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The argument for aggressive coiling of aortopulmonary collaterals in single ventricle patients
Author(s) -
Stern Herbert J.
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22156
Subject(s) - medicine , ventricle , cardiology , cardiac catheterization , ventricular function , fontan procedure
Abstract Aortopulmonary collaterals are present in up to 80% of single ventricle anatomy patients undergoing pre‐Fontan catheterization. There is generally no consensus as to their impact in the mid‐long term course of these patients. We present arguments that aggressive coiling of these vessels is warranted to prevent deterioration of ventricular function long‐term. Non‐invasive modalities for measuring APC are needed. Multi‐institutional, prospective, randomized, double blind studies are also needed to confirm our hypotheses. © 2009 Wiley‐Liss, Inc.

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