Clinical benefits, echocardiographic and MRI assessment after pulmonary sequestration treatment (277 views)
Int J Cardiol (ISSN: 0167-5273, 1874-1754electronic), 2017 Aug 01; 240: 165-171.
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Paper type: Journal Article,
Impact factor: 4.034, 5-year impact factor: 4.207
Url: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019016652&doi=10.1016%2fj.ijcard.2017.04.102&partnerID=40&md5=0f17be0a1ce66b9e3912f8fe511436cc
Keywords: Embolization, Pediatric Cardiology,
Affiliations:
*** IBB - CNR ***
Department of Advanced Biomedical Sciences, Divisions of Cardiology and Cardiothoracic Surgery, Federico II University, Naples, Italy. Electronic address: frborgia@unina.it., Department of Translational Medical Sciences, Division of Paediatrics, Federico II University, Naples, Italy., Biostructure and Bioimaging Institute, National Research Council, Naples, Italy., Department of Advanced Biomedical Sciences, Divisions of Cardiology and Cardiothoracic Surgery, Federico II University, Naples, Italy; Division of Cardiothoracic Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.,
References:
Not available.
Int J Cardiol (ISSN: 0167-5273, 1874-1754electronic), 2017 Aug 01; 240: 165-171.
Export to BibTeX Export to EndNote
Paper type: Journal Article,
Impact factor: 4.034, 5-year impact factor: 4.207
Url: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019016652&doi=10.1016%2fj.ijcard.2017.04.102&partnerID=40&md5=0f17be0a1ce66b9e3912f8fe511436cc
Keywords: Embolization, Pediatric Cardiology,
Affiliations:
*** IBB - CNR ***
Department of Advanced Biomedical Sciences, Divisions of Cardiology and Cardiothoracic Surgery, Federico II University, Naples, Italy. Electronic address: frborgia@unina.it., Department of Translational Medical Sciences, Division of Paediatrics, Federico II University, Naples, Italy., Biostructure and Bioimaging Institute, National Research Council, Naples, Italy., Department of Advanced Biomedical Sciences, Divisions of Cardiology and Cardiothoracic Surgery, Federico II University, Naples, Italy; Division of Cardiothoracic Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.,
References:
Not available.
Clinical benefits, echocardiographic and MRI assessment after pulmonary sequestration treatment
BACKGROUND: This study aimed to explore systematically procedural results, clinical benefits with echocardiographic and chest-MRI assessment of pulmonary sequestration percutaneous treatment. METHODS: 13 consecutive infants and children with diagnosis of isolated pulmonary sequestration (PS) had percutaneous closure of the aberrant artery supplying pulmonary sequestration between 2010 and 2015. By protocol, echocardiographic and chest-MRI assessment was performed before and respectively at 6-12months and 1year with the aim to study the effects of embolization on heart volume overload and regression of pulmonary sequestration. RESULTS: Median age at diagnosis was 1year (95%CI 0-2.6); median age at treatment was 1.3years (95%CI1.01-2.85). In all pts the PS was confirmed by chest-MRI. Procedural success was 100%. After treatment, pts experiencing previously respiratory symptoms/infections remained asymptomatic at 2.9year follow-up. In pts with significant shunt due to PS, treatment resulted in amelioration in left or right cardiac chamber enlargement at 6 and 12month follow-up. At distance from PS closure (median 14months), chest-MRI confirmed the closure of the aberrant artery and PS regression in 12 patients. In one case, despite the acute procedural success and the supplying artery remained closed, MRI detected residual PS revascularization. CONCLUSIONS: Percutaneous PS closure in infants and children is safe and provide regression in respiratory symptoms and heart chamber dilatation if significant shunt is present. MRI is able to define aberrant artery course and PS parenchima, and might represent a valid instrument to study residual PS parenchima during growth.
BACKGROUND: This study aimed to explore systematically procedural results, clinical benefits with echocardiographic and chest-MRI assessment of pulmonary sequestration percutaneous treatment. METHODS: 13 consecutive infants and children with diagnosis of isolated pulmonary sequestration (PS) had percutaneous closure of the aberrant artery supplying pulmonary sequestration between 2010 and 2015. By protocol, echocardiographic and chest-MRI assessment was performed before and respectively at 6-12months and 1year with the aim to study the effects of embolization on heart volume overload and regression of pulmonary sequestration. RESULTS: Median age at diagnosis was 1year (95%CI 0-2.6); median age at treatment was 1.3years (95%CI1.01-2.85). In all pts the PS was confirmed by chest-MRI. Procedural success was 100%. After treatment, pts experiencing previously respiratory symptoms/infections remained asymptomatic at 2.9year follow-up. In pts with significant shunt due to PS, treatment resulted in amelioration in left or right cardiac chamber enlargement at 6 and 12month follow-up. At distance from PS closure (median 14months), chest-MRI confirmed the closure of the aberrant artery and PS regression in 12 patients. In one case, despite the acute procedural success and the supplying artery remained closed, MRI detected residual PS revascularization. CONCLUSIONS: Percutaneous PS closure in infants and children is safe and provide regression in respiratory symptoms and heart chamber dilatation if significant shunt is present. MRI is able to define aberrant artery course and PS parenchima, and might represent a valid instrument to study residual PS parenchima during growth.
Clinical benefits, echocardiographic and MRI assessment after pulmonary sequestration treatment
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Clinical benefits, echocardiographic and MRI assessment after pulmonary sequestration treatment
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10 Records (10 excluding Abstracts).
Total impact factor: 19.837 (19.837 excluding Abstracts).
Total 5 year impact factor: 20.23 (20.23 excluding Abstracts).
Total impact factor: 19.837 (19.837 excluding Abstracts).
Total 5 year impact factor: 20.23 (20.23 excluding Abstracts).
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