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“Half-uncovered technique” to secure larger stents for postoperative pulmonary vein stenosis

Published online by Cambridge University Press:  20 December 2021

Hiroaki Kise*
Affiliation:
Pediatric Heart Disease and Adult Congenital Heart Disease Center, Showa University, Tokyo, Japan
Takanari Fujii
Affiliation:
Pediatric Heart Disease and Adult Congenital Heart Disease Center, Showa University, Tokyo, Japan
Hideshi Tomita
Affiliation:
Pediatric Heart Disease and Adult Congenital Heart Disease Center, Showa University, Tokyo, Japan
*
Author for correspondence: Hiroaki Kise, MD, PhD, Pediatric Heart Disease and Adult Congenital Heart Disease Center, Showa University, 1-5-8 Hatanodai, Sinagawa-ku, Tokyo142-8666, Japan. Tel: +81-3-3784-8000; Fax: +81-3-3784-8517. E-mail: [email protected]

Abstract

Although larger stent placement could be effective for pulmonary vein stenosis, stents extrusion tends to occur due to caliber narrowing, small landing area, and the slippery nature. We placed stents with diameter ≧8 mm for four stenotic lesions using the “half-uncovered technique”. All stents were precisely placed and successfully resolved the stenosis. This technique allows us to avoid extrusion and to perform safe and effective dilatation when placing larger stents for pulmonary vein stenosis.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Mullins, CE. Intravascular stent in venous stenosis. In Cardiac Catheterization in Congenital Heart Disease. Blackwell Publishing, Massachusetts, 2006: 623641.Google Scholar
Balasubramanian, S, Marshall, AC, Gauvreau, K, et al. Outcomes after stent implantation for the treatment of congenital and postoperative pulmonary vein stenosis in children. Circ Cardiovasc Interv 2012; 5: 109117.CrossRefGoogle ScholarPubMed
Kurita, Y, Baba, K, Kondo, M, et al. Clinical outcomes after the endovascular treatments of pulmonary vein stenosis in patients with congenital heart disease. Cardiol Young 2019; 29: 10571065.CrossRefGoogle ScholarPubMed
Seale, AN, Uemura, H, Webber, SA, et al. Total anomalous pulmonary venous connection: outcome of postoperative pulmonary venous obstruction. J Thorac Cardiovasc Surg 2013; 145: 12551262.CrossRefGoogle ScholarPubMed
White, BR, Ho, DY, Faerber, JA, et al. Repair of total anomalous pulmonary venous connection: risk factors for postoperative obstruction. Ann Thorac Surg 2019; 108: 122129.CrossRefGoogle ScholarPubMed
Caldarone, CA, Najm, HK, Kadletz, M, et al. Relentless pulmonary vein stenosis after repair of total anomalous pulmonary venous drainage. Ann Thorac Surg 1998; 66: 15141520.CrossRefGoogle ScholarPubMed
Furukawa, T, Kishiro, M, Fukunaga, H, et al. Drug-eluting stents ameliorate pulmonary vein stenotic changes in pigs in vivo. Pediatr Cardiol 2010; 31: 773779.CrossRefGoogle ScholarPubMed
Cory, MJ, Ooi, YK, Kelleman, MS, Vincent, RN, Kim, DW, Petit, CJ. Reintervention is associated with improved survival in pediatric patients with pulmonary vein stenosis. JACC Cardiovasc Interv 2017; 10: 17881798.CrossRefGoogle ScholarPubMed
Khan, A, Qureshi, AM, Justino, H. Comparison of drug eluting versus bare metal stents for pulmonary vein stenosis in childhood. Catheter Cardiovasc Interv 2019; 94: 233242.CrossRefGoogle ScholarPubMed
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