• Cardiology in the young · Mar 2019

    Letter

    Balloon atrial septostomy at the bedside versus the catheterisation laboratory.

    • Arun Gopalakrishnan, Kavassery Mahadevan Krishnamoorthy, and Sivasankaran Sivasubramonian.
    • Department of Cardiology,Sree Chitra Tirunal Institute for Medical Sciences and Technology,Thiruvananthapuram,Kerala,India.
    • Cardiol Young. 2019 Mar 1; 29 (3): 454.

    AbstractA shorter umbilical venous approach provides an opportunity for balloon atrial septostomy in the younger neonate as opposed to those who present at the end of first week of life. However, the ideal choice of access for a bedside balloon atrial septostomy is not well established. Wouldn't prostaglandin infusion be a safer option for transport of babies with dextro-transposition in the neonatal period, when the arterial duct can be kept open? A prenatal diagnosis of dextro-transposition facilitates monitoring and planning of septostomy in the early neonatal period explaining why babies underwent bedside procedures more often.

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