Instructions and Data Element Definitions January 2002
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Cardiology Today Jan-Feb 2019.Pdf
VOLUME XXIII No. 1 JANUARY-FEBRUARY 2019 PAGES 1-40 Rs. 1700/- ISSN 0971-9172 RNI No. 66903/97 www.cimsasia .com Cardiology MANAGING DIRECTOR & PUBLISHER Dr. Monica Bhatia TODAY EDITOR IN CHIEF OP Yadava SECTION EDITORS SR Mittal (ECG, CPC), David Colquhou n (Reader’s Choice) EDITORIAL NATIONAL EDITORIAL ADVISORY BOARD Circadian Rhythm of the Body - Is it the Holy Arun K Purohit, Arun Malhotra, Ashok Seth, Grail ? 3 Ashwin B Mehta, CN Manjunath, DS Gambhir, OP YADAVA GS Sainani, Harshad R Gandhi, I Sathyamurthy, Jagdish Hiremath, JPS Sawhney, KK Talwar, K Srinath Reddy, KP Misra, ML Bhatia, Mohan Bhargava, MR Girinath, Mukul Misra, Nakul Sinha, PC Manoria, Peeyush Jain, Praveen Jain, Ramesh Arora, Ravi R Kasliwal, S Jalal, S Padmavati, Satyavan Sharma, SS Ramesh, Sunil Kumar Modi, Yatin Mehta, Yogesh Varma, R Aggarwala. INTERNATIONAL EDITORIAL ADVISORY BOARD REVIEW ARTICLE Andrew M Tonkin, Bhagwan Koirala, Carlos A Mestres, Chuen N Lee, David M Colquhoun, Davendra Mehta, Contrast Induced Nephropathy: How to Enas A Enas, Gerald M Pohost, Glen Van Arsdell, Indranill Basu Ray, James B Peter, James F Benenati, Predict and Prevent? 5 Kanu Chatterjee, Noe A Babilonia, Pascal R Vouhe, RAGHAV BANSAL, VIVEKA KUMAR Paul A Levine, Paul Simon, P K Shah, Prakash Deedwania, Salim Yusuf, Samin K Sharma, Sanjeev Saxena, Sanjiv Kaul, Yutaka Imoto. DESK EDITOR Gandhali DESIGNER A run Kharkwal REVIEW ARTICLE OFFICES CIMS Medica India Pvt Ltd How do I Manage My Patients with Heart (Previously known as UBM Medica India Pvt Ltd.) Failure with Preserved Ejection Fraction? 10 Registered Office MOHAMMED SADIQ AZAM, DAYASAGAR RAO V Margosa Building, No. -
Note to Users for Pedcsrs 2010 Data Collection
Note to Users for PedCSRS 2010 Data Collection The PedCSRS coding instructions and data element definitions issued for 2009 discharges will remain in effect for 2010 discharges. There are no changes to the data collection form, definitions or coding instructions. The attached document contains the current procedure codes that should be used for 2010 PedCSRS reporting. This includes the changes to procedure codes made for July 2009 Adult CSRS reporting. For discharge year 2010, use form DOH-2254p (1/09). Although the bottom of that form states “2009 Discharges,” the effective period for this form has been extended through December 2010 discharges. The file specification for 2010 PedCSRS data contains no changes from the 2009 file structure. The document has been updated only for dates and naming conventions. A copy of the current PedCSRS file specifications document can be obtained from the Cardiac Services Program. Reporting Schedule Pediatric CSRS data is reported quarterly by discharge date. It is due to the Cardiac Services Program two months after the end of the quarter. The 2010 reporting schedule is as follows. Quarter 1 (1/1/10 – 3/31/10 Discharges) due on or before May 31, 2010 Quarter 2 (4/1/10 – 6/30/10 Discharges) due on or before August 31, 2010 Quarter 3 (7/1/10 – 9/30/10 Discharges) due on or before November 30, 2010 Quarter 4 (10/1/10 – 12/31/10 Discharges) due on or before February 28, 2011 Limited extensions to the above deadlines will be granted on a case by case basis when warranted by extenuating circumstances. -
Cardiac Arrhythmias Following the Creation Ofan Atrial Septal Defect in Patients with Transposition of the Great Arteries
Thorax: first published as 10.1136/thx.28.2.147 on 1 March 1973. Downloaded from Thorax (1973), 28, 147. Cardiac arrhythmias following the creation of an atrial septal defect in patients with transposition of the great arteries R. J. MOENE, J. P. ROOS, and A. EYGELAAR Departments of Paediatric Cardiology and Cardiology, Free University Hospital, Amsterdam, and the Department of Thoracic Surgery, University Hospital, Groningen, The Netherlands In 64 children with transposition of the great arteries who underwent a Blalock-Hanlon pro- cedure, pre- and postoperative electrocardiograms were studied regarding the incidence and nature of rhythm disturbances. In another group of 19 patients with transposition of the great arteries, the atrial septal defect was created by a different surgical technique (fossa ovalis resection); this group was studied in the same way and the results were compared. After the Blalock-Hanlon procedure seven patients developed arrhythmias including atrio- ventricular (A-V) dissociation, wandering pacemaker, bradycardia, atrial flutter, supraventricular tachycardia, supraventricular premature beats, and ectopic atrial rhythm. After fossa ovalis resection rhythm disturbances were present in three patients. Despite their relatively high incidence it seems unlikely that arrhythmias are a major factor copyright. contributing to death irrespective of the technique used; some arrhythmias are transient and serious disturbances of long duration are rare. In complete transposition of the great arteries the tion) using temporary -
Dye Dilution Curves After the Artificial Atrial Septostomy in Three Infants with the Transposition of the Great Vessels
Pohoku J. exp. Med., 1970, 100, 39-46 Dye Dilution Curves after the Artificial Atrial Septostomy in Three Infants with the Transposition of the Great Vessels Hiroshi Onoki, Tetsuo Sato, Ichiki Kano and Keiko Mochizuki Department of Pediatrics (Prof. Ts. Arakawa), Faculty of Medicine, Tohoku University, Sendai Hemodynamic consequences after the Rashkind and Miller balloon atrial septostomy were successfully evaluated by means of the dye dilution technic in three infants with the complete transposition of the great vessels. The complete transposition of the great vessels has been the most common cause of death in infants born with congenital malformations of the heart; accord ing to Boesen1 forty-two per cent of the patients with this anomaly succumbed within one month of life and seventy-three per cent within the first three months of life. In 1964 Mustard2 reported a case of the transposition of the great vessels in which the successful result of the radical operation was obtained by adopting a two-stage correction technic; that is, creation of an atrial septal defect was done by Blalock-Hanlon's procedure with thoracotomy when 20 days of life, then successful radical operation was carried out at the age of 18 months. In 1966 Rashkind and Miller3 devised a method for the creation of an atrial septal defect without thoracotomy as a palliative approach to the complete transposi tion of the great vessels. Then in 1968, Rashkind and Miller4 reported thirty-one infants with the transposition of the great vessels who were subjected to the balloon atrial septostomy of theirs with a marked improvement in the interatrial blood commu nication. -
Mustard Procedure Br Heart J: First Published As 10.1136/Hrt.72.1.85 on 1 July 1994
Br Heart J 1994;72:85-88 85 Transcatheter stent implantation for recurrent pulmonary venous pathway obstruction after the Mustard procedure Br Heart J: first published as 10.1136/hrt.72.1.85 on 1 July 1994. Downloaded from Martin C K Hosking, Kenneth A Murdison, Walter J Duncan Abstract pathway obstruction reaching a maximum A 5 year old boy presented with obstruc- flow velocity of 2'0 m/s associated with a tion of the pulmonary venous pathway stenosis measuring 2-3 mm in diameter. four years after the Mustard procedure. Right ventricular dysfunction was a persistent A successful balloon dilatation ofthe pul- echocardiographic finding associated with an monary venous pathway was performed increase in left ventricle dimension in but the benefit was transient. Placement response to the rise of pulmonary arterial of a 10 mm balloon expandable intravas- pressure secondary to the pulmonary venous cular stent across the recurrent stenosis inflow obstruction. A significant systemic to resulted in complete relief ofthe obstruc- pulmonary venous chamber baffle leak mea- tion with prompt resolution ofthe clinical suring 5 mm x 4 mm with right to left shunting signs. The delivery system was modified was seen by Doppler colour flow mapping and to facilitate stent delivery. contributed to central cyanosis. Serial chest x ray films showed persistence of cardiomegaly (Br Heart 1994;72:85-88) with increasing evidence of pulmonary venous congestion. To avoid the risks of surgical repair in a Paediatric experience with transcatheter patient with impaired -
Mustard Operation
Mustard Operation William G. Williams The natural history of infants with complete transposi- desaturation. Mustard reasoned that both vena cavae tion (TGA) is rapid deterioration and death within the could be deliberately diverted to the left atrium while first few months of life. The few babies who do survive allowing the pulmonary return to enter the right atrium, beyond the first year of life usually have an associated thereby correcting the circulation in patients with TGA. ventricular septal defect (VSD) and subsequently dete- The Mustard baffle operation was a simple, reproduc- riorate with progressive pulmonary vascular disease. ible, and elegant technique of transposing venous re- Intervention to improve the outlook for newborns turn. It was easier to learn than the Senning operation, with TGA began with surgical resection of the atrial and became the standard repair in most of the world. septum.' The enlarged atrial defect improves mixing of the pulmonary and systemic circulations, thereby in- creasing the systemic oxygen saturation. Balloon atrial Indications for the Mustard Operation in 1998 septostomy, as described by Rashkind and Miller in The atrial repair of TGA has been almost entirely 1966,2 replaced surgical septectomy. The balloon cath- replaced by the arterial switch operation. However, eter technique continues to provide effective emergency there are three situations were the Mustard operation palliation for the newborn with TGA. may be indicated: In the early 1950s, a number of surgeons, including 1. For infants with isolated TGA who first present M~stard,~attempted arterial repair of TGA in infants, after the neonatal period, the Mustard operation is an all without success until Jatene's report in 1978.4 In alternative to the two-stage arterial switch operation, 1954, Albert5 proposed a surgical technique to trans- ie, a preliminary pulmonary artery banding to prepare pose the venous inflow within the atria to correct TGA. -
Relation of Biventricular Function Quantified by Stress
Relation of Biventricular Function Quantified by Stress Echocardiography to Cardiopulmonary Exercise Capacity in Adults With Mustard (Atrial Switch) Procedure for Transposition of the Great Arteries Wei Li, Tim S. Hornung, Darrel P. Francis, Christine O’Sullivan, Alison Duncan, Michael Gatzoulis and Michael Henein Circulation 2004;110;1380-1386; originally published online Aug 23, 2004; DOI: 10.1161/01.CIR.0000141370.18560.D1 Circulation is published by the American Heart Association. 7272 Greenville Avenue, Dallas, TX 72514 Copyright © 2005 American Heart Association. All rights reserved. Print ISSN: 0009-7322. Online ISSN: 1524-4539 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://circ.ahajournals.org/cgi/content/full/110/11/1380 Subscriptions: Information about subscribing to Circulation is online at http://circ.ahajournals.org/subsriptions/ Permissions: Permissions & Rights Desk, Lippincott Williams & Wilkins, 351 West Camden Street, Baltimore, MD 21202-2436. Phone 410-5280-4050. Fax: 410-528-8550. Email: [email protected] Reprints: Information about reprints can be found online at http://www.lww.com/static/html/reprints.html Downloaded from circ.ahajournals.org at NHLI - Royal Brompton on January 29, 2006 Relation of Biventricular Function Quantified by Stress Echocardiography to Cardiopulmonary Exercise Capacity in Adults With Mustard (Atrial Switch) Procedure for Transposition of the Great Arteries Wei Li, MD, PhD; Tim S. Hornung, MD; Darrel P. Francis, MRCP; Christine O’Sullivan, BSc; Alison Duncan, MRCP; Michael Gatzoulis, MD, PhD; Michael Henein, MD, PhD Background—Mustard repair for transposition of the great arteries (TGA) is frequently associated with impaired systemic (right) ventricular function and sometimes exercise intolerance. -
Atrial Septal Stenting to Increase Interatrial Shunting in Cyanotic Congenital Heart Diseases: a Report of Two Cases
422 Türk Kardiyol Dern Arş - Arch Turk Soc Cardiol 2011;39(5):422-426 doi: 10.5543/tkda.2011.01368 Atrial septal stenting to increase interatrial shunting in cyanotic congenital heart diseases: a report of two cases Siyanotik doğuştan kalp hastalıklarında interatriyal şantı artırmak amacıyla atriyal septuma stent uygulaması: İki olgu sunumu Yalım Yalçın, M.D., Cenap Zeybek, M.D.,§ İbrahim Özgür Önsel, M.D.,# Mehmet Salih Bilal, M.D.† Departments of Pediatric Cardiology, #Anesthesiology and Reanimation, and †Cardiovascular Surgery, Medicana International Hospital; §Department of Pediatric Cardiology, Şişli Florence Nightingale Hospital, İstanbul Summary – Aiming to increase mixing at the atrial level, Özet – Siyanotik doğuştan kalp hastalığı tanısıyla izle- atrial septal stenting was performed in two pediatric nen iki bebekte, atriyal düzeyde karışımı artırmak ama- cases with cyanotic congenital cardiac diseases. The cıyla atriyal septuma stent yerleştirme işlemi uygulandı. first case was a 3-month-old male infant with transpo- Birinci olgu, büyük arterlerin transpozisyonu tanısıyla sition of the great arteries. The second case was an izlenen üç aylık bir erkek bebekti. Diğer olgu, ameliyat 18-month-old male infant with increased central venous sonrası dönemde sağ ventrikül çıkım yolu tıkanıklığına pressure due to postoperative right ventricular outflow bağlı olarak santral venöz basınç yüksekliği gelişen 18 tract obstruction. Premounted bare stents of 8 mm in aylık bir erkek bebekti. Her iki olguda da 8 mm çapında, diameter were used in both cases. The length of the balona monte edilmiş çıplak stent kullanıldı. Stent uzun- stent was 20 mm in the first case and 30 mm in the lat- luğu ilk olguda 20 mm, ikinci olguda 30 mm idi. -
Balloon Atrial Septostomy in Complete Transposition of Great Arteries in Infancy
Br Heart J: first published as 10.1136/hrt.32.1.61 on 1 January 1970. Downloaded from British HeartJournal, I970, 32, X6i. Balloon atrial septostomy in complete transposition of great arteries in infancy A. W. Venables From Royal Children's Hospital, Melbourne, Australia The results of 26 completed balloon atrial septostomies in complete arterial transposition in infancy are described, and complications discussed. Of 7 deaths following this procedure, 3 were clearly or probably related to it or to its failure to produce an adequate septal defect, while 4 were unrelated. Atrial perforations occurred on 4 occasions. Necropsy information regarding the defects produced by the procedure is given. Anatomical features of the fossa ovalis appear to determine the size of the defect created. The effect of the procedure is illustrated by photographs of representative necropsy specimens. Apparently adequate initial defects do not guarantee satisfactory long-term palliation, and 4 of iI infants followed for more than 6 months after effective initial palliation have required surgical procedures to provide more adequate atrial mixing of blood. Despite this, the procedure appears to offer considerable advantage over initial surgical procedures to create atrial defects. The value of palliative procedures in com- Subjects and methods plete arterial transposition is indisputable. From to mid-May I23 cases of trans- ig60 i969, http://heart.bmj.com/ Most commonly, atrial septal defects arz cre- position of the great arteries in infancy were diag- ated in order to increase effective pulmonary nosed in the Cardiac Unit of the Royal Children's flow. Since I966 the balloon catheter tech- Hospital, Melbourne. -
Images Paediatr Cardiol
W Boehm, M Emmel, and N Sreeram. Balloon Atrial Septostomy: History and Technique. Images Paediatr Cardiol. 2006 Jan-Mar; 8(1): 8–14. in PAEDIATRIC CARDIOLOGY IMAGES Images Paediatr Cardiol. 2006 Jan-Mar; 8(1): 8–14. PMCID: PMC3232558 Balloon Atrial Septostomy: History and Technique W Boehm, M Emmel, and N Sreeram University Hospital of Cologne, Germany. Contact information: N. Sreeram, Department of Paediatric Cardiology, University Hospital of Cologne, Kerpenerstrasse 62, 50937 Cologne, Germany Phone: +49 221 47886301 +49 221 47886301 Fax: +49 221 47886302 ; Email: [email protected] MeSH: Transposition of the great arteries, Heart defects, congenital, Catheter, invervention, Balloon atrial septostomy Copyright : © Images in Paediatric Cardiology This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction “A technique for producing an atrial septal defect without thoracotomy or anesthesia is presented. It can be performed rapidly in any cardiac catheterization laboratory.” (William J. Rashkind, 1966)1 “...The initial response to this report varied between admiration and horror but, in either case, the procedure stirred the imagination of the “invasive” cardiologists throughout the entire cardiology world and set the stage for all future intracardiac interventional procedures – the true beginning of pediatric and adult interventional cardiology.” (Charles E. Mullins, 1998)2 The natural history of untreated transposition of the great vessels in the neonate is poor. Complete correction has been possible since 1959 with the atrial switch procedure, first described by Senning.3 Mustard simplified this method, reducing mortality rates to a reasonable level.4 Best results with both operations were achieved in children beyond six months of age. -
Echocardiographic Assessment of TGA After Atrial Switch Repair
Echocardiographic assessment of TGA after Atrial switch repair Session 6. Transposition of the great arteries Multimodality Imaging in ACHD and PH Annemien van den Bosch Erasmus MC, Thoraxcenter, Rotterdam, The Netherlands Transposition of the Great Arteries . Mustard and Senning operations establish appropriate connection - between systemic venous pathways and subpulmonic ventricle - between pulmonary venous pathway and the systemic ventricle . At the expense of a morphological RV support systemic circulation Atrial switch operation Mustard Procedure: Uses baffles made from Dacron, GoreTex or pericardial tissue to redirect flow Hans Hamer© Atrial switch operation Senning Procedure: Uses tissue from the right atrium and the atrial septum to redirect flow. Diagrams from Popelova et al Post-operative Sequelae Baffle problems . Baffle obstruction - SVC baffle obstruction more common following Mustard operation 5-10% superior, 1% inferior - PV baffle obstruction is more common following Senning operation . Baffle leaks - Small leaks are common and not haemodynamically 25% important, except in the case of cryptogenic stroke - Large leaks are rarer but important due to associated volume overload 1-2 re-op% Post-operative Sequelae . Systemic RV - Hypertrophy - Dilatation (lack of reference values for systemic RV) - Systolic function invariably deteriorates over time . Tricuspid regurgitation - TR is predominantly due to annular dilatation and is likely functional rather than due to primary organic abnormality. In rare cases, structural tricuspid -
Left Atrial Decompression by Percutaneous Cannula Placement While on Extracorporeal Membrane Oxygenation
View metadata, citation and similar papers at core.ac.uk brought to you by CORE Brief Communications provided by Elsevier - Publisher Connector Left atrial decompression by percutaneous cannula placement while on extracorporeal membrane oxygenation Anthony M. Hlavacek, MD, Andrew M. Atz, MD, Scott M. Bradley, MD, and Varsha M. Bandisode, MD, Charleston, SC enoarterial extracorporeal membrane oxygenation serially dilated with 10F and 16F transseptal sheath dilators. With (ECMO) is often used in pediatric patients with severe transesophageal echocardiography guidance, a 17F cannula was myocardial dysfunction, typically after cardiac sur- advanced over the guidewire into the LA and connected to the gery, or in patients with acute myocarditis. A problem venous ECMO circuit. Chest radiography confirmed resolution of Vfrequently encountered in these patients is left atrial hypertension, his pulmonary edema by the subsequent day. An echocardiogram which may result in pulmonary edema, ventricular distention, and revealed normalization of his LA size and an estimated LA pres- subendocardial ischemia.1,2 Decompression of the left atrium (LA) sure decrease to 18 mm Hg by Doppler measurement of the mitral will reduce diastolic pressures in the left heart, resulting in an regurgitation gradient. He remained on ECMO for 42 days until a improvement in coronary perfusion and lessen pulmonary edema. successful orthotopic heart transplant was performed. We describe the percutaneous placement of a venous cannula in the LA while on ECMO in a child with severe