angioplasty. As is now the situation in adults, laser catheter intervention should now be an integral part of the armamentarium of the paediatric cardiac interventionalist.

Keywords

Laser therapyinterventional catheterization
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 1 , January 2005 , pp. 91 - 94
Copyright
2005 Cambridge University Press

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References

Weber HS. Initial and late results after catheter intervention for neonatal critical pulmonary valve stenosis and atresia with intact ventricular septum: A technique in continual evolution. Cathet Cardiovasc Intervent 2002; 56: 394–399.Google Scholar
Litvack F, Grundfest WS, Goldenberg T, Laudenslager J, Forrester JS. Percutaneous excimer laser angioplasty of aortocoronary saphenous vein grafts. J Am Coll Cardiol 1989; 14: 803–808.Google Scholar
Qureshi SA, Rosenthal E, Tynan M, Anjos R, Baker EJ. Transcatheter laser-assisted balloon pulmonary valve dilation in pulmonic valve atresia. Am J Cardiol 1991; 67: 428–431.Google Scholar
Hausdorf G, Schulze-Neick I, Lange PE. Radiofrequency-assisted “Reconstruction” of the right ventricular outflow tract in muscular pulmonary atresia with ventricular septal defect. Br Heart J 1993; 69: 343–346.Google Scholar
Hausdorf G, Schneider M, Lange P. Catheter creation of an open outflow tract in previously atretic right ventricular outflow tract associated with ventricular septal defect. Am J Cardiol 1993; 72: 354–356.Google Scholar
Park IS, Nakanishi T, Kakazawa M, et al. Radiofrequency pulmonary valvotomy using a new 2-French catheter. Cathet Cardiovasc Diagn 1998; 45: 37–42.Google Scholar
Cheung YF, Leung MP, Chau KT. Usefulness of laser-assisted valvotomy with balloon valvuloplasty for pulmonary valve atresia with intact ventricular septum. Am J Cardiol 2002; 90: 438–442.Google Scholar
Vincent RN, Dinkins J, Dobbs M. Mechanical thrombectomy using the AngioJect in a child with congenital heart disease. Cathet Cardiovasc Diagn 2004; 61: 253–255.Google Scholar