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Prikaz novih metoda intervencijskog liječenja u Referentnom centru za pedijatrijsku kardiologiju Republike Hrvatske

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Názov: Prikaz novih metoda intervencijskog liječenja u Referentnom centru za pedijatrijsku kardiologiju Republike Hrvatske
Autori: Bartoniček, Dorotea, Dilber, Daniel, Anić, Darko, Belina, Dražen
Zdroj: Liječnički vjesnik : glasilo Hrvatskoga liječničkog zbora. 146(1-2):39-48
Informácie o vydavateľovi: 2024.
Rok vydania: 2024
Predmety: implantacija vaskularne proteze – metode, heart valve prosthesis implantation- methods, kardiokirurški zahvati – metode, ishod liječenja, cardiac surgical procedures – methods, right – surgery, hypoplastic left heart syndrome – surgery, kolateralna cirkulacija, univentricular heart, pulmonary valve, congenital – surgery, kateterizacija srca, collateral circulation, disfunkcija desne klijetke – kirurgija, stenoza plućne arterije – kirurgija, implantacija proteze srčanog zaliska – metode, cardiac catheterization, sindrom hipoplastičnog lijevog srca – kirurgija, blood vessel prosthesis implantation – methods, koarktacija aorte – kirurgija, stenosis, ventricular dysfunction, pulmonary artery- kirurgija, zalistak plućne arterije, prirođene srčane greške – kirurgija, stents, heart defects, treatment outcome, stent, univentrikularno srce, aortic coarctation – surgery
Popis: The aim: To present new methods of interventional treatment in the Reference Center. Patients and methods: Cases from July 1, 2018 to July 1, 2022 in which a new procedure was performed, regardless of age and gender, are presented. The analysis included all patients who underwent a new method of interventional treatment with a description of the underlying anatomical/hemodynamic pathology and a description of the new method. Results: In the mentioned period, five new percutaneous methods were introduced in a total of 34 patients. Thirteen stent insertion interventions were performed in 13 patients with coarctation of the aorta. The median age of patients who underwent percutaneous stent insertion in coarctation of the aorta was 13.4 years. During the mentioned period, in six patients, stenosis of the pulmonary branch was treated by inserting a stent. Of these, three patients were infants, one at the age of 16 months, one at the age of four years, and one patient at the age of 15 years. Percutaneous insertion of Melody valve (cow’s jugular vein integrated into a covered stent) was performed in three patients, whose average age at the procedure was 17.3 years. With the method of stent dilation, due to the development of restenosis, we treated ten patients, seven with dilation of a previously inserted stent in recoarctation of the aorta, two patients with dilation of a stent inserted at the position of restenosis of the pulmonary branches, and one with dilation of a stent in the stenotic superior caval vein. The fifth method that was introduced was the closure of aortopulmonary collaterals in children with univentricular circulation. It was performed in two children, a four-month-old infant and a three-and-a-half-year-old patient, who suffer from hypoplastic left heart syndrome. All procedures were performed with a favorable hemodynamic result, without acute procedure-related complications. Conclusion: By introducing new methods, we gained new knowledge, improved the level of available care in the Republic of Croatia, and ultimately reduced the costs of referring complex patients abroad.
Cilj rada: prikazati nove metode intervencijskog liječenja u Referentnom centru. Bolesnici i metode: Prikazani su slučajevi od 1. srpnja 2018. do 1. srpnja 2022. u kojih je učinjena nova procedura, neovisno o dobi i spolu. U analizu su uključeni svi pacijenti kojima je učinjena nova metoda intervencijskog liječenja s prikazom podležeće anatomske/hemodinamske patologije te prikazom nove metode. Rezultati: U navedenom periodu uvedeno je pet novih perkutanih metoda, učinjenih u ukupno 34 pacijenta. Učinjeno je trinaest intervencija umetanja stenta u trinaest pacijenata s koarktacijom aorte. Srednja dob pacijenata kojima je učinjen perkutani zahvat umetanja stenta u koarktaciju aorte jest 13,4 godine. U navedenom periodu u šestero pacijenata stenoza pulmonalne grane liječena je umetanjem stenta. Od toga je troje pacijenata bilo dojenačke dobi, jedno u dobi od šesnaest mjeseci, jedno u dobi od četiri godine te jedna pacijentica u dobi od petnaest godina. U tri bolesnika učinjeno je perkutano umetanje zalistka Melody (kravlja jugularna vena integrirana u prekriveni stent), srednje dobi kod zahvata 17,3 godine. Metodom dilatacije stenta, zbog razvoja restenoze, liječili smo deset pacijenata, kod čega sedam dilatacijom prethodno umetnutog stenta u rekoarktaciju aorte, dva pacijenta dilatacijom stenta umetnutog na poziciji restenoze pulmonalnih grana te jednog dilatacijom stenta u stenotičnoj gornjoj šupljoj veni. Peta metoda koje je uvedena jest zatvaranje aortopulmonalnih kolaterala u djece s univentrikulskom cirkulacijom. Učinjena je u dvoje djece, dojenčeta u dobi od četiri mjeseca i pacijentice u dobi od tri i pol godine, a koji boluju od sindroma hipoplastičnoga lijevog srca. Svi su zahvati učinjeni uz povoljan hemodinamski rezultat, bez akutnih uz zahvat vezanih komplikacija. Zaključak: Uvođenjem novih metoda stekli smo nova znanja, poboljšali razinu dostupne skrbi u Republici Hrvatskoj (RH) te u konačnici i utjecali na smanjenje slanja složenih bolesnika u inozemstvo te tako reducirali troškove.
Druh dokumentu: Article
ISSN: 0024-3477
DOI: 10.26800/lv-146-1-2-6
Prístupová URL adresa: https://hrcak.srce.hr/314684
Prístupové číslo: edsair.dris...01492..cd2caaa8ccd38a5a5e246dceed72a4b6
Databáza: OpenAIRE
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  Data: Prikaz novih metoda intervencijskog liječenja u Referentnom centru za pedijatrijsku kardiologiju Republike Hrvatske
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  Data: <i>Liječnički vjesnik : glasilo Hrvatskoga liječničkog zbora</i>. 146(1-2):39-48
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  Data: <searchLink fieldCode="DE" term="%22implantacija+vaskularne+proteze+–+metode%22">implantacija vaskularne proteze – metode</searchLink><br /><searchLink fieldCode="DE" term="%22heart+valve+prosthesis+implantation-+methods%22">heart valve prosthesis implantation- methods</searchLink><br /><searchLink fieldCode="DE" term="%22kardiokirurški+zahvati+–+metode%22">kardiokirurški zahvati – metode</searchLink><br /><searchLink fieldCode="DE" term="%22ishod+liječenja%22">ishod liječenja</searchLink><br /><searchLink fieldCode="DE" term="%22cardiac+surgical+procedures+–+methods%22">cardiac surgical procedures – methods</searchLink><br /><searchLink fieldCode="DE" term="%22right+–+surgery%22">right – surgery</searchLink><br /><searchLink fieldCode="DE" term="%22hypoplastic+left+heart+syndrome+–+surgery%22">hypoplastic left heart syndrome – surgery</searchLink><br /><searchLink fieldCode="DE" term="%22kolateralna+cirkulacija%22">kolateralna cirkulacija</searchLink><br /><searchLink fieldCode="DE" term="%22univentricular+heart%22">univentricular heart</searchLink><br /><searchLink fieldCode="DE" term="%22pulmonary+valve%22">pulmonary valve</searchLink><br /><searchLink fieldCode="DE" term="%22congenital+–+surgery%22">congenital – surgery</searchLink><br /><searchLink fieldCode="DE" term="%22kateterizacija+srca%22">kateterizacija srca</searchLink><br /><searchLink fieldCode="DE" term="%22collateral+circulation%22">collateral circulation</searchLink><br /><searchLink fieldCode="DE" term="%22disfunkcija+desne+klijetke+–+kirurgija%22">disfunkcija desne klijetke – kirurgija</searchLink><br /><searchLink fieldCode="DE" term="%22stenoza+plućne+arterije+–+kirurgija%22">stenoza plućne arterije – kirurgija</searchLink><br /><searchLink fieldCode="DE" term="%22implantacija+proteze+srčanog+zaliska+–+metode%22">implantacija proteze srčanog zaliska – metode</searchLink><br /><searchLink fieldCode="DE" term="%22cardiac+catheterization%22">cardiac catheterization</searchLink><br /><searchLink fieldCode="DE" term="%22sindrom+hipoplastičnog+lijevog+srca+–+kirurgija%22">sindrom hipoplastičnog lijevog srca – kirurgija</searchLink><br /><searchLink fieldCode="DE" term="%22blood+vessel+prosthesis+implantation+–+methods%22">blood vessel prosthesis implantation – methods</searchLink><br /><searchLink fieldCode="DE" term="%22koarktacija+aorte+–+kirurgija%22">koarktacija aorte – kirurgija</searchLink><br /><searchLink fieldCode="DE" term="%22stenosis%22">stenosis</searchLink><br /><searchLink fieldCode="DE" term="%22ventricular+dysfunction%22">ventricular dysfunction</searchLink><br /><searchLink fieldCode="DE" term="%22pulmonary+artery-+kirurgija%22">pulmonary artery- kirurgija</searchLink><br /><searchLink fieldCode="DE" term="%22zalistak+plućne+arterije%22">zalistak plućne arterije</searchLink><br /><searchLink fieldCode="DE" term="%22prirođene+srčane+greške+–+kirurgija%22">prirođene srčane greške – kirurgija</searchLink><br /><searchLink fieldCode="DE" term="%22stents%22">stents</searchLink><br /><searchLink fieldCode="DE" term="%22heart+defects%22">heart defects</searchLink><br /><searchLink fieldCode="DE" term="%22treatment+outcome%22">treatment outcome</searchLink><br /><searchLink fieldCode="DE" term="%22stent%22">stent</searchLink><br /><searchLink fieldCode="DE" term="%22univentrikularno+srce%22">univentrikularno srce</searchLink><br /><searchLink fieldCode="DE" term="%22aortic+coarctation+–+surgery%22">aortic coarctation – surgery</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: The aim: To present new methods of interventional treatment in the Reference Center. Patients and methods: Cases from July 1, 2018 to July 1, 2022 in which a new procedure was performed, regardless of age and gender, are presented. The analysis included all patients who underwent a new method of interventional treatment with a description of the underlying anatomical/hemodynamic pathology and a description of the new method. Results: In the mentioned period, five new percutaneous methods were introduced in a total of 34 patients. Thirteen stent insertion interventions were performed in 13 patients with coarctation of the aorta. The median age of patients who underwent percutaneous stent insertion in coarctation of the aorta was 13.4 years. During the mentioned period, in six patients, stenosis of the pulmonary branch was treated by inserting a stent. Of these, three patients were infants, one at the age of 16 months, one at the age of four years, and one patient at the age of 15 years. Percutaneous insertion of Melody valve (cow’s jugular vein integrated into a covered stent) was performed in three patients, whose average age at the procedure was 17.3 years. With the method of stent dilation, due to the development of restenosis, we treated ten patients, seven with dilation of a previously inserted stent in recoarctation of the aorta, two patients with dilation of a stent inserted at the position of restenosis of the pulmonary branches, and one with dilation of a stent in the stenotic superior caval vein. The fifth method that was introduced was the closure of aortopulmonary collaterals in children with univentricular circulation. It was performed in two children, a four-month-old infant and a three-and-a-half-year-old patient, who suffer from hypoplastic left heart syndrome. All procedures were performed with a favorable hemodynamic result, without acute procedure-related complications. Conclusion: By introducing new methods, we gained new knowledge, improved the level of available care in the Republic of Croatia, and ultimately reduced the costs of referring complex patients abroad.<br />Cilj rada: prikazati nove metode intervencijskog liječenja u Referentnom centru. Bolesnici i metode: Prikazani su slučajevi od 1. srpnja 2018. do 1. srpnja 2022. u kojih je učinjena nova procedura, neovisno o dobi i spolu. U analizu su uključeni svi pacijenti kojima je učinjena nova metoda intervencijskog liječenja s prikazom podležeće anatomske/hemodinamske patologije te prikazom nove metode. Rezultati: U navedenom periodu uvedeno je pet novih perkutanih metoda, učinjenih u ukupno 34 pacijenta. Učinjeno je trinaest intervencija umetanja stenta u trinaest pacijenata s koarktacijom aorte. Srednja dob pacijenata kojima je učinjen perkutani zahvat umetanja stenta u koarktaciju aorte jest 13,4 godine. U navedenom periodu u šestero pacijenata stenoza pulmonalne grane liječena je umetanjem stenta. Od toga je troje pacijenata bilo dojenačke dobi, jedno u dobi od šesnaest mjeseci, jedno u dobi od četiri godine te jedna pacijentica u dobi od petnaest godina. U tri bolesnika učinjeno je perkutano umetanje zalistka Melody (kravlja jugularna vena integrirana u prekriveni stent), srednje dobi kod zahvata 17,3 godine. Metodom dilatacije stenta, zbog razvoja restenoze, liječili smo deset pacijenata, kod čega sedam dilatacijom prethodno umetnutog stenta u rekoarktaciju aorte, dva pacijenta dilatacijom stenta umetnutog na poziciji restenoze pulmonalnih grana te jednog dilatacijom stenta u stenotičnoj gornjoj šupljoj veni. Peta metoda koje je uvedena jest zatvaranje aortopulmonalnih kolaterala u djece s univentrikulskom cirkulacijom. Učinjena je u dvoje djece, dojenčeta u dobi od četiri mjeseca i pacijentice u dobi od tri i pol godine, a koji boluju od sindroma hipoplastičnoga lijevog srca. Svi su zahvati učinjeni uz povoljan hemodinamski rezultat, bez akutnih uz zahvat vezanih komplikacija. Zaključak: Uvođenjem novih metoda stekli smo nova znanja, poboljšali razinu dostupne skrbi u Republici Hrvatskoj (RH) te u konačnici i utjecali na smanjenje slanja složenih bolesnika u inozemstvo te tako reducirali troškove.
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        Value: 10.26800/lv-146-1-2-6
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        PageCount: 10
        StartPage: 39
    Subjects:
      – SubjectFull: implantacija vaskularne proteze – metode
        Type: general
      – SubjectFull: heart valve prosthesis implantation- methods
        Type: general
      – SubjectFull: kardiokirurški zahvati – metode
        Type: general
      – SubjectFull: ishod liječenja
        Type: general
      – SubjectFull: cardiac surgical procedures – methods
        Type: general
      – SubjectFull: right – surgery
        Type: general
      – SubjectFull: hypoplastic left heart syndrome – surgery
        Type: general
      – SubjectFull: kolateralna cirkulacija
        Type: general
      – SubjectFull: univentricular heart
        Type: general
      – SubjectFull: pulmonary valve
        Type: general
      – SubjectFull: congenital – surgery
        Type: general
      – SubjectFull: kateterizacija srca
        Type: general
      – SubjectFull: collateral circulation
        Type: general
      – SubjectFull: disfunkcija desne klijetke – kirurgija
        Type: general
      – SubjectFull: stenoza plućne arterije – kirurgija
        Type: general
      – SubjectFull: implantacija proteze srčanog zaliska – metode
        Type: general
      – SubjectFull: cardiac catheterization
        Type: general
      – SubjectFull: sindrom hipoplastičnog lijevog srca – kirurgija
        Type: general
      – SubjectFull: blood vessel prosthesis implantation – methods
        Type: general
      – SubjectFull: koarktacija aorte – kirurgija
        Type: general
      – SubjectFull: stenosis
        Type: general
      – SubjectFull: ventricular dysfunction
        Type: general
      – SubjectFull: pulmonary artery- kirurgija
        Type: general
      – SubjectFull: zalistak plućne arterije
        Type: general
      – SubjectFull: prirođene srčane greške – kirurgija
        Type: general
      – SubjectFull: stents
        Type: general
      – SubjectFull: heart defects
        Type: general
      – SubjectFull: treatment outcome
        Type: general
      – SubjectFull: stent
        Type: general
      – SubjectFull: univentrikularno srce
        Type: general
      – SubjectFull: aortic coarctation – surgery
        Type: general
    Titles:
      – TitleFull: Prikaz novih metoda intervencijskog liječenja u Referentnom centru za pedijatrijsku kardiologiju Republike Hrvatske
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              Y: 2024
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