Perkutan transluminale katheterinterventionelle Therapie angeborener Herzfehler

Zusammenfassung

Perkutane transluminale katheterinterventionelle Eingriffe spielen eine wichtige Rolle in der Behandlung angeborener Herzfehler und können herz- und gefäßchirurgische Eingriffe vorbereiten, ergänzen oder ersetzen. Das Spektrum möglicher Interventionen ist sehr breit. Als Standardtherapien im Kindesalter gelten heute der interventionelle Verschluss von Vorhofseptum-secundum-Defekten, des Ductus arteriosus und vaskulärer Gefäßfehlbildungen, die Ballonvalvuloplastie valvulärer Pulmonal- und Aortenstenosen sowie die Ballonangioplastie (mit oder ohne Stentimplantation) von peripheren Pulmonalarterien -stenosen und Reaortenisthmusstenosen. Für zahlreiche andere Herzfehler stehen Interventionen als Alternative zum herzchirurgischen Vorgehen zur Verfügung.

Summary

Percutaneous transluminal catheter interventions play an important role in the treatment of congenital heart disease. Depending on the lesion, these interventions may prepare, replace, or complement cardiovascular surgery. The range of applicable interventions is wide. Today, catheter interventional treatment is the preferred method for many forms of congenital heart disease (atrial septum secundum defects, persistent arterial ducts, vascular malformations, congenital valvular aortic or pulmonary stenosis, peripheral pulmonary branch artery stenosis [with or without stent implantation] and recoarctation). Interventional treatment is a valuable alternative or complement to surgery in many other lesions.

Schlüsselwörter

Angeborene Herzfehler - Herzkatheteruntersuchung - perkutane transluminale katheterinterventionelle Eingriffe

Keywords

Congenital heart disease - cardiac catheterization - percutaneous transluminal catheter interventions

• Literatur

• 1 Al Zaibag M, Ribeiro P, Al Kasab S. Percutaneous balloon valvotomy in tricuspid stenosis. Br Heart J 1987; 57: 51-53.
• 2 Bruckenberger E. 17. Herzbericht 2004. Hannover: Eigenverlag; 2005: 77.
• 3 Gianturco C, Anderson JH, Wallace S. Mechanical devices for arterial occlusion. Am J Roentgenol Radium Ther Nucl Med 1975; 124: 428-435.
• 4 Grüntzig A, Bollinger A, Brunner U. et al. Dotter’s percutaneous recanalization in chronic arterial occlusions – a nonsurgical catheter technic. Schweiz Med Wochenschr 1973; 103: 825-831.
• 5 Grüntzig A. Percutaneous recanalisation of chronic arterial occlusions (Dotter principle) with a new double lumen dilatation catheter. Rofo 1976; 124: 80-86.
• 6 Grüntzig A. Transluminal dilatation of coronary-artery stenosis. Lancet 1978; 1 8058 263.
• 7 Kampmann C, Brzezinska R, Abidini M. et al. Biode-gradation of tungsten embolisation coils used in children. Pediatr Radiol 2002; 32: 839-843.
• 8 Kan JS, White Jr RI, Mitchell SE, Gardner TJ. Percutaneous balloon valvuloplasty: a new method for treating congenital pulmonary-valve stenosis. N Engl J Med 1982; 307: 540-542.
• 9 Khalilullah M, Bahl VK, Choudhary A. et al. Mitral balloon valvotomy: a new therapeutic modality for the non-surgical management of mitral stenosis. Indian Heart J 1985; 37: 143-146.
• 10 King TD, Mills NL. Nonoperative closure of atrial septal defects. Surgery 1974; 75: 383-388.
• 11 Lababidi Z. Aortic balloon valvuloplasty. Am Heart J 1983; 106: 751-752.
• 12 Lawrence Jr DD, Charnsangavej C, Wright KC. et al. Percutaneous endovascular graft: experimental evaluation. Radiology 1987; 163: 357-360.
• 13 Leon MB, Kodali S, Williams M. et al. Transcatheter aortic valve replacement in patients with critical aortic stenosis: rationale, device descriptions, early clinical experiences, and perspectives. Semin Thorac Cardiovasc Surg 2006; 18: 165-174.
• 14 McLaughlin P, Benson L, Horlick E. The role of cardiac catheterization in adult congenital heart disease. Cardiol Clin 2006; 24: 531-556.
• 15 Nordmeyer J, Coats L, Bonhoeffer P. Current experience with percutaneous pulmonary valve implantation. Semin Thorac Cardiovasc Surg 2006; 18: 122-125.
• 16 Deutsche Herzstiftung e. V. (Hrsg).. Kinder-herzführer. 3. Aufl. Frankfurt am Main: Deutsche Herzstiftung; e. V. 2004. Online-Version 2004: http://www.herzstiftung.de/kinderkliniken.php.
• 17 Porstmann W, Wierny L, Warnke H. The closure of the patent ductus arteriosus without thoractomy (preliminary report). Thoraxchir Vask Chir 1967; 15: 199-203.
• 18 Rashkind WJ, Miller WW. Creation of an atrial septal defect without thoracotomy. A palliative approach to complete transposition of the great arteries. JAMA 1966; 196: 991-992.
• 19 Samyn MM. A review of the complementary information available with cardiac magnetic resonance imaging and multi-slice computed tomography (CT) during the study of congenital heart disease. Int J Cardiovasc Imaging 2004; 20: 569-578.
• 20 Wright KC, Wallace S, Charnsangavej C. et al. Percutaneous endovascular stents: an experimental evaluation. Radiology 1985; 156: 69-72.