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Techniques for transcatheter recanalization of completely occluded vessels and pathways in patients with congenital heart disease


Center for Pediatric and Congenital Heart Disease, Children's Hospital, Cleveland Clinic, Cleveland, Ohio, USA

Correspondence Address:
Larry A Latson
Center for Pediatric and Congenital Heart Disease, Desk M-41, Children's Hospital, the Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.74044

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Year : 2010  |  Volume : 3  |  Issue : 2  |  Page : 140-146

 

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Occlusions of major vessels in patients with congenital heart disease may occur due to a variety of factors. These occlusions are often felt to be best addressed surgically; however, we and others have been successful in recanalizing most of these vessels in the catheterization laboratory. Most of these patients will require multiple procedures in the catheterization laboratory to ensure vessel patency and to facilitate vessel growth. Physicians performing the procedure should have a thorough understanding of the anatomic considerations for the intended procedure and have access to a variety of devices and equipment to optimize the result of the procedure. In this article, we review some of the technical aspects that are vital for the success of the procedure.






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Center for Pediatric and Congenital Heart Disease, Children's Hospital, Cleveland Clinic, Cleveland, Ohio, USA

Correspondence Address:
Larry A Latson
Center for Pediatric and Congenital Heart Disease, Desk M-41, Children's Hospital, the Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.74044

Rights and Permissions

Occlusions of major vessels in patients with congenital heart disease may occur due to a variety of factors. These occlusions are often felt to be best addressed surgically; however, we and others have been successful in recanalizing most of these vessels in the catheterization laboratory. Most of these patients will require multiple procedures in the catheterization laboratory to ensure vessel patency and to facilitate vessel growth. Physicians performing the procedure should have a thorough understanding of the anatomic considerations for the intended procedure and have access to a variety of devices and equipment to optimize the result of the procedure. In this article, we review some of the technical aspects that are vital for the success of the procedure.






[FULL TEXT] [PDF]*


        
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