Title:Inter-atrial Septum Stenting in Congenital Heart Disease Patient: A Case Series in Indonesia
Volume: 24
Issue: 3
Author(s): Radityo Prakoso*, Yovi Kurniawati, Sisca Natalia Siagian, Aditya Agita Sembiring, Damba Dwisepto Aulia Sakti, Brian Mendel, Olfi Lelya and Oktavia Lilyasari
Affiliation:
- Division of Pediatric Cardiology and Congenital Heart Disease, Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Universitas Indonesia, Jakarta, Indonesia
Keywords:
Congenital heart disease, developing country, duct-dependent, high-risk, inter-atrial septum stenting, lowfrequency, single ventricle
Abstract:
Background: Inter-atrial septum (IAS) stenting in duct-dependent congenital heart
disease patient has shown to be an effective way to maintain inter-atrial blood flow, however it is
still considered a high risk procedure and inter-atrial septum stenting remains a low-frequency
procedure.
Method: A single-center observational cohort study was carried out at the National Cardiovascular
Center Harapan Kita (NCCHK) between April 2019 and April 2023. This study included
duct-dependent congenital heart disease patients. The extracted data were baseline
characteristics, clinical findings, complications, and outcomes of the patients.
Result: Eleven patients with duct-dependent physiology were intervened with inter-atrial septum
stenting. The patients were 4 females and 7 males with the median age of implantation being 150
days (range 11-703 days) and the median weight being 3.9 (range 2.8-9) kg, with 2 patients
weighing less than 3 kg. The average stent diameter was 8.50 (2.03) mm with an average length
of 24.45 (7.94) mm. Non-restrictive atrial flow was successfully achieved in 90.90% of the procedures,
corresponding to 10 patients.
Conclusion: Inter-atrial septum stenting in duct-dependent congenital heart disease patients produces
reliable patency with a very good intra-procedural success rate.
