An Overview of Contemporary Outcomes in Fetal Cardiac Intervention: A Case for High-Volume Superspecialization?

Overview

Journal Pediatr Cardiol

Specialties Cardiology & Vascular Diseases
Pediatrics

Date 2020 Mar 22

PMID 32198586

Citations 5

Authors

Sok-Leng Kang

Edgar Jaeggi

Greg Ryan

Rajiv R Chaturvedi

Affiliations

Soon will be listed here.

Abstract

Fetal cardiac interventions (FCI) offer the opportunity to rescue a fetus at risk of intrauterine death, or more ambitiously to alter disease progression. Most of these fetuses require multiple additional postnatal procedures, and it is difficult to disentangle the effect of the fetal procedure from that of the postnatal management sequence. The true clinical impact of FCI may only be discernible in large-volume institutions that can commit to a standardized postnatal approach and have sufficient case volume to overcome their FCI learning curve.

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References

Pasquali S, He X, Jacobs J, Jacobs M, OBrien S, Gaynor J . Evaluation of failure to rescue as a quality metric in pediatric heart surgery: an analysis of the STS Congenital Heart Surgery Database. Ann Thorac Surg. 2012; 94(2):573-9. PMC: 3828205. DOI: 10.1016/j.athoracsur.2012.03.065. View

Hannan E, Racz M, Kavey R, Quaegebeur J, Williams R . Pediatric cardiac surgery: the effect of hospital and surgeon volume on in-hospital mortality. Pediatrics. 1998; 101(6):963-9. DOI: 10.1542/peds.101.6.963. View

Divanovic A, Hor K, Cnota J, Hirsch R, Kinsel-Ziter M, Michelfelder E . Prediction and perinatal management of severely restrictive atrial septum in fetuses with critical left heart obstruction: clinical experience using pulmonary venous Doppler analysis. J Thorac Cardiovasc Surg. 2010; 141(4):988-94. DOI: 10.1016/j.jtcvs.2010.09.043. View

Birkmeyer J, Stukel T, Siewers A, Goodney P, Wennberg D, Lucas F . Surgeon volume and operative mortality in the United States. N Engl J Med. 2003; 349(22):2117-27. DOI: 10.1056/NEJMsa035205. View

Moon-Grady A, Baschat A, Cass D, Choolani M, Copel J, Crombleholme T . Fetal Treatment 2017: The Evolution of Fetal Therapy Centers - A Joint Opinion from the International Fetal Medicine and Surgical Society (IFMSS) and the North American Fetal Therapy Network (NAFTNet). Fetal Diagn Ther. 2017; 42(4):241-248. PMC: 5739586. DOI: 10.1159/000475929. View

Tworetzky W, McElhinney D, Marx G, Benson C, Brusseau R, Morash D . In utero valvuloplasty for pulmonary atresia with hypoplastic right ventricle: techniques and outcomes. Pediatrics. 2009; 124(3):e510-8. PMC: 4235279. DOI: 10.1542/peds.2008-2014. View

Rogers L, Pagel C, Sullivan I, Mustafa M, Tsang V, Utley M . Interventions and Outcomes in Children With Hypoplastic Left Heart Syndrome Born in England and Wales Between 2000 and 2015 Based on the National Congenital Heart Disease Audit. Circulation. 2017; 136(18):1765-1767. DOI: 10.1161/CIRCULATIONAHA.117.028784. View

Taketazu M, Barrea C, Smallhorn J, Wilson G, Hornberger L . Intrauterine pulmonary venous flow and restrictive foramen ovale in fetal hypoplastic left heart syndrome. J Am Coll Cardiol. 2004; 43(10):1902-7. DOI: 10.1016/j.jacc.2004.01.033. View

Kalish B, Tworetzky W, Benson C, Wilkins-Haug L, Mizrahi-Arnaud A, McElhinney D . Technical challenges of atrial septal stent placement in fetuses with hypoplastic left heart syndrome and intact atrial septum. Catheter Cardiovasc Interv. 2013; 84(1):77-85. DOI: 10.1002/ccd.25098. View

10.

Michelfelder E, Gomez C, Border W, Gottliebson W, Franklin C . Predictive value of fetal pulmonary venous flow patterns in identifying the need for atrial septoplasty in the newborn with hypoplastic left ventricle. Circulation. 2005; 112(19):2974-9. DOI: 10.1161/CIRCULATIONAHA.105.534180. View

11.

Rogers L, Pagel C, Sullivan I, Mustafa M, Tsang V, Utley M . Interventional treatments and risk factors in patients born with hypoplastic left heart syndrome in England and Wales from 2000 to 2015. Heart. 2018; 104(18):1500-1507. DOI: 10.1136/heartjnl-2017-312448. View

12.

Soongswang J, Adatia I, Newman C, Smallhorn J, Williams W, Freedom R . Mortality in potential arterial switch candidates with transposition of the great arteries. J Am Coll Cardiol. 1998; 32(3):753-7. DOI: 10.1016/s0735-1097(98)00310-6. View

13.

Wilson W, Valente A, Hickey E, Clift P, Burchill L, Emmanuel Y . Outcomes of Patients With Hypoplastic Left Heart Syndrome Reaching Adulthood After Fontan Palliation: Multicenter Study. Circulation. 2018; 137(9):978-981. DOI: 10.1161/CIRCULATIONAHA.117.031282. View

14.

Gardiner H, Kovacevic A, Tulzer G, Sarkola T, Herberg U, Dangel J . Natural history of 107 cases of fetal aortic stenosis from a European multicenter retrospective study. Ultrasound Obstet Gynecol. 2016; 48(3):373-81. DOI: 10.1002/uog.15876. View

15.

Kovacevic A, Ohman A, Tulzer G, Herberg U, Dangel J, Carvalho J . Fetal hemodynamic response to aortic valvuloplasty and postnatal outcome: a European multicenter study. Ultrasound Obstet Gynecol. 2017; 52(2):221-229. DOI: 10.1002/uog.18913. View

16.

Hornik C, He X, Jacobs J, Li J, Jaquiss R, Jacobs M . Relative impact of surgeon and center volume on early mortality after the Norwood operation. Ann Thorac Surg. 2012; 93(6):1992-7. PMC: 3469698. DOI: 10.1016/j.athoracsur.2012.01.107. View

17.

Davies R, Russo M, Hong K, Mital S, Mosca R, Quaegebeur J . Increased short- and long-term mortality at low-volume pediatric heart transplant centers: should minimum standards be set? Retrospective data analysis. Ann Surg. 2010; 253(2):393-401. DOI: 10.1097/SLA.0b013e31820700cc. View

18.

Lindenburg I, Wolterbeek R, Oepkes D, Klumper F, Vandenbussche F, van Kamp I . Quality control for intravascular intrauterine transfusion using cumulative sum (CUSUM) analysis for the monitoring of individual performance. Fetal Diagn Ther. 2011; 29(4):307-14. DOI: 10.1159/000322919. View

19.

Friedman K, Sleeper L, Freud L, Marshall A, Godfrey M, Drogosz M . Improved technical success, postnatal outcome and refined predictors of outcome for fetal aortic valvuloplasty. Ultrasound Obstet Gynecol. 2017; 52(2):212-220. DOI: 10.1002/uog.17530. View

20.

Humpl T, Soderberg B, McCrindle B, Nykanen D, Freedom R, Williams W . Percutaneous balloon valvotomy in pulmonary atresia with intact ventricular septum: impact on patient care. Circulation. 2003; 108(7):826-32. DOI: 10.1161/01.CIR.0000084548.44131.D1. View