Outcomes of right ventricular outflow tract stenting as a palliative procedure in tetralogy of Fallot patients

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dc.contributor.author Pickup, Victoria
dc.contributor.author Joshi, Jayneel A.
dc.date.accessioned 2024-10-18T08:33:46Z
dc.date.available 2024-10-18T08:33:46Z
dc.date.issued 2024-04
dc.description.abstract BACKGROUND : Certain groups of tetralogy of Fallot (TOF) patients require a palliative procedure until factors permit a full surgical repair. An aorto-pulmonary shunt is the gold standard palliative procedure but requires a cardiothoracic surgeon in a well-equipped facility. In the government sector in a developing country this limited resource has an overwhelming caseload. Right ventricular outflow tract (RVOT) stenting via cardiac catheterization by a trained paediatric cardiologist is a possible alternative. OBJECTIVES : To demonstrate that RVOT stenting is a safe and effective palliative procedure in TOF patients in a resource limited setting. METHOD : A retrospective, cohort observational study at Steve Biko Academic Hospital from January 2014 to March 2021. RESULTS : 37 patients required RVOT stent placement. Mean oxygen saturation increased from 65% to 95% post-stent insertion. Mean pulmonary artery (PA) growth, measured by McGoon ratio, increased from 1.36 to 2.05. Average Intensive Care Unit stay was 2 days with a zero 30-day mortality. Three stents fractured requiring replacement. CONCLUSION : Stenting the RVOT in TOF patients who present at an older age, with multiple comorbidities and often in extremis, has yielded good results. Significant improvement in oxygen saturations and PA growth permits majority of our patients to a full TOF surgical repair. en_US
dc.description.department Paediatrics and Child Health en_US
dc.description.librarian hj2024 en_US
dc.description.sdg SDG-03:Good heatlh and well-being en_US
dc.description.uri https://www.journals.ac.za/index.php/SAHJ en_US
dc.identifier.citation Pickup, V. & Joshi, J.A. 2024, 'Outcomes of right ventricular outflow tract stenting as a palliative procedure in tetralogy of Fallot patients', SA Heart Journal, vol. 21, no. 1, pp. 36-44, doi : 10.24170/21-1-5263. en_US
dc.identifier.issn 1996-6741 (print)
dc.identifier.issn 2071-4602 (online)
dc.identifier.other 10.24170/21-1-5263
dc.identifier.uri http://hdl.handle.net/2263/98663
dc.language.iso en en_US
dc.publisher South African Heart Association en_US
dc.rights © 2024 SA Heart Journal. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. en_US
dc.subject Tetralogy of Fallot (TOF) en_US
dc.subject Right ventricular outflow tract (RVOT) stenting en_US
dc.subject Cardiac catheterization en_US
dc.subject Paediatric cardiologist en_US
dc.subject Patients en_US
dc.subject SDG-03: Good health and well-being en_US
dc.subject Stenting en_US
dc.title Outcomes of right ventricular outflow tract stenting as a palliative procedure in tetralogy of Fallot patients en_US
dc.type Article en_US


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