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The Pediatric and Adult Interventional Cardiac Symposium (PICS/AICS) 21St Annual Meeting Las Vegas, Nevada, September 5-8, 2018

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The Pediatric and Adult Interventional Cardiac Symposium (PICS/AICS) 21St Annual Meeting Las Vegas, Nevada, September 5-8, 2018 Meeting Abstracts Journal of Structural Heart Disease, August 2018, Published online: August 2018 Volume 4, Issue 4:114-206 DOI: https://doi.org/10.12945/j.jshd.2018.020.18 The Pediatric and Adult Interventional Cardiac Symposium (PICS/AICS) 21st Annual Meeting Las Vegas, Nevada, September 5-8, 2018 1. TRANSCATHETER CLOSURE OF PATENT DUCTUS preferred ARTERIOSUS IN INTERRUPTED LEFT-SIDED IVC WITH 3. Subclavian vein: rarely tried HEMIAZYGOS CONTINUATION: SUBCLAVIAN VENOUS APPROACH We chose subclavian vein approach and a 5 French multi- Balasubramani Nallaperumal, Dr Swapan Se, Dr Soumya purpose catheter was used to cross the PDA. Though the Patra course was tortuous the 0.035X260cm Amplatzer super Apollo Gleneagles hospitals, Kolkata, India stiff wire made the tough task of tracking of 7 French deliv- ery system smooth across PDA. A Amplatzer duct occluder Introduction: A 15-years old girl presented with the his- size of 8 mm/6 mm positioned across the duct and con- tory of recurrent chest infection, poor weight gain and clin- firmed by arotogram before deployment. Final angiogram ically with bounding pulse, LV enlargement, continuous showed no residual flow across the PDA. murmur at left infra-clavicular area. Chest X-ray showed cardiomegaly with prominent pulmonary conus and lung Conclusion: Congenital interruption of IVC is a rare devel- plethora. Echocardiogram revealed a moderate sized (6 opmental variation (0.6–2.0%). The prevalence of left sided mm) Patent ductus arteriosus (PDA), dilated left ventricle IVC is even rare (0.2%–0.5%) and usually continues as and left atrium with pulmonary artery pressure of 40 mm hemiazygos or accessory hemiazygos vein. Interruption of Hg. IVC make transcatheter closure of PDA a challenging pro- cedure. Echocardiographic assessment of systemic venous Objective: The plan was to close the PDA with an Amplatzer drainage is essential. Subclavian vein approach is an alter- duct occluder-I by conventional antegrade femoral vein native of femoral vein or IJV in a case with interrupted IVC. approach in the cath lab. 2. BALLOON ANGIOPLASTY OF CRITIC COARCTATION Procedure: The descending aortogram in left lateral view OF THE AORTA IN NEWBORNS AND INFANTS - FIRST confirmed of a moderate sized PDA filling pulmonary LINE DEFENCE artery. A 5 French Multipurpose catheter was inserted into Imanov Elnur1, Lazoryshynets Vasil2, Abdullayev Fuad1, the femoral vein to cross the PDA. As soon as the catheter 1 3 crossed renal level, the anomalous course of inferior vena Hasanov Elnur , Jahangirov Tofik 1 cava (IVC) took everyone by surprise. It was a rare anomaly Topchibashev Research Centre of Surgery, Baku, Azerbaijan 2 of Interrupted left-sided IVC with hemiazygos continua- Amosov National Institute of Cardiovascular Surgery, Kiev, Ukraine tion. Though the PDA could be crossed with wire and cath- 3Abdullayev Research Institition of Cardiology, Baku, Azerbaijan eters, the device delivery system with the length of 80cm was not long enough to be across PDA. So the procedure Background: Endovascular intervention in newborns and was to be continued with an alternate approach. The alter- infants with critic coarctation of the aorta (CoA) is choise nate approaches were; of option vs. surgical intervention especially in Ductus 1. Right internal jugular vein dependent patients. 2. Retrograde transarterial: Amplatzer duct occluder-II © 2018 Journal of Structural Heart Disease Published by Science International Corp. ISSN 2326-4004 Fax +1 203 785 3346 E-Mail: [email protected] Accessible online at: http://structuralheartdisease.org/ http://structuralheartdisease.org/ 115 Meeting Abstracts Objective: To analyze first experience of balloon angio- Basil (Vasileios) Thanopoulos1,2, Petros Dardas1, Vlassis plasty of CoA in newborns and infants. Ninios1, George Giannakoulas3, Dan Deleanou4, Silvia Lancovici4 Material: Enrolled 60 patients with CoA, of them: 41(68.3%) 1 Agios Loukas Clinic, Thessaloniki, Greece - underwent surgery; 19 (31.7%) - endovascular interven- 2 Iatrikon Medical Center, Athens, Greece tion. Males to female ratio = 2.74. Age of patients =1 to 360 3 Ahepa University Hospital, Thessaloniki, Greece days (98.9±10.8). In 34 (57.6%) patients diagnosis was done 4 Ares Cardiology Center, Bucharest, Romania prenatal. Introduction: Transcatheter closure of atrial septal defect Patients underwent a routine exam including neurosonog- (ASD) using the Amplatzer Septal occluder (ASO) has raphy. 9 (15%) patients underwent MDCT. In 22 (36.6%) become the procedure of choice in most cardiac centers. patients, CoA combined with concomitant congenital However, despite its technical simplicity the procedure is heart diseases: VSD in 9 (40.9%) ASD -in 3(13.6%), bicus- still associated with complications which, although very pid aortic valve in 5 (22.7%), TGA in 3 (13.6%), complete rare, are potentially life-threatening. The Cocoon septal endocardial cushion defect in 2 (1%). All 60 patients were occluder (CSO) is an improved ASO with certain design in NYHA class IV. 41(68.3%) patients underwent surgery; features (Nanoplatinum coating, softness) that may poten- 19(31.7%) - balloon angioplasty. tially reduce the risk of device related erosions and nickel allergic reactions. We design a randomized controlled Results: Mean pressure gradient prior intervention com- study to prospectively compare the efficacy and safety of prised 58±1.7mm Hg; mean LVEF - 51±12%. In surgical these two devices group mean pressure gradient comprised 57±16mm Hg; mean LVEF - 58±7%. In endovascular group mean pressure Methods: 718 patients (median age 14.5 years) from 4 gradient prior angioplasty was 59±18 mm Hg; mean LVEF major centers in Greece and Romania were randomly 41±9%. assigned in a 1:1 ratio to catheter ASD closure using the ASO (group 1) and CSO (group 2), respectively. The pro- After surgical treatment, mean pressure gradient decreased cedure was guided by fluoroscopy and 2D and 3D transe- to 18±6 mm Hg; mean LVEF increased to 67±8%. After bal- sophageal echocardiography. loon dilatation mean pressure gradient decreased to 19±7 mm Hg; mean LVEF increased to 63±7%. Results: Mean echocardiographic ASD diameter was 21±7mm (range 14-35 mm); 22 ± 6 mm (range 12-34 mm) In-hospital complications of surgery presented in 4 (9.7%) in group 1 and group 2, respectively. Mean device diame- patients: 2 patients, after repair of arched hypoplasia, faced ter was 24±9 mm (range 17-40 mm) and 22 ± 8mm (range with chylothorax; one patient - paresis of the left dome 14 – 38 mm in group 1 and group 2, respectively. The of diaphragm. Wound infection observed in one patient. device was permanently implanted in 353 (98.3 %) and 352 Neurological complications were absent. Endovascular (98%) patients of the group 1 and group 2, respectively. group made an uneventful recovery. 13 (68.4%) patients Follow-up (FU) ranged from 6- 48 months. Complete need surgery for re - CoA on 3 - 6 months after dilatation. ASD occlusion at 1 month FU was 99%) in both groups of patients. One device erosion (surgical removal) and severe Conclusion: In critic newborns and infants with CoA bal- skin allergic reaction (AR) that required chronic treatment loon intervention should be preferred with good in-hos- with cortisone were observed in one (0.3%) and 2 (0.6%) pital results. However, endovascular angioplasty of CoA in patients, respectively, of group 1. No device erosions or newborns and infants with isolated CoA remains contro- ARs were observed in group 2. Device embolization was versial through a high rate of re-coarctation and necessity observed in 2 (0.6 %) and 3 (0.85%) patients of group 1 and for re - interventions. group 2, respectively. Thrombus formation on the device was observed in 1 patient in both groups. 3. EFFICACY AND SAFETY OF CATHETER CLOSURE OF ATRIAL SEPTAL DEFECTS USING THE AMPLATZER Conclusions: The ASO is a safe and effective in the great VERSUS THE COCOON SEPTAL OCCLUDER. A majority of cases. The CSO is a safe and effective device MULTICENTER RANDOMIZED STUDY that adds to our armamentarium for as much safer catheter ASD closure. Further studies with a larger patient popula- tion are needed to confirm our results. Hijazi, Z 21st Annual PICS/AICS Meeting Meeting Abstracts 116 4. HYBRID STENTING IN TREATMENT OF THE 5. HYBRID STENTING OF HYPOPLASTIC PULMONARY OBSTRUCTIVE PATHOLOGY OF THE AORTIC ARCH ARTERIES IN SURGICAL REPAIR OF COMPLEX CHD IN LOW-WEIGHT CHILDREN AFTER SURGICAL Manolis Pursanov, Konstantin Shatalov, Mikhail Chiaurelli, CORRECTION OF COMPLEX CHD David Berishvilli, Alexey Kim, Andrey Sobolev, Irina Manolis Pursanov, Konstantin Shatalov, Mikhail Chiaurelli, Arnautova, Ashot Baveyan Andrey Sobolev, David Berishvilli, Alexey Kim, Andrey A.N. Bakoulev Scientific Center for Cardiovascular Surgery, Svobodov, Irina Arnautova, Ashot Baveyan Moscow, Russian Federation A.N. Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, Russian Federation Objective: to determine results and efficiency of hybrid stenting of the pulmonary artery in patients with various Aim: to demonstrate possibility of hybrid management of CHD with the obstructive pathology of the pulmonary the obstructive aortic arch pathology in low weight chil- artery (PA). dren after surgical correction of complex congenital heart disease (CHD). Methods: hybrid stenting of the PA was performed in 26 patients (28 lesions) with various CHD. Patient age was Materials and methods: hybrid interventions were carried from 10 month to 19 years (median 4,5+4,7) and weight out in 3 patients with various CHD. Patients was 8, 22, 27 from 5,3 to 77 kg (median 18,7+18,8). Hybrid stenting was month and weight 5,7; 8,0; 11,9 kg. In first patient we per- performed in 14 patients (53,9 %) under 3 years old (y.o.), formed hybrid stenting using Valeo stent 7x18 mm through in 5 (19,2%) – from 3 to 6 y.o. and in 7 (26,9%) – older than 6 descending aorta after primary surgical repair of the com- y.o.
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