Abstract 15254: Echocardiographic Variables Immediately Post Right Ventricular Decompression Predict Right Ventricular Growth and Biventricular Circulation in Patients With Pulmonary Atresia Intact Ventricular Septum
BackgroundNeonates with pulmonary atresia-intact ventricular septum (PA-IVS) who undergo right ventricular (RV) decompression ultimately have two-ventricle (2V) or
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| Veröffentlicht in: | Circulation (New York, N.Y.) N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A15254-A15254 |
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| container_title | Circulation (New York, N.Y.) |
| container_volume | 134 |
| creator | Maskatia, Shiraz A Tavers, Curtis D Goldberg, David J Rogers, Lindsay S Glatz, Andrew C Qureshi, Athar M Goldstein, Bryan H Petit, Christopher J Ao, Jingning Sachdeva, Ritu |
| description | BackgroundNeonates with pulmonary atresia-intact ventricular septum (PA-IVS) who undergo right ventricular (RV) decompression ultimately have two-ventricle (2V) or |
| format | Article |
| fullrecord | <record><control><sourceid>wolterskluwer</sourceid><recordid>TN_cdi_wolterskluwer_health_00003017-201611111-01285</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>00003017-201611111-01285</sourcerecordid><originalsourceid>FETCH-wolterskluwer_health_00003017-201611111-012853</originalsourceid><addsrcrecordid>eNqdUEtOw0AMjRBIhM8dfIFIk19D2ZVSoLsIUFlW7mToDEwykcch6k05DhOJRRes8MbPeh9bPonitMyKpCjz-WkUCyHmSZVn2Xl04f1HGGd5VcbR92LnmVAyBHVZ3MJKaieRGuP2hL02EjZIBndWeVi3rWoMsrIHqJ1neDZ7zbBRHZORg0WCeyVd25Py3rgOagp6-ZfukdzIGrBr4M58HRFLQxPgyW5CQkCB9fBmgrwebOs6pAMsOOwwCOuOp-OPo19Uz0N7FZ29o_Xq-rdfRsXD6nX5lIzOsiL_aYdR0VYrtKy34R8iF2mVZCKdpVMlIs1uyvyfth9e0Xrx</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Abstract 15254: Echocardiographic Variables Immediately Post Right Ventricular Decompression Predict Right Ventricular Growth and Biventricular Circulation in Patients With Pulmonary Atresia Intact Ventricular Septum</title><source>EZB Electronic Journals Library</source><source>American Heart Association</source><source>Journals@Ovid Complete</source><creator>Maskatia, Shiraz A ; Tavers, Curtis D ; Goldberg, David J ; Rogers, Lindsay S ; Glatz, Andrew C ; Qureshi, Athar M ; Goldstein, Bryan H ; Petit, Christopher J ; Ao, Jingning ; Sachdeva, Ritu</creator><creatorcontrib>Maskatia, Shiraz A ; Tavers, Curtis D ; Goldberg, David J ; Rogers, Lindsay S ; Glatz, Andrew C ; Qureshi, Athar M ; Goldstein, Bryan H ; Petit, Christopher J ; Ao, Jingning ; Sachdeva, Ritu</creatorcontrib><description>BackgroundNeonates with pulmonary atresia-intact ventricular septum (PA-IVS) who undergo right ventricular (RV) decompression ultimately have two-ventricle (2V) or <2V circulation depending on RV size. We sought to determine the relation between post-decompression echocardiographic parameters, RV growth and 2V circulation.MethodsNeonates undergoing RV decompression for PA-IVS from 2005-2015 at the 4 member centers of the Congenital Catheterization Research Collaborative were included. Echocardiograms at baseline, first post-decompression, and follow up closest to 1 year post decompression were analyzed. The primary outcomes were RV growth by echocardiogram and 2V circulation.ResultsOf the 81 patients in the study, 11 (14%) had <2V circulation, and 54 (67%) had follow up echocardiograms available. After decompression, tricuspid regurgitation (TR) and RV function improved (Table 1). Post-decompression ≥moderate TR and higher pulmonary valve antegrade velocity were associated with 2V circulation (Table 2). Baseline tricuspid valve z score correlated with larger increase in RV area/BSA (R=0.42, p = 0.005). Patients with ≥moderate TR post decompression had an increase in RV area of 22.3 (7.6-29.7) cc/m vs 14.3 (6.8-19.3) cc/m in those with ≤mild TR (p = 0.049). Those with bidirectional flow at the ASD post-decompression had an increase in RV area of 24.2(14.3-26.6) cc/m vs 9.8 (6.8-15.5) cc/m in those with right to left flow (p=0.007).ConclusionsPost-decompression tricuspid regurgitation severity and bidirectional ASD flow post-decompression appear to be associated with RV growth and 2V circulation in patients with PA-IVS following RV decompression</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><language>eng</language><publisher>by the American College of Cardiology Foundation and the American Heart Association, Inc</publisher><ispartof>Circulation (New York, N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A15254-A15254</ispartof><rights>2016 by the American College of Cardiology Foundation and the American Heart Association, Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids></links><search><creatorcontrib>Maskatia, Shiraz A</creatorcontrib><creatorcontrib>Tavers, Curtis D</creatorcontrib><creatorcontrib>Goldberg, David J</creatorcontrib><creatorcontrib>Rogers, Lindsay S</creatorcontrib><creatorcontrib>Glatz, Andrew C</creatorcontrib><creatorcontrib>Qureshi, Athar M</creatorcontrib><creatorcontrib>Goldstein, Bryan H</creatorcontrib><creatorcontrib>Petit, Christopher J</creatorcontrib><creatorcontrib>Ao, Jingning</creatorcontrib><creatorcontrib>Sachdeva, Ritu</creatorcontrib><title>Abstract 15254: Echocardiographic Variables Immediately Post Right Ventricular Decompression Predict Right Ventricular Growth and Biventricular Circulation in Patients With Pulmonary Atresia Intact Ventricular Septum</title><title>Circulation (New York, N.Y.)</title><description>BackgroundNeonates with pulmonary atresia-intact ventricular septum (PA-IVS) who undergo right ventricular (RV) decompression ultimately have two-ventricle (2V) or <2V circulation depending on RV size. We sought to determine the relation between post-decompression echocardiographic parameters, RV growth and 2V circulation.MethodsNeonates undergoing RV decompression for PA-IVS from 2005-2015 at the 4 member centers of the Congenital Catheterization Research Collaborative were included. Echocardiograms at baseline, first post-decompression, and follow up closest to 1 year post decompression were analyzed. The primary outcomes were RV growth by echocardiogram and 2V circulation.ResultsOf the 81 patients in the study, 11 (14%) had <2V circulation, and 54 (67%) had follow up echocardiograms available. After decompression, tricuspid regurgitation (TR) and RV function improved (Table 1). Post-decompression ≥moderate TR and higher pulmonary valve antegrade velocity were associated with 2V circulation (Table 2). Baseline tricuspid valve z score correlated with larger increase in RV area/BSA (R=0.42, p = 0.005). Patients with ≥moderate TR post decompression had an increase in RV area of 22.3 (7.6-29.7) cc/m vs 14.3 (6.8-19.3) cc/m in those with ≤mild TR (p = 0.049). Those with bidirectional flow at the ASD post-decompression had an increase in RV area of 24.2(14.3-26.6) cc/m vs 9.8 (6.8-15.5) cc/m in those with right to left flow (p=0.007).ConclusionsPost-decompression tricuspid regurgitation severity and bidirectional ASD flow post-decompression appear to be associated with RV growth and 2V circulation in patients with PA-IVS following RV decompression</description><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqdUEtOw0AMjRBIhM8dfIFIk19D2ZVSoLsIUFlW7mToDEwykcch6k05DhOJRRes8MbPeh9bPonitMyKpCjz-WkUCyHmSZVn2Xl04f1HGGd5VcbR92LnmVAyBHVZ3MJKaieRGuP2hL02EjZIBndWeVi3rWoMsrIHqJ1neDZ7zbBRHZORg0WCeyVd25Py3rgOagp6-ZfukdzIGrBr4M58HRFLQxPgyW5CQkCB9fBmgrwebOs6pAMsOOwwCOuOp-OPo19Uz0N7FZ29o_Xq-rdfRsXD6nX5lIzOsiL_aYdR0VYrtKy34R8iF2mVZCKdpVMlIs1uyvyfth9e0Xrx</recordid><startdate>20161111</startdate><enddate>20161111</enddate><creator>Maskatia, Shiraz A</creator><creator>Tavers, Curtis D</creator><creator>Goldberg, David J</creator><creator>Rogers, Lindsay S</creator><creator>Glatz, Andrew C</creator><creator>Qureshi, Athar M</creator><creator>Goldstein, Bryan H</creator><creator>Petit, Christopher J</creator><creator>Ao, Jingning</creator><creator>Sachdeva, Ritu</creator><general>by the American College of Cardiology Foundation and the American Heart Association, Inc</general><scope/></search><sort><creationdate>20161111</creationdate><title>Abstract 15254: Echocardiographic Variables Immediately Post Right Ventricular Decompression Predict Right Ventricular Growth and Biventricular Circulation in Patients With Pulmonary Atresia Intact Ventricular Septum</title><author>Maskatia, Shiraz A ; Tavers, Curtis D ; Goldberg, David J ; Rogers, Lindsay S ; Glatz, Andrew C ; Qureshi, Athar M ; Goldstein, Bryan H ; Petit, Christopher J ; Ao, Jingning ; Sachdeva, Ritu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-wolterskluwer_health_00003017-201611111-012853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Maskatia, Shiraz A</creatorcontrib><creatorcontrib>Tavers, Curtis D</creatorcontrib><creatorcontrib>Goldberg, David J</creatorcontrib><creatorcontrib>Rogers, Lindsay S</creatorcontrib><creatorcontrib>Glatz, Andrew C</creatorcontrib><creatorcontrib>Qureshi, Athar M</creatorcontrib><creatorcontrib>Goldstein, Bryan H</creatorcontrib><creatorcontrib>Petit, Christopher J</creatorcontrib><creatorcontrib>Ao, Jingning</creatorcontrib><creatorcontrib>Sachdeva, Ritu</creatorcontrib><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maskatia, Shiraz A</au><au>Tavers, Curtis D</au><au>Goldberg, David J</au><au>Rogers, Lindsay S</au><au>Glatz, Andrew C</au><au>Qureshi, Athar M</au><au>Goldstein, Bryan H</au><au>Petit, Christopher J</au><au>Ao, Jingning</au><au>Sachdeva, Ritu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abstract 15254: Echocardiographic Variables Immediately Post Right Ventricular Decompression Predict Right Ventricular Growth and Biventricular Circulation in Patients With Pulmonary Atresia Intact Ventricular Septum</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><date>2016-11-11</date><risdate>2016</risdate><volume>134</volume><issue>Suppl_1 Suppl 1</issue><spage>A15254</spage><epage>A15254</epage><pages>A15254-A15254</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract>BackgroundNeonates with pulmonary atresia-intact ventricular septum (PA-IVS) who undergo right ventricular (RV) decompression ultimately have two-ventricle (2V) or <2V circulation depending on RV size. We sought to determine the relation between post-decompression echocardiographic parameters, RV growth and 2V circulation.MethodsNeonates undergoing RV decompression for PA-IVS from 2005-2015 at the 4 member centers of the Congenital Catheterization Research Collaborative were included. Echocardiograms at baseline, first post-decompression, and follow up closest to 1 year post decompression were analyzed. The primary outcomes were RV growth by echocardiogram and 2V circulation.ResultsOf the 81 patients in the study, 11 (14%) had <2V circulation, and 54 (67%) had follow up echocardiograms available. After decompression, tricuspid regurgitation (TR) and RV function improved (Table 1). Post-decompression ≥moderate TR and higher pulmonary valve antegrade velocity were associated with 2V circulation (Table 2). Baseline tricuspid valve z score correlated with larger increase in RV area/BSA (R=0.42, p = 0.005). Patients with ≥moderate TR post decompression had an increase in RV area of 22.3 (7.6-29.7) cc/m vs 14.3 (6.8-19.3) cc/m in those with ≤mild TR (p = 0.049). Those with bidirectional flow at the ASD post-decompression had an increase in RV area of 24.2(14.3-26.6) cc/m vs 9.8 (6.8-15.5) cc/m in those with right to left flow (p=0.007).ConclusionsPost-decompression tricuspid regurgitation severity and bidirectional ASD flow post-decompression appear to be associated with RV growth and 2V circulation in patients with PA-IVS following RV decompression</abstract><pub>by the American College of Cardiology Foundation and the American Heart Association, Inc</pub></addata></record> |
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| source | EZB Electronic Journals Library; American Heart Association; Journals@Ovid Complete |
| title | Abstract 15254: Echocardiographic Variables Immediately Post Right Ventricular Decompression Predict Right Ventricular Growth and Biventricular Circulation in Patients With Pulmonary Atresia Intact Ventricular Septum |
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