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• W2008761252 abstract "Balloon atrial septostomy (BAS) remains an important interventional procedure in the palliation of certain forms of congenital heart disease (CHD), Currently, there are four Food and Drug Administration approved catheters (The Miller catheter, the Rashkind catheter, the Fogarty catheter, and the NuMED septostomy catheter) being used for this procedure. The incidence of complications using these catheters ranges from 0%–11%. The purpose of this article is to discuss the available data using these catheters and to report our own experience using the new NuMED catheter. Sixteen patients with CHD (transposition of the great vessels in 14, hypoplastic left heart in one, and one patient with double outlet right ventricle and mitral atresia) underwent BAS using the new NuMED catheter. Twelve patients were < 24-hours old, 3 < 1-week old, and one patient was 72-days old at the time of the procedure. The mean ± SD weight was 3.4 ± 0.6 kg. The aortic saturation increased from 75%± 19% to 90%± 5% (P = 0.002), and the mean v-wave gradient between the left and right atrium decreased from 5.4 ± 3.7 to 1.6 ± 2.6 mmHg (P < 0.001); the mean v-wave gradient decreased from 5.9 ± 3.3 to 1.6 ± 2.6 mmHg (P < 0.001), and the mean gradient decreased from 3.9 ± 2.4 to 0.5 ± 1.1 mmHg (P < 0.001). The diameter of the atrial communication increased from 2 ± 1.1 to 6.5 ± 1.1 mm (P < 0.001). The only complication encountered was an episode of atrial flutter in one patient, which responded to cardioversion. We conclude that BAS using this new catheter is safe and effective." @default.
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• W2008761252 title "Balloon Atrial Septostomy: The Oldest Pediatric Interventional Procedure" @default.
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• W2008761252 doi "https://doi.org/10.1111/j.1540-8183.1998.tb00132.x" @default.
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