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P185 100 cases in the program of paediatric interventional cardiology in ‘marie curie’ hospital bucharest
  1. Eliza Cinteza,
  2. Giuseppe Santoro,
  3. Andrada Bogdan,
  4. Cristina Filip,
  5. Alin Nicolescu,
  6. Tammam Youssef,
  7. Mario Carminati,
  8. Hyam Mahmoud
  1. ’Marie Curie’ Emergency Children’s Hospital, Bucharest, Romania, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest, Romania, IRCCS Policlinico San Donato, Milano, Italy

Abstract

Starting a paediatric interventional cardiology program in a developing country like Romania is not an easy task to accomplish. The tremendous need for treating children in order to reduce the morbidity and mortality in paediatric population with congenital heart disease was the main purpose for this project.

Methods In 2015 we succeeded to implement such a program with the help of the Ministry of Health and the National Insurance House, on one hand and with the help of the Italian Team from the Bambini Cardiopatici nel Mondo on the other hand.

Results Between June 2015 and January 2017, 100 cases of congenital heart diseases were diagnosed and treated in the Compartment of Interventional Cardiology of the ‘Marie Curie’ Emergency Children’s Hospital. From these cases 79% were interventional cases and 21% diagnostic cases. Of all cases 21% were atrial septal defect (ASD) closures using Cocoon Atrial Septal Occluder, 33% were patent ductus arteriosus (PDA) closures using Cocoon Duct Occluder, Oclutech Duct Occluder, PFM coil and Flipper Coil. 18% beneficiated of pulmonary valve dilatation using both Tyshak and Osypka balloons, 5% of all were aortic coarctation with stent implantation using CP Stent Bare or Covered, and 2% were Rashkind atrioseptostomy. 5% were done in children with Down syndrome. 8% were performed in cases of pulmonary hypertension. 11% were done in children less than 1-year-old. The complication and failures rate for the first 100 cases was 5% (most important – ASD device embolization, two failures of pulmonary valve dilatation, one PDA device 4/6 mm withdrawal and changed to a 6/8 mm dimension device).

Conclusion After 100 cases performed in our institution the early and intermediate results are very encouraging and are similar with other results reported in the current literature.

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