先心病外科残留病变的介入治疗英文ppt课件_1.pptVIP

先心病外科殘留病變的介入治療;Complexity of congenital heart operation varies widely;Residual Lesions after Cardiac Surgery for Congenital Heart Disease;Treatment of Residual Lesions after Cardiac Surgery;Residual Structural Lesions ;Advantages of Interventional cardiac catheterization (IVC) over surgical treatment for residual structural lesions: IVC: less invasive, less morbidity than surgery IVC: more simple than surgery e.g. correction of stenotic vessels Some lesions are more accessible by catheter e.g. peripheral branch pulmonary artery stenosis Some lesions are more difficult to define clearly during surgery because of complex anatomy, or anatomy distorted by pervious procedures ;Interventional cardiac catheterization (IVC) and Surgical treatment are complimentary: IVC cannot replace surgery IVC is not suitable to correct certain lesions e.g. valve regurgitations Experience and skill of operator is key or limiting factor to success of IVC Availability of apparatus, device and equipment also limits IVC application ;IVC or Surgery? Which one is the best option? Patient characteritics: age , body size, clinical status Each residual lesion is unique Residual lesions may be multiple Risk and complexity of the intervention Experience of both cardiologists and surgeons In many cases joint decision is the best approach ! ;Residual Ventricular Septal Defect :Transcatheter Occlusion;Case: M/4 multiple muscular VSDs, residual lesions after 2 attempted surgical closure;4 chamber view;4 chamber views;4 chamber view with second device implanted;Re-coarctation after Surgical Repair :Balloon Angioplasty and Stenting;Re-coarctation after Surgical Repair;Re-coarctation after Surgical Repair;Re-coarctation after Surgical Repair;IVC for Re-coarctation ;Re-coarctation after Surgical Repair;Re-coarctation after Surgical Repair;Re-coarctation after Surgical Repair;Reduce recoarctation by providing support to prevent recoil after balloon dilation Reduce risk of aneurysm formation and aort