First implantable hemodynamic monitoring device placement in single ventricle fontan anatomy

Elisa A. Bradley, Darren Berman, Curt J. Daniels

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

The Fontan anatomy leads to elevated central venous pressure along with chronic venous congestion and low cardiac output; this is felt to be responsible for deterioration of exercise tolerance and functional capacity over time. Real-time hemodynamic evaluation of the Fontan anatomy has not been evaluated until now. Here, we report the technical aspects of the first two adult Fontan patients to undergo placement of an invasive hemodynamic monitor (IHM). We validate IHM readings with invasive pulmonary artery catheter derived hemodynamics in the Fontan and show successful home transmission of pulmonary artery hemodynamic tracings. This technology has the capacity to change current understanding of Fontan hemodynamics and treatment in patients with complex single-ventricle anatomy.

Original languageEnglish (US)
Pages (from-to)248-252
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume88
Issue number2
DOIs
StatePublished - Aug 1 2016

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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