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Cardiac Catheterization In Congenital Heart Disease: Pediatric And Adult | Added By Users
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Tarja Hempton
Dec 8, 2023, 8:53:27 AM12/8/23
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The Heart Center at Children's Hospital provides comprehensive evaluation and treatment of patients with congenital cardiovascular disorders, from before they are born, through childhood and into their adult years. Our accomplished and dedicated team of specialists includes physicians, surgeons, nurses and support staff who are trained to care for the unique needs of children with heart disease as well as their families. The goal of The Heart Center is to enhance the quality of life for every child.
Through theLouisiana Chapter of the Heart Gift Foundation, The Heart Center is also proud to provide surgical and interventional services to international patients from countries without the resources to provide repairs of congenital heart disease. In addition to the services provided at Children's Hospital, our cardiologists travel to several off-site clinics and provide inpatient consultative services to our adult congenital heart patients at the new, state-of-the artUniversity Medical Center.
Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult added by users
Download Zip https://urlin.us/2wJafc
The use of cardiac catheterization procedures for children with congenital heart disease (CHD) has increased in recent decades, and technological advances have expanded the scope of the field into more complex procedures. Because these procedures are still relatively new, their use has not been standardized, which makes it difficult to compare outcomes across institutions.
1 N.A. Haas, et al., Int J Cardiol Heart Vasc. 2015 Jan 20;6:101-109: Substantial radiation reduction in pediatric and adult congenital heart disease interventions with a novel X-ray imaging technology
When a child is born with a congenital heart defect, it can create complex emotions in parents: fear, uncertainty, resolve, determination. One thing all parents have in common: They want their children to have the best cardiac care possible.
Our ACHD-trained physicians and specialists provide advanced imaging techniques, interventional catheterization and surgical procedures, transition support from pediatrics to adult care, and high-risk pregnancy care for mothers with congenital heart disease.
a. We will not purchase cardiac catheterization; however, if you have had catheterization, we will make every reasonable effort to obtain the report and any ancillary studies. We will consider the quality and type of data provided and its relevance to the evaluation of your impairment. For adults, we generally see two types of catheterization reports: Coronary arteriography and left ventriculography.
(i) Abnormal cardiac imaging showing increased left ventricular end diastolic diameter (LVEDD), decreased EF, increased left atrial chamber size, increased ventricular filling pressures measured at cardiac catheterization, or increased left ventricular wall or septum thickness, provides objective measures of both left ventricular function and structural abnormality in heart failure.
2. How will we evaluate symptomatic congenital heart disease? Congenital heart disease is any abnormality of the heart or the major blood vessels that is present at birth. Because of improved treatment methods, more children with congenital heart disease are living to adulthood. Although some types of congenital heart disease may be corrected by surgery, many individuals with treated congenital heart disease continue to have problems throughout their lives (symptomatic congenital heart disease). If you have congenital heart disease that results in chronic heart failure with evidence of ventricular dysfunction or in recurrent arrhythmias, we will evaluate your impairment under 4.02 or 4.05. Otherwise, we will evaluate your impairment under 4.06.
4.06 Symptomatic congenital heart disease (cyanotic or acyanotic), documented by appropriate medically acceptable imaging (see 4.00A3d) or cardiac catheterization, with one of the following:
Physicians can often detect and diagnose congenital heart disease before birth during a pregnancy ultrasound. When a defect is found, a pediatric heart doctor, surgeon, and other specialists can be there when the baby is delivered.
Our goal is to help you avoid complications, such as arrhythmia and heart failure, commonly associated with congenital heart disease. The expert cardiologists and cardiothoracic surgeons at the Heart and Vascular Center offer an array of surgical and nonsurgical treatments for adults with congenital heart disease. Treatments may include:
The Smidt Heart Institute at Cedars-Sinai is working with the Keck Medicine of USC heart surgery team to expand care for children and adults with congenital heart disease. An echocardiographer helps with cardiac ultrasound imaging in a hybrid OR during a congenital case using a Siemens SC2000 imaging system. Photo by Cedars-Sinai.
August 10, 2020 - The Guerin Family Congenital Heart Program in the Smidt Heart Institute at Cedars-Sinai is expanding its surgical care for children and adult congenital heart disease patients by embarking on a new initiative that includes the expertise of the world-renowned Keck Medicine of USC heart surgery team.
"Our hope is for all children with congenital heart disease to live long and productive lives well into adulthood," said Evan Zahn, M.D., director of the Guerin Family Congenital Heart Program. "Unlike traditional congenital heart programs that treat either children or adults, our program treats patients from prenatal diagnosis, through childhood, and over the course of their entire adult lives."
Cedars-Sinai's congenital heart program has an extensive outpatient network, fetal diagnostic services, noninvasive imaging, advanced catheter interventions and clinical research programs. Its physicians have pioneered hybrid procedures that combine surgery and cardiac catheterization, reducing the need for open-heart procedures, and combines pediatric care with expert maternal fetal medicine, and nation leading adult heart care and transplantation.
The congenital heart surgery team at Cedars-Sinai will be directed by Richard Kim, M.D., a cardiothoracic surgeon with Keck Medicine of USC. "Our congenital heart surgeons have nationally recognized outcomes in complex heart operations and a wealth of experience in managing even the most difficult surgical cases," Kim said. "We are thrilled to join with the experts at Cedars-Sinai to form a truly comprehensive pediatric and adult congenital program for the city of Los Angeles.
"The Keck Medicine of USC heart surgery team are recognized internationally as the best of the best in congenital heart surgery," said Eduardo Marbán, M.D., Ph.D., executive director of the Smidt Heart Institute. "This stellar team now performs all congenital heart surgeries not only at USC but also at Children's Hospital Los Angeles. Bringing them onboard at the Smidt Heart Institute enables us to provide state-of-the art care for congenital heart patients and their families, from prenatal diagnosis through adulthood."
Joanna Chikwe, M.D., chair of the Department of Cardiac Surgery in the Smidt Heart Institute, anticipates that the pediatric heart surgery program will emulate the success of the Cedars-Sinai adult cardiac surgery program.
"We are thrilled that Keck Medicine of USC heart surgeons are collaborating with Cedars-Sinai for the benefit of future generations and our community," said Chikwe. "Working together, we will bring the same excellence to pediatric heart surgery as we have in adult heart surgery."
Imaging procedure: This is a general term describing a technique to provide an image of a structure, in this case, a picture of the heart or coronary arteries. Angiography and right and left heart catheterization produce images by injecting dye into the heart chambers or coronary arteries, respectively. Other types of cardiac imaging procedures include echocardiography, CT or MRI scans.
Structural heart disease: A general term describing abnormalities in the structure of the heart, which includes diseases of the valves or congenital heart disease (present at birth). A cardiac catheterization procedure can evaluate the structure and function of the heart by assessing the left ventricular ejection fraction (see definition above), as well as the movement of the valves of the heart and of the chamber walls.
Congenital heart disease is the most common type of birth defect. It is a structural problem that occurs when the heart or major blood vessels do not develop properly, generally between 2 to 7 weeks after conception. Nowadays, many advanced therapies and procedures are available to treat congenital heart disease, and the chances of overcoming the problem and living a normal adult life are better than ever.
At the comprehensive Edmond J. Safra International Congenital Heart Center at Sheba Medical Center in Israel, we provide every resource that a heart patient needs. Our world-class cardiothoracic surgeons perform approximately 400 surgeries and 300 catheterization procedures per year, and our highly trained, compassionate specialists offer treatment for more than 150 congenital heart defects.
At Sheba, our medical team is dedicated to treating patients with congenital heart disease so they experience maximum comfort and minimal pain. We treat a wide variety of congenital heart defects and perform many advanced and complex surgical interventions, sometimes in combination with cardiac catheterization. At our state-of-the-art Congenital Heart Center, pediatric surgeons can perform surgeries for heart disease on low weight newborns (less than 2.5 kg).
The most recent addition to RUSP is CCHD (1). Congenital heart disease occurs in approximately eight in every 1,000 live births. Of these cases, approximately one quarter are considered to be CCHD, defined as requiring cardiac surgery or catheterization before age 1 year (4). Left undetected, infants with CCHD are at risk for the development of serious complications (e.g., end-organ damage, motor function impairments, and cognitive impairments) within the first few days or weeks of life. The seven CCHDs that are primary targets for screening are hypoplastic left heart syndrome, pulmonary atresia (with intact septum), transposition of the great arteries, truncus arteriosus, tricuspid atresia, tetralogy of Fallot, and total anomalous pulmonary venous return (4). In September 2010, SACHDNC recommended that screening for CCHD by pulse oximetry be included in RUSP. This recommendation was endorsed by the HHS Secretary in September 2011 (1). Screening for CCHD is a point-of-care test that will occur in hospitals before an infant's discharge from the nursery, with results entered into the hospital medical record. State birth defects surveillance programs often draw from hospital medical records; therefore, these programs could assist in tracking and evaluating screening outcomes. Most state surveillance programs already collect data to calculate CCHD prevalence; however, differences exist across states in resources and case ascertainment methodologies that might affect how state programs can provide assistance with the implementation and evaluation of CCHD screening and follow-up.
eebf2c3492
Through theLouisiana Chapter of the Heart Gift Foundation, The Heart Center is also proud to provide surgical and interventional services to international patients from countries without the resources to provide repairs of congenital heart disease. In addition to the services provided at Children's Hospital, our cardiologists travel to several off-site clinics and provide inpatient consultative services to our adult congenital heart patients at the new, state-of-the artUniversity Medical Center.
Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult added by users
Download Zip https://urlin.us/2wJafc
The use of cardiac catheterization procedures for children with congenital heart disease (CHD) has increased in recent decades, and technological advances have expanded the scope of the field into more complex procedures. Because these procedures are still relatively new, their use has not been standardized, which makes it difficult to compare outcomes across institutions.
1 N.A. Haas, et al., Int J Cardiol Heart Vasc. 2015 Jan 20;6:101-109: Substantial radiation reduction in pediatric and adult congenital heart disease interventions with a novel X-ray imaging technology
When a child is born with a congenital heart defect, it can create complex emotions in parents: fear, uncertainty, resolve, determination. One thing all parents have in common: They want their children to have the best cardiac care possible.
Our ACHD-trained physicians and specialists provide advanced imaging techniques, interventional catheterization and surgical procedures, transition support from pediatrics to adult care, and high-risk pregnancy care for mothers with congenital heart disease.
a. We will not purchase cardiac catheterization; however, if you have had catheterization, we will make every reasonable effort to obtain the report and any ancillary studies. We will consider the quality and type of data provided and its relevance to the evaluation of your impairment. For adults, we generally see two types of catheterization reports: Coronary arteriography and left ventriculography.
(i) Abnormal cardiac imaging showing increased left ventricular end diastolic diameter (LVEDD), decreased EF, increased left atrial chamber size, increased ventricular filling pressures measured at cardiac catheterization, or increased left ventricular wall or septum thickness, provides objective measures of both left ventricular function and structural abnormality in heart failure.
2. How will we evaluate symptomatic congenital heart disease? Congenital heart disease is any abnormality of the heart or the major blood vessels that is present at birth. Because of improved treatment methods, more children with congenital heart disease are living to adulthood. Although some types of congenital heart disease may be corrected by surgery, many individuals with treated congenital heart disease continue to have problems throughout their lives (symptomatic congenital heart disease). If you have congenital heart disease that results in chronic heart failure with evidence of ventricular dysfunction or in recurrent arrhythmias, we will evaluate your impairment under 4.02 or 4.05. Otherwise, we will evaluate your impairment under 4.06.
4.06 Symptomatic congenital heart disease (cyanotic or acyanotic), documented by appropriate medically acceptable imaging (see 4.00A3d) or cardiac catheterization, with one of the following:
Physicians can often detect and diagnose congenital heart disease before birth during a pregnancy ultrasound. When a defect is found, a pediatric heart doctor, surgeon, and other specialists can be there when the baby is delivered.
Our goal is to help you avoid complications, such as arrhythmia and heart failure, commonly associated with congenital heart disease. The expert cardiologists and cardiothoracic surgeons at the Heart and Vascular Center offer an array of surgical and nonsurgical treatments for adults with congenital heart disease. Treatments may include:
The Smidt Heart Institute at Cedars-Sinai is working with the Keck Medicine of USC heart surgery team to expand care for children and adults with congenital heart disease. An echocardiographer helps with cardiac ultrasound imaging in a hybrid OR during a congenital case using a Siemens SC2000 imaging system. Photo by Cedars-Sinai.
August 10, 2020 - The Guerin Family Congenital Heart Program in the Smidt Heart Institute at Cedars-Sinai is expanding its surgical care for children and adult congenital heart disease patients by embarking on a new initiative that includes the expertise of the world-renowned Keck Medicine of USC heart surgery team.
"Our hope is for all children with congenital heart disease to live long and productive lives well into adulthood," said Evan Zahn, M.D., director of the Guerin Family Congenital Heart Program. "Unlike traditional congenital heart programs that treat either children or adults, our program treats patients from prenatal diagnosis, through childhood, and over the course of their entire adult lives."
Cedars-Sinai's congenital heart program has an extensive outpatient network, fetal diagnostic services, noninvasive imaging, advanced catheter interventions and clinical research programs. Its physicians have pioneered hybrid procedures that combine surgery and cardiac catheterization, reducing the need for open-heart procedures, and combines pediatric care with expert maternal fetal medicine, and nation leading adult heart care and transplantation.
The congenital heart surgery team at Cedars-Sinai will be directed by Richard Kim, M.D., a cardiothoracic surgeon with Keck Medicine of USC. "Our congenital heart surgeons have nationally recognized outcomes in complex heart operations and a wealth of experience in managing even the most difficult surgical cases," Kim said. "We are thrilled to join with the experts at Cedars-Sinai to form a truly comprehensive pediatric and adult congenital program for the city of Los Angeles.
"The Keck Medicine of USC heart surgery team are recognized internationally as the best of the best in congenital heart surgery," said Eduardo Marbán, M.D., Ph.D., executive director of the Smidt Heart Institute. "This stellar team now performs all congenital heart surgeries not only at USC but also at Children's Hospital Los Angeles. Bringing them onboard at the Smidt Heart Institute enables us to provide state-of-the art care for congenital heart patients and their families, from prenatal diagnosis through adulthood."
Joanna Chikwe, M.D., chair of the Department of Cardiac Surgery in the Smidt Heart Institute, anticipates that the pediatric heart surgery program will emulate the success of the Cedars-Sinai adult cardiac surgery program.
"We are thrilled that Keck Medicine of USC heart surgeons are collaborating with Cedars-Sinai for the benefit of future generations and our community," said Chikwe. "Working together, we will bring the same excellence to pediatric heart surgery as we have in adult heart surgery."
Imaging procedure: This is a general term describing a technique to provide an image of a structure, in this case, a picture of the heart or coronary arteries. Angiography and right and left heart catheterization produce images by injecting dye into the heart chambers or coronary arteries, respectively. Other types of cardiac imaging procedures include echocardiography, CT or MRI scans.
Structural heart disease: A general term describing abnormalities in the structure of the heart, which includes diseases of the valves or congenital heart disease (present at birth). A cardiac catheterization procedure can evaluate the structure and function of the heart by assessing the left ventricular ejection fraction (see definition above), as well as the movement of the valves of the heart and of the chamber walls.
Congenital heart disease is the most common type of birth defect. It is a structural problem that occurs when the heart or major blood vessels do not develop properly, generally between 2 to 7 weeks after conception. Nowadays, many advanced therapies and procedures are available to treat congenital heart disease, and the chances of overcoming the problem and living a normal adult life are better than ever.
At the comprehensive Edmond J. Safra International Congenital Heart Center at Sheba Medical Center in Israel, we provide every resource that a heart patient needs. Our world-class cardiothoracic surgeons perform approximately 400 surgeries and 300 catheterization procedures per year, and our highly trained, compassionate specialists offer treatment for more than 150 congenital heart defects.
At Sheba, our medical team is dedicated to treating patients with congenital heart disease so they experience maximum comfort and minimal pain. We treat a wide variety of congenital heart defects and perform many advanced and complex surgical interventions, sometimes in combination with cardiac catheterization. At our state-of-the-art Congenital Heart Center, pediatric surgeons can perform surgeries for heart disease on low weight newborns (less than 2.5 kg).
The most recent addition to RUSP is CCHD (1). Congenital heart disease occurs in approximately eight in every 1,000 live births. Of these cases, approximately one quarter are considered to be CCHD, defined as requiring cardiac surgery or catheterization before age 1 year (4). Left undetected, infants with CCHD are at risk for the development of serious complications (e.g., end-organ damage, motor function impairments, and cognitive impairments) within the first few days or weeks of life. The seven CCHDs that are primary targets for screening are hypoplastic left heart syndrome, pulmonary atresia (with intact septum), transposition of the great arteries, truncus arteriosus, tricuspid atresia, tetralogy of Fallot, and total anomalous pulmonary venous return (4). In September 2010, SACHDNC recommended that screening for CCHD by pulse oximetry be included in RUSP. This recommendation was endorsed by the HHS Secretary in September 2011 (1). Screening for CCHD is a point-of-care test that will occur in hospitals before an infant's discharge from the nursery, with results entered into the hospital medical record. State birth defects surveillance programs often draw from hospital medical records; therefore, these programs could assist in tracking and evaluating screening outcomes. Most state surveillance programs already collect data to calculate CCHD prevalence; however, differences exist across states in resources and case ascertainment methodologies that might affect how state programs can provide assistance with the implementation and evaluation of CCHD screening and follow-up.
eebf2c3492
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