| Balloon atrial septostomy through umbilical vein approach using flexible guide wire and sheath technique. |
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In Sook Park1, Ki Soo Kim1, Chang Yee Hong1, Shi Joon Yoo2 |
1Department of Pediatrics, College of Medicine, Ulsan Uiversity and Asan Medical Center
2Department of Diagnostic Radiology, College of Medicine, Ulsan Uiversity and Asan Medical Center |
| 제대정맥을 통한 심방중격 절개술 |
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박인숙1, 김기수1, 홍창의1, 유시준2 |
1울산대학교 의과대학 아산재단 서울중앙병원 소아과학교실
2울산대학교 의과대학 아산재단 서울중앙병원 진단방사선과학교실 |
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Received: 29 March 1991 • Accepted: 3 June 1991 |
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| Abstract |
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Balloon atrial septostomy is accepted as the best initial palliative treatment in infants with certain
types of cyanotic congenital heart disease and the importance of prompt creation of atrial communi-
cation can not be overemphasized in these patients.
Balloon atrial septostomy is performed through femoral vein using percutaneous technique in most
cases and is rarely done by cut down approach. However, percutaneous femoral vein cannulation or
saphenous vein cut down can be time consuming and sometimes impossible in critically ill neonates
or in neonates with deformities of the lower extremities or anomalies of the inferior vena cava. In
these situations, cardiac catheterization and balloon atrial septostomy can be performed much
quickly through umbilical vein approach. This report describes the results of balloon atrial septos-
tomy performed through umbilical vein in two neonates at Asan Medical Center.
Furthermore, when ductus venosus is restrictive, specially designed soft, flexible, J-tip guide wire
and sheath can be used to help advancing diagnostic and septostomy catheters from the umbilical vein
into the cardiac chambers and this technique was used in one patient with congenital bilateral hip
dislocation. |
| Key Words:
Ballon atrial septostomy, Umbilical vein, Congenital heart disease |
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