Open AccessUse of institutional criteria for transcatheter device closure of Fontan fenestration – Midterm outcomes
Author(s) -
Nikhil Thatte,
Vasiliki V Dimas,
Alan Nugent,
Thomas M. Zellers,
Joseph M. Forbess,
Luis Zabala,
Song Zhang,
Sunil Reddy
Publication year - 2020
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_154_19
Subject(s) - medicine , fenestration , fontan procedure , occlusion , cardiology , cardiac catheterization , surgery , retrospective cohort study , anesthesia , ventricle
There are no established criteria to decide suitability for Fontan fenestration closure. Our institution has the following criteria: an unobstructed Fontan pathway with no significant decompressing venovenous collaterals, baseline Fontan pressure ≤15 mmHg, baseline cardiac index ≥2 L/min/m 2 , and a decrease in cardiac index ≤20% with test occlusion of the fenestration.