Page 23 - Journal of Structural Heart Disease Volume 3, Issue 4
P. 23

Case Report
110
via a central or Blalock-Taussig shunt [6]. Zampi et al. also described the role of pressure wires in the set- ting of hypoplastic left heart syndrome palliated with the hybrid stage 1 procedure [7]. Pressure wires were used to measure distal pulmonary artery pressure and subsequently assess the adequacy of pulmonary bands. Rates of re-operation for pulmonary artery band adjustment were less in the group in which pressure wires were used for this purpose. Pressure wire use has also been reported in the human fetus during aortic balloon valvuloplasty [8].
Pressure-sensing wires are feasible and safe to use in the pediatric setting. We demonstrated how
pressure-sensing wires can provide accurate hemo- dynamic data not otherwise obtainable with conven- tional catheters in the setting of complex univentric- ular congenital heart disease.
Con ict of Interest
The authors have no con ict of interest relevant to this publication.
Comment on this Article or Ask a Question
References
1. López-Palop R, Pinar E, Lozano I, Carrillo P, Cortés R, Picó F, et al. Clinical utilization of the coronary pressure wires. Rev Esp Cardi- ol. 2002;55:251-257. PMID: 11893316
2. Ogawa S, Ohkubo T, Fukazawa R, Ka- misago M, Kuramochi Y, Uchikoba Y, et al. Estimation of myocardial hemo- dynamics before and after intervention in children with Kawasaki disease. J Am Coll Cardiol. 2004;43:653-661. DOI: 10.1016/j. jacc.2003.10.032
3. Vranckx P, Cutlip DE, McFadden EP, Kern MJ, Mehran R, Muller O. Coronary pres- sure-derived fractional  ow reserve mea- surements: Recommendations for stan- dardization, recording, and reporting as a core laboratory technique. Proposals for integration in clinical trials. Circ Cardiovasc Interv. 2015;5:312-317. DOI: 10.1161/CIR- CINTERVENTIONS.112.968511
4. Seckeler MD, Hirsch R, Beekman III RH, Goldstein BH. A new predictive equation for oxygen consumption in children and adults with congenital and acquired heart disease. Heart. 2015;101:517-524. DOI: 10.1136/heartjnl-2014-306378
5. Walston II A, Kendell ME. Comparison of pulmonary wedge and left atrial pressure in man. Am Heart J. 1973;86:159-164. PMID: 4719936
6. Everett AD, Matherne GP. Feasibility of pul- monary artery pressure measurements in infants through aorto-pulmonary shunts using a micromanometer pressure wire. Pediatr Cardiol. 2003;24:336-337. DOI: 10.1007/s00246-002-0315-0
7. Zampi JD, Hirsch JC, Goldstein BH, Armstrong AK. Use of a pressure guidewire to assess pulmonary artery band adequacy in the hy- brid stage I procedure for high-risk neonates
with hypoplastic left heart syndrome and variants. Congenit Heart Dis. 2013;8:149-158. DOI: 10.1111/chd.12005
8. Goldstein BH, Fifer CG, Armstrong AK, Gelehrter SK, Treadwell MC, van de Ven C, Rocchini AP. Use of a pressure guidewire in fetal cardiac intervention for critical aortic stenosis. Pediatrics. 2011;128:e716-e719. DOI: 10.1542/peds.2011-0251
Journal of Structural Heart Disease, August 2017
Volume 3, Issue 4:107-110
Cite this article as: McGovern E, Hosking MCK, Harris KC. Direct Left Atrial Pressure Measurement with Pressure Sensing Wires in Complex Univentricular Heart Disease. Structural Heart Disease. 2017;3(4):107-110. DOI: https://doi.org/10.12945/j. jshd.2017.004.17


































































































   21   22   23   24   25