CHD: Endovascular Treatment
Endovascular treatment of congenital heart disease is an operation during which a catheter is inserted ino the vessel of a heart in order to place an occluder (a special device that helps to neutralize the defective heart valve) or perform other manipulations to correct pathology (eg, such as Rashkinda procedure, ACP, etc.) in a place of a pathology.
The main advantage of the endovascular treatment is that this procedure is considered to be more gentle than conventional surgery, which occurs during tissue dissection. After endovaskulyatsion the patient can move independently in one day and can leave the hospital on a second or third day.
How to prepare for endovascular treatment
Typically, the endovascular treatment of congenital heart disease is carried out in childhood or adolescence. But most of all such operations are carried when the cchild is even not 1 year old. Before the operation the child clean has his or her intestines cleaned with special candles or enema. In some cases, it is necessary to introduce drugs, including antibiotics, for the surgery. Approximately 5-6 hours before the procedure, the child is not allowed to eat or drink.
The rules for parents whose children have undergone endovascular treatment of CHD
- Immediately after the procedure, in most cases the child is transferred to a regular room, and is brought to a usual room and is placed into intensive care unit very rarely, but about situations are typical, so parents should know about them in advance.
- The first time the child will have a catheter through which the necessary medicines enter the body on the elbow bend or on the back of the hand. Once the catheter will be removed, this place must be treated with antiseptic twice a day for a week.
- If the child has undergone endovascular treatment, the aim of which was to close the VSD or ASD, you will need some time to take drugs that prevent the formation of blood clots.
- After endovascular treatment you should start visiting preschool institutions not less than in one month. The child is allowed to attend school in a week after treatment, thus, you should consider the risk of viral infections.
- Physical activity of moderate degree, for example, visits of physical education lessons are allowed in 4 months after surgery and the child can start visiting sports sections not earlier than in six months. You should not limit normal physical activity of the child, but the group outdoor games, accompanied by jumps, somersaults, jerky movements, should be limited for 4 months.
- In the first months after the treatment the child should be prevented from becoming ill with ARI ARVI or with sharp thermocline. If the disease could not be avoided, it is necessary to promply lover the temperature with the use of medicines and, if necessary, one should carry out the antibacterial therapy. Any surgical intervention in the body, even dental treatment, must be accompanied by antibiotic therapy.
- Preventive vaccination is not recommended to be done during the 6 months after endovascular treatment.
- The recommended schedule of routine inspection by the cardiologist should be done after 1 month, 3 months, 6 months, 12 months after treatment.
Emergency visits to the surgery department are recommended if:
- Despite receiving prescribed medication, body temperature does not return to normalstate for more than 10 days.
- If you can not avoid infection, and after it there have developed symptoms including the shortness of breath, fatigue, fatigue.
- There was a heart rhythm disorder.