Details

Autor(en) / Beteiligte

• Inuzuka, Ryo
• Tachimori, Hisateru
• Kim, Sung-Hae
• Matsui, Hikoro
• Kobayashi, Tohru
• Kato, Atsuko
• Fujii, Takanari
• Ho, Mami
• Morikawa, Hanako
• Takahashi, Sara
• Shirato, Haruki
• Haishima, Yuji
• Okamoto, Yoshihiro
• Sakoda, Hideyuki
• Tomita, Hideshi

Titel

Practice and Safety of Static Balloon Atrial Septostomy Based on a Nationwide Registry Data

Ist Teil von

• Circulation Journal, 2022/11/25, Vol.86(12), pp.1990-1997

Ort / Verlag

The Japanese Circulation Society

Erscheinungsjahr

2022

Link zum Volltext

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• Background: Balloon atrial septostomy (BAS) is an essential catheterization procedure for congenital heart lesions. Recently, a balloon catheter for static BAS was approved for the first time in Japan as an alternative to the conventional pull-through BAS. Despite the expected increase in the use of static BAS, reports on its safety are scarce worldwide.Methods and Results: Data on static and pull-through BAS registered in a national registry between 2016 and 2018 were collected. During the study period, 247 sessions of static BAS and 588 sessions of pull-through BAS were performed on a total of 674 patients. Patients who underwent static BAS were older (P<0.001). The incidence of serious adverse events (4.3% vs. 0.9%, P=0.03) and the overall incidence of adverse events (8.1% vs. 3.2%, P=0.03) were higher in static BAS than in pull-through BAS. Among patients who underwent static BAS, the risk factor for adverse events was a body weight <3 kg at the time of the procedure (odds ratio: 4.3 [confidence interval: 1.7–11], P=0.003).Conclusions: This nationwide study revealed differences in patient background between static and pull-through BAS, as well as a higher incidence of adverse events related to static BAS. Patients weighing <3 kg are at high risk for adverse events after static BAS and may require surgical and circulatory support backup.