Observational studyHeart (British Cardiac Society)2019
Trends in surgical and catheter interventions for isolated congenital shunt lesions in the UK and Ireland.
Observational study in Heart (British Cardiac Society), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 26 citations in OpenAlex.
- Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures.Nature reviews. Cardiology · 2025Review
- 'Disappeared balloon': the trap of transseptal puncture for a large closure device of atrial septal defect-a case report.European heart journal. Case reports · 2025Article
- Cardiovascular outcomes in adult patients with atrial septal defect: a nationwide population-based study.Frontiers in cardiovascular medicine · 2025Article
- Safety and Efficacy of Surgical and Percutaneous Cardiac Interventions for Adults With Down Syndrome.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- Article
- Picking the Locked Door: Experiences and Techniques in Transseptal Puncture Post-Atrial Septal Defect Occlusion.JACC. Case reports · 2023Article
- Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus.Journal of interventional cardiology · 2020Article
- Heart Surgery and Disruptive Technology.Brazilian journal of cardiovascular surgery · 2019Article
- Trends in procedural closure of patent ductus arteriosus among children from 2011 to 2022 in Japan.Pediatrics international : official journal of the Japan Pediatric SocietyArticle
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate time trends in the use of catheter and surgical procedures, and associated survival in isolated congenital shunt lesions.
methodsNationwide, retrospective observational study of the UK National Congenital Heart Disease Audit database from 2000 to 2016. Patients undergoing surgical or catheter procedures for atrial septal defect (including sinus venosus defect), patent foramen ovale, ventricular septal defect and patent arterial duct were included. Temporal changes in the frequency of procedures, and survival at 30 days and 1 year were determined.
results40 911 procedures were performed, 16 604 surgical operations and 24 307 catheter-based interventions. Transcatheter procedures increased over time, overtaking surgical repair in 2003-2004, while the number of operations remained stable. Trends in interventions differed according to defect type and patient age. Catheter closure of atrial septal defects is now more common in children and adults, although surgical interventions have also increased. Patent foramen ovale closure in adults peaked in 2009-2010 before falling significantly since. Surgery remains the mainstay for ventricular septal defect in infants and children. Duct ligation is most common in neonates and infants, while transcatheter intervention is predominant in older children. Excluding duct ligation, survival following surgery was 99.4% and ≈98.7%, and following catheter interventions was 99.7% and ≈99.2%, at 30 days and 1 year, respectively.
conclusionsTrends in catheter and surgical techniques for isolated congenital shunt lesions plot the evolution of the specialty over the last 16 years, reflecting changes in clinical guidelines, technology, expertise and reimbursement, with distinct patterns according to lesion and patient age.
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