Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-24T01:59:13.847Z Has data issue: false hasContentIssue false
  • English
  • Français

Continuous real-time monitoring of pulmonary arterial pressure using a tip deflecting microcatheter in an infant with pulmonary arterial hypertension

Published online by Cambridge University Press:  02 June 2020

Atsushi Tanaka ,
Yuichiro Sugitani  and
Jun Muneuchi Open the ORCID record for Jun Muneuchi [Opens in a new window]
Atsushi Tanaka
Affiliation:
Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, Japan
Yuichiro Sugitani
Affiliation:
Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, Japan
Jun Muneuchi*
Affiliation:
Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, Japan
*
Author for correspondence: Jun Muneuchi, Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, 1-8-2, Kishionura, Yahatanishi-ku, Kitakyushu, Fukuoka806-8507, Japan. Tel: +81-93-641-5111; Fax: +81-93-642-1868. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We present the case of a 3-month-old boy with pulmonary arterial hypertension after corrective repair of total anomalous pulmonary venous connection. The patient developed severe pulmonary arterial hypertension with a high mean pulmonary arterial pressure of 45 mmHg. We performed continuous monitoring of pulmonary arterial pressure using a tip deflecting microcatheter in the intensive care unit. We successfully managed this patient based on real-time pulmonary arterial pressure measurements. Continuous real-time monitoring of pulmonary arterial pressure using this microcatheter enables individualized targeted therapy for infants with pulmonary arterial hypertension.

Keywords

Intensive carepulmonary venous obstructioncongenital heart diseasetotal anomalous pulmonary venous returnsteerable microcatheter
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 7 , July 2020 , pp. 1032 - 1034
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hansmann, G.Pulmonary hypertension in infants, children, and young adults. J Am Coll Cardiol 2017; 69: 2551–2569. doi: 10.1016/j.jacc.2017.03.575.CrossRefGoogle ScholarPubMed
von der Brelie, M, Bein, B, Schirmer, U.Prevalence, diagnosis, perioperative monitoring and treatment of right ventricular dysfunction and/or pulmonary arterial hypertension in cardiac surgical patients in Germany-a postal survey. Thorac Cardiovasc Surg 2017; 65: 593–600. doi: 10.1055/s-0036-1572511.Google Scholar
Romagnoli, S, Ricci, Z, Quattrone, D, Tofani, L, Tujjar, O, Villa, G, Romano, SM, De Gaudio, AR.Accuracy of invasive arterial pressure monitoring in cardiovascular patients: an observational study. Crit Care 2014; 18: 644. doi: 10.1186/s13054-014-0644-4.CrossRefGoogle ScholarPubMed
Damen, J, Wever, JE.The use of balloon-tipped pulmonary artery catheters in children undergoing cardiac surgery. Intensive Care Med 1987; 13: 266–272.CrossRefGoogle ScholarPubMed
Inaba, Y, Arai, Y, Sone, M, Aramaki, T, Osuga, K, Tanaka, H, Kanemasa, K.Experiments for the development of a steerable microcatheter. Cardiovasc Intervent Radiol 2017; 40: 1921–1926. doi: 10.1007/s00270-017-1789-8.CrossRefGoogle ScholarPubMed
Sato, Y, Ogino, H, Hara, M, Satake, M, Oshima, H, Banno, T, Mizuno, K, Mishima, A, Shibamoto, Y.Embolization of collateral vessels using mechanically detachable coils in young children with congenital heart disease. Cardiovasc Intervent Radiol 2003; 26: 528–533. doi: 10.1007/s00270-003-2723-9.CrossRefGoogle ScholarPubMed
Keulers, A, Nikoubashman, O, Mpotsaris, A, Wilson, SD, Wiesmann, M.Preventing vessel perforations in endovascular thrombectomy: feasibility and safety of passing the clot with a microcatheter without microwire: the wireless microcatheter technique. J Neurointerv Surg 2019; 11: 653–658. doi: 10.1136/neurintsurg-2018-014267.CrossRefGoogle ScholarPubMed
Kim, JS, McSweeney, J, Lee, J, Ivy, D.Pediatric cardiac intensive care society 2014 consensus statement: pharmacotherapies in cardiac critical care pulmonary hypertension. Pediatr Crit Care Med 2016; 17 (3 Suppl 1): S89–100. doi: 10.1097/PCC.0000000000000622.CrossRefGoogle ScholarPubMed
Supplementary material: Image

Tanaka et al. supplementary material

Tanaka et al. supplementary material 1
Download Tanaka et al. supplementary material(Image)
Image 855 KB

Tanaka et al. supplementary material

Tanaka et al. supplementary material 2

Download Tanaka et al. supplementary material(Video)
Video 19.1 MB