Journal of Developmental Medicine(Electronic Version)  2013, Vol. 1 Issue (2): 91-96 DOI: |
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| The application of selective coronary
angiography and percutaneous coronary interventions
in children |
| ZHANG Qing-you,DU Jun—bao,Song Xiu—tin
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(Department ofPediatrics,Peking University
FirstHospital,Beijing 100034 China
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Abstract 【Abstract】Objectives
Selective
coronary angiography(SCAG)and percutaneous coronary
interventions
(PCI)are nOW commonly applied in adults with coronary artery disease．However
the use of these methods is
limited in
children．Along
with Kawasaki disease(KD)becoming the
leading
cause of
acquired
heaa disease
and increase of
lipoprotein
abnormalities and
obesity
in children，clinical
coronary
events more and more
frequently
occurred in childhood or
very young adults．Thus，it
is
necessary
to accumulate the
experience
of
the use of SCAG and PCI in children．The
present study aimed
to assess the
safety and
the value of SCAG and
PCI in children．Methods The SCAG was done on 7 children between 2001 to 2008．Among them，5 patients
had a history of KD(4 with
myocardial
infraction，1 with giant coronary aneurysms)，2 patients had clinical
signs of“myocardial
infraction”．but no history of KD．The
age
of the
patients
when SCAG was done was
from 1
year
2 months to 1 1
years．Results
Five
patients
with history of KD had
positive
results
through
SCAG．
Four patients of them with clinical
signs indicating myocardial
infraction was found to have severe stenosis or
occlusion in
coronary artery，of whom 2 patients
had complete occlusion in
right coronary artery．One patient had
99％stenosis in left circumflex．One patient had over 90％stenosis in distal left main trunk，complete occlusion
in left anterior descending artery and 80％-90％stenosis in left circumflex．One patient with only giant aneurysm and without clinical signs of myocardial infraction was found
to have
aneurym
in
fight coronary artery．
Two
patients
with clinical
signs indicating“myocardial infraction”，but
without history of KD，were found
no
coronary artery
disease．One
patient
with severe stenotic lesions in left circumflex and another
patient
with
occlusion in
right coronary artery
were
accepted percutaneous
transluminal
coronary
balloon
angioplasty
and
stent
implantation．SCAG and PCI
were successful and there was no
complication
in all
patients．Conclusion
SCAG and PCI are useful for
assessing and managing coronary,artery
disease in
children，especially
in
patients
with KD．But the indications for catheter intervention in children were still
investigated
and the
experience
of
those
operations
in children was still limited．
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Published: 07 September 2019
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