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Percutaneous intervention and hemodynamic assessment in congenital heart diseases

Abstract:

Background The diagnostic and interventional cardiac catheterization can be summarized as valvular heart disease, septum defects; vascular obstructions; fistulas and collateral vessels, residual lesions, and dehiscence of the surgical wound. In general, the approach could be reduced to two groups of interventions: those that require correction of the obstruction of a vascular conduit or a valve, that are treated with dilatation procedures using balloons, stents, or valved stents, and those that require the occlusion of an abnormal communication between 2 cardiac chambers or vascular conduits, which are treated by closure devices or coils. Aim This chapter aims to update and review the hemodynamic evaluation and percutaneous intervention in congenital heart disease. Conclusion In recent decades, the growth of interventional cardiology for treating congenital heart diseases has been remarkable. The continuous development of new devices and the introduction of valves for percutaneous placement are some of the transcendent advances in the critical care of these patients. These advances in both the techniques and the technology used have made it possible to carry out new complex interventions with high success rates and a lower complication rate. Multi-disciplinary teams are required to carry out effective interventions, and of course, it is essential to advance in the scientific investigation of devices and procedures in this medical field.