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Outcome of Valve Sparing stenting of the Right Ventricular Outflow Tract (RVOT) in Tetralogy of Fallots and variants.

56th Annual Meeting of the Association for European Paediatric and Congenital Cardiology • 2023
العودة
معلومات البحث
المؤلفون Afifi A, Rehman R, Mehta C, BholeV, Chaudhari M, Stumper O
الكلمات المفتاحية right ventricle outflow, valve sparing, stenting
المجلة العلمية 56th Annual Meeting of the Association for European Paediatric and Congenital Cardiology
الناشر 56th Annual Meeting of the Association for European Paediatric and Congenital Cardiology
المجلد Poster
العدد Not Available
الصفحات Not Available
publication.type International
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
Background

Right ventricular outflow tract (RVOT) stenting has emerged as an initial palliation of patients with Tetralogy of Fallot (ToF) type lesions. There is little published data on feasibility of pulmonary valve sparing stenting and whether this could facilitate valve sparing surgery at the time of subsequent surgical correction.

Objectives

This study sought to assess growth of the pulmonary valve annulus after valve sparing stenting of the RVOT in ToF type lesions and whether the pulmonary valve could be preserved at the time of surgical repair.

Methods

This was a retrospective, single-centre study of 96 nonrandomized, consecutive palliated Fallot patients over a 16-year period. Pulmonary valve growth was assessed in patients undergoing valve sparing RVOT stenting (46). We also collected data on patients who had valve crossed and used stent diameter as surrogate marker for valve.

Results

Pulmonary valve Z-score in the valve spared group improved significantly from median -4.1 (interquartile range [IQR]: -5.2- -3.3) to median -2.87 (IQR: -3.5 - -2.1), P