Adult Congenital Heart Disease Intervention: The Canadian Landscape

Publication date: Available online 30 May 2017 Source:Canadian Journal of Cardiology Author(s): Claudia Frankfurter, Anita W. Asgar, John G. Webb, Warren J. Cantor, James L. Velianou, François Gobeil, Albert W. Chan, Robert C. Welsh, Michael P. Love, David A. Wood, Kevin McKenzie, Eric M. Horlick Once considered a childhood disease, the number of adults living with congenital heart disease has now exceeded the number of pediatric patients. The landscape of percutaneous intervention for adult congenital heart disease (ACHD) has evolved over the last decade and has yet to be characterized in Canada. The aim of this study was to begin to understand the current infrastructure underlying ACHD interventions in Canada and to characterize the type and number of interventions being carried out across the country. A cross-sectional national survey was distributed via email to all Cardiac Catheterization Laboratory Directors in 2015. All Canadian laboratories involved in ACHD interventions responded, encompassing 19 institutions spanning 69 cardiac catheterization laboratories. A total of 1,451 percutaneous interventions were recorded. Nationwide, the most common simple ACHD interventions were atrial septal defect and patent foramen ovale closures. The most common ACHD interventions of increased complexity were coarctation stenting and transcatheter pulmonary valve implantation. There was a marked clustering of procedures in Ontario, Quebec, British Columbia and Alberta, ...
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research