Blade Balloon Atrial Septostomy in Patients With Severe Primary Pulmonary Hypertension

Circulation ◽  
1995 ◽  
Vol 91 (7) ◽  
pp. 2028-2035 ◽  
Author(s):  
Diane Kerstein ◽  
Paul S. Levy ◽  
Daphne T. Hsu ◽  
Allan J. Hordof ◽  
Welton M. Gersony ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Primary Pulmonary Hypertension ◽  
Balloon Atrial Septostomy ◽  
Atrial Septostomy

scholarly journals Balloon atrial septostomy in severe precapillary pulmonary hypertension: A single-center experience

2019 ◽  
Vol 60 (6) ◽  
pp. 384-386 ◽  
Author(s):  
Alexandra Arvanitaki ◽  
George Giannakoulas ◽  
Sophia Anastasia Mouratoglou ◽  
Christos Feloukidis ◽  
Haralambos Karvounis ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Single Center ◽  
Balloon Atrial Septostomy ◽  
Single Center Experience ◽  
Atrial Septostomy

scholarly journals Graded balloon atrial septostomy for palliation of congenital pulmonary hypertension in a dog: A case report

2019 ◽  
Vol 34 (1) ◽  
pp. 283-288
Author(s):  
Justin Allen ◽  
Nathan Peterson ◽  
Kirstie Barrett ◽  
Anthony Llamas
Keyword(s):  
Pulmonary Hypertension ◽  
Case Report ◽  
Balloon Atrial Septostomy ◽  
Atrial Septostomy

scholarly journals Balloon atrial septostomy as initial therapy in pediatric pulmonary hypertension

2020 ◽  
Vol 10 (4) ◽  
pp. 204589402095897
Author(s):  
Paul J. Critser ◽  
Patrick D. Evers ◽  
Eimear McGovern ◽  
Michelle Cash ◽  
Russel Hirsch
Keyword(s):  
Pulmonary Hypertension ◽  
High Risk ◽  
Lung Transplantation ◽  
Initial Therapy ◽  
Free Survival ◽  
Balloon Atrial Septostomy ◽  
Single Center Experience ◽  
Palliative Procedure ◽  
Atrial Septostomy ◽  
Procedural Complications

Balloon atrial septostomy is a palliative procedure currently used to bridge medically refractory pulmonary hypertension patients to lung transplantation. In the current report, we present balloon atrial septostomy as an initial therapy for high-risk pediatric pulmonary hypertension patients at our institution. Nineteen patients with median age of 4.3 years (range 0.1–14.3 years) underwent balloon atrial septostomy during initial admission for pulmonary hypertension. There were no procedural complications or deaths within 24 h of balloon atrial septostomy. Patients were followed for a median of 2.6 years (interquartile range 1.0–4.8 years). Three (16%) patients died, 3 (16%) underwent lung transplantation, and 1 (5%) underwent reverse Potts shunt. Transplant-free survival at 30 days, 1 year, and 3 years was 84%, 76%, and 67% respectively. This single-center experience suggests early-BAS in addition to pharmacotherapy is safe and warrants consideration in high-risk pediatric pulmonary hypertension patients.

scholarly journals Balloon atrial septostomy in end-stage pulmonary hypertension guided by a novel intracardiac echocardiographic transducer

2001 ◽  
Vol 52 (4) ◽  
pp. 530-534 ◽  
Author(s):  
Mauro Moscucci ◽  
Ismail T. Dairywala ◽  
Stanley Chetcuti ◽  
Biju Mathew ◽  
Peng Li ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Balloon Atrial Septostomy ◽  
Atrial Septostomy ◽  
End Stage

Successful palliation of primary pulmonary hypertension by atrial septostomy

1990 ◽  
Vol 65 (15) ◽  
pp. 1045-1046 ◽  
Author(s):  
Mark J. Hausknecht ◽  
Ronald E. Sims ◽  
Michael R. Nihill ◽  
W.Richard Cashion
Keyword(s):  
Pulmonary Hypertension ◽  
Primary Pulmonary Hypertension ◽  
Atrial Septostomy

Echocardiographic Evaluation of Patients with Primary Pulmonary Hypertension Before and After Atrial Septostomy

1999 ◽  
Vol 16 (7) ◽  
pp. 625-634 ◽  
Author(s):  
NILDA ESPINOLA-ZAVALETA ◽  
JESUS VARGAS-BARRÓN ◽  
JORGE ISAAC TAZAR ◽  
JOSÉ MIGUEL CASANOVA ◽  
CANDACE KEIRNS ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Primary Pulmonary Hypertension ◽  
Echocardiographic Evaluation ◽  
Atrial Septostomy ◽  
Before And After

Balloon Atrial Septostomy Increases Cardiac Index and May Reduce Mortality among Pulmonary Hypertension Patients Awaiting Lung Transplantation

1997 ◽  
Vol 7 (3) ◽  
pp. 131-133
Author(s):  
Ann M Hayden
Keyword(s):  
Pulmonary Hypertension ◽  
Cardiac Index ◽  
Lung Transplantation ◽  
Right Atrial ◽  
Ventricular Failure ◽  
Balloon Atrial Septostomy ◽  
Palliative Procedure ◽  
Valuable Adjunct ◽  
Atrial Septostomy ◽  
Systemic Oxygen

The prognosis for patients with pulmonary hypertension is extremely poor. Predictors of poor prognosis among these patients include a cardiac index less than 2.8 L/m/m2, a mean pulmonary artery pressure higher than 50 mm Hg, a mean right atrial pressure more than 10 mm Hg, and PaO2 less than 70 mm Hg. Balloon atrial septostomy was performed as a palliative procedure in six patients with pulmonary hypertension to limit further deterioration while they awaited lung transplantation. The goal of balloon atrial septostomy was to increase cardiac output while limiting the reduction in systemic oxygen saturation to less than 10% of baseline. This procedure may prove to be a valuable adjunct to reduce morbidity and mortality from right ventricular failure for pulmonary hypertension candidates awaiting lung transplantation.

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