Transcatheter Management of Pulmonary Sequestrations in Children—A Single-Center Experience Article Swipe
Ibrahim Abu Zahira
,
Raymond N. Haddad
,
Mathilde Méot
,
Damien Bonnet
,
Sophie Malekzadeh‐Milani
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/children10071197
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/children10071197
Background: A pulmonary sequestration (PS) is an area of bronchopulmonary tissue with aberrant arterial supply. Transcatheter occlusion of PSs is an appealing treatment option, but data on outcomes remain scarce. We aim to describe our experience with transcatheter management of PS in infants and children. Methods: Retrospective review of clinical data of all patients with suspected PS sent for diagnostic and/or interventional cardiac catheterization at our institution between January 1999 and May 2021. Procedural considerations, techniques, standard safety, and outcomes were assessed. Results: We identified 71 patients (52.1% males), with median age and weight of 4.9 months (IQR, 2.1–26.6) and 4.2 kg (IQR, 3.9–12.1), respectively. Sixty-one (86%) patients had associated congenital heart defects (CHDs). Forty-two (59%) patients had pulmonary arterial hypertension (PAH) at the time of diagnosis. Fifty-three (74.7%) patients underwent embolization of the PS feeding vessel using microcoils and/or vascular plugs, and eight (15.1%) of these were neonates who presented with severe PAH and cardiac failure. Two patients had large feeding vessels and were treated surgically. Sixteen (22.5%) patients with small feeding vessels received conservative management. At median follow-up of 36.4 months (IQR, 2.1–89.9), seven patients had died, 24 patients had CHD corrective surgeries, 26 patients had redo catheterizations, and five patients had persistent PAH. No PS surgical resection was needed, and no infection of the remaining lung tissue occurred. Conclusions: Transcatheter assessment and treatment of PSs is a safe and effective procedure. Neonates with large PSs are severely symptomatic and improve remarkably after PS closure. PS embolization and surgical repair of associated CHDs generally leads to the normalization of pulmonary pressures.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/children10071197
- https://www.mdpi.com/2227-9067/10/7/1197/pdf?version=1689001565
- OA Status
- gold
- Cited By
- 2
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4383878623
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4383878623Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/children10071197Digital Object Identifier
- Title
-
Transcatheter Management of Pulmonary Sequestrations in Children—A Single-Center ExperienceWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-07-10Full publication date if available
- Authors
-
Ibrahim Abu Zahira, Raymond N. Haddad, Mathilde Méot, Damien Bonnet, Sophie Malekzadeh‐MilaniList of authors in order
- Landing page
-
https://doi.org/10.3390/children10071197Publisher landing page
- PDF URL
-
https://www.mdpi.com/2227-9067/10/7/1197/pdf?version=1689001565Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2227-9067/10/7/1197/pdf?version=1689001565Direct OA link when available
- Concepts
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Medicine, Single Center, Cardiac catheterization, Surgery, Embolization, Retrospective cohort study, Conservative management, Lung, Arterial Embolization, Occlusion, Cath lab, Internal medicine, Myocardial infarction, Conventional PCITop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2024: 2Per-year citation counts (last 5 years)
- References (count)
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32Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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