This is a case–control study of our experience of mid-term follow-up of 40 children who had a tra... more This is a case–control study of our experience of mid-term follow-up of 40 children who had a transcatheter closure of very large atrial septal defects group (1). All cases had an atrial septal defect device size more than 1.5 times their weight, a ratio considered a contraindication for trans catheter closure (TCC) in some previous reports. The aim of this study is to report the outcomes and mid-term follow-up of transcatheter closure of large atrial septal defects using two-dimensional conventional echocardiography, tissue Doppler imaging, and four-dimensional speckle tracking imaging, and as such to compare results of same echocardiographic examination of age-matched control group of 40 healthy children group (2). Cardiac MRI was performed on cases group (1) only to detect right ventricle and left ventricle volumes and function and early signs of complications. There was no difference between cases and matched healthy controls in terms of the assessment of left ventricle and right ventricle by two-dimensional echocardiography, tissue Doppler imaging, and four-dimensional speckle tracking imaging. Similarly, there was no statistically significant difference between four-dimensional echocardiography and cardiac MRI in their respective assessment of both left ventricle and right ventricle volumes and function. We also detected no complications by echo or by cardiac MRI after a median follow-up period of 2 years and recorded a complete remodelling of right ventricle volumes in all children studied. This points to the safety and efficiency of transcatheter closure of large atrial septal defects in children on mid-term follow-up.
Journal of Current Medical Research and Practice, 2019
Aim The aim of the study is to demonstrate the experience of Pediatric Cardiology Unit, Assiut Un... more Aim The aim of the study is to demonstrate the experience of Pediatric Cardiology Unit, Assiut University Children Hospital, in the patent ductus arteriosus (PDA) closure, over 2.5 years, as a newly developing center in catheter interventions. Patients and methods The study included 47 patients who underwent transcatheter PDA closure at Pediatric Cardiology Unit of Assiut University Children Hospital from March 2014 till September 2016. Results Successful closure of the PDA was achieved in 93.6% (44/47) of patients, regarding efficacy (successful closure of the defect without residual shunt) and safety (no deaths or major complications).
A prospective observational study at the newly estab-lished Fetal Medicine Unit, Hamad Hospital, ... more A prospective observational study at the newly estab-lished Fetal Medicine Unit, Hamad Hospital, Qatar; evalu-ated the impact of the service on the detection rate of criti-cal congenital heart defects, patterns of referral and sub-sequent yield for structural congenital heart disease in a population with a significant proportion of high risk fac-tors. Of 391 pregnant females examined between January 2003 and December 2004, 58 (14.8%) had fetal cardiac abnormalities of which 23 (5.8% of total referrals) had major structural malformations of the heart. Cases of fetal congenital heart disease had further evaluation us-ing real time three-dimensional echocardiography (RT3DE) which is new equipment in the paediatric cardi-ology department. All cases with cardiac defects whether minor or major had follow up fetal echocardiography. Neonatal echocardiography confirmed the diagnosis in all cases with major defects (100% specificity). False positive cases that were found to be normal post nat...
Background: Pediatric cardiac catheterization has shifted from a diagnostic tool to a therapeutic... more Background: Pediatric cardiac catheterization has shifted from a diagnostic tool to a therapeutic one and now more applicable for therapeutic reasons.Aim of Study: The aim of the current study was to evaluate the effect of guidelines for nurses on occurrence of selected post therapeutic cardiac catheterization complications among children.Subjects and Methods: Quasi-experimental design (Pre-Posttest) was used to achieve the aim of the current study. A convenient sample of 30 nurses and 60 children having cardiac defects undergoing cardiac catheterization were participated in the current study; children were divided into two equal groups: 30 as a control group and 30 as a study group and nurses were the same for the study and control group of children. The current study was conducted at post cardiac catheterization Intensive Care Unit at Cairo University Spe-cialized Pediatric Hospital (CUSPH). The required data was collected through: 1- Structured interview (questionnaire); 2- Nurse...
This is a case–control study of our experience of mid-term follow-up of 40 children who had a tra... more This is a case–control study of our experience of mid-term follow-up of 40 children who had a transcatheter closure of very large atrial septal defects group (1). All cases had an atrial septal defect device size more than 1.5 times their weight, a ratio considered a contraindication for trans catheter closure (TCC) in some previous reports. The aim of this study is to report the outcomes and mid-term follow-up of transcatheter closure of large atrial septal defects using two-dimensional conventional echocardiography, tissue Doppler imaging, and four-dimensional speckle tracking imaging, and as such to compare results of same echocardiographic examination of age-matched control group of 40 healthy children group (2). Cardiac MRI was performed on cases group (1) only to detect right ventricle and left ventricle volumes and function and early signs of complications. There was no difference between cases and matched healthy controls in terms of the assessment of left ventricle and right ventricle by two-dimensional echocardiography, tissue Doppler imaging, and four-dimensional speckle tracking imaging. Similarly, there was no statistically significant difference between four-dimensional echocardiography and cardiac MRI in their respective assessment of both left ventricle and right ventricle volumes and function. We also detected no complications by echo or by cardiac MRI after a median follow-up period of 2 years and recorded a complete remodelling of right ventricle volumes in all children studied. This points to the safety and efficiency of transcatheter closure of large atrial septal defects in children on mid-term follow-up.
Journal of Current Medical Research and Practice, 2019
Aim The aim of the study is to demonstrate the experience of Pediatric Cardiology Unit, Assiut Un... more Aim The aim of the study is to demonstrate the experience of Pediatric Cardiology Unit, Assiut University Children Hospital, in the patent ductus arteriosus (PDA) closure, over 2.5 years, as a newly developing center in catheter interventions. Patients and methods The study included 47 patients who underwent transcatheter PDA closure at Pediatric Cardiology Unit of Assiut University Children Hospital from March 2014 till September 2016. Results Successful closure of the PDA was achieved in 93.6% (44/47) of patients, regarding efficacy (successful closure of the defect without residual shunt) and safety (no deaths or major complications).
A prospective observational study at the newly estab-lished Fetal Medicine Unit, Hamad Hospital, ... more A prospective observational study at the newly estab-lished Fetal Medicine Unit, Hamad Hospital, Qatar; evalu-ated the impact of the service on the detection rate of criti-cal congenital heart defects, patterns of referral and sub-sequent yield for structural congenital heart disease in a population with a significant proportion of high risk fac-tors. Of 391 pregnant females examined between January 2003 and December 2004, 58 (14.8%) had fetal cardiac abnormalities of which 23 (5.8% of total referrals) had major structural malformations of the heart. Cases of fetal congenital heart disease had further evaluation us-ing real time three-dimensional echocardiography (RT3DE) which is new equipment in the paediatric cardi-ology department. All cases with cardiac defects whether minor or major had follow up fetal echocardiography. Neonatal echocardiography confirmed the diagnosis in all cases with major defects (100% specificity). False positive cases that were found to be normal post nat...
Background: Pediatric cardiac catheterization has shifted from a diagnostic tool to a therapeutic... more Background: Pediatric cardiac catheterization has shifted from a diagnostic tool to a therapeutic one and now more applicable for therapeutic reasons.Aim of Study: The aim of the current study was to evaluate the effect of guidelines for nurses on occurrence of selected post therapeutic cardiac catheterization complications among children.Subjects and Methods: Quasi-experimental design (Pre-Posttest) was used to achieve the aim of the current study. A convenient sample of 30 nurses and 60 children having cardiac defects undergoing cardiac catheterization were participated in the current study; children were divided into two equal groups: 30 as a control group and 30 as a study group and nurses were the same for the study and control group of children. The current study was conducted at post cardiac catheterization Intensive Care Unit at Cairo University Spe-cialized Pediatric Hospital (CUSPH). The required data was collected through: 1- Structured interview (questionnaire); 2- Nurse...
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