Pulmonary artery stenosis: Balloon angioplasty in the heart catheterization labPPulmonary artery stenosis: Balloon angioplasty in the heart catheterization labPulmonary artery stenosis: Balloon angioplasty in the heart catheterization labEnglishCardiologyChild (0-12 years);Teen (13-18 years)NAArteriesProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZLee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000065.0000000000000563.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Balloon angioplasty is a surgery that is used to open a narrowed blood vessel in the heart. Learn about balloon angioplasty for pulmonary artery stenosis.</p><h2>What is pulmonary artery stenosis?</h2><p>The pulmonary arteries are the two major vessels that carry blood from the heart to the lungs. The right branch takes blood to the right lung, the left branch to the left lung.</p><p>Pulmonary artery stenosis is a narrowing of any part of these blood vessels. Stenosis means narrowing.</p><p>Pulmonary artery stenosis means that not enough blood flows to the lungs. The narrowed area needs to be expanded so that more blood can flow through it.</p><h2>What is a balloon angioplasty?</h2><p>A balloon angioplasty is a procedure to dilate (open up) the narrow blood vessel and increase blood flow. The procedure is done in the cardiac (heart) catheterization laboratory.</p> <figure><span class="asset-image-title">Balloon angioplasty of pulmonary artery </span> <span class="asset-image-title"> stenosis</span><img src="https://assets.aboutkidshealth.ca/akhassets/Pulm_artery_angio_MED_ILL_EN.png" alt="" /><figcaption class="asset-image-caption">A</figcaption><figcaption class="asset-image-caption"> catheter with a deflated balloon on its tip is threaded through a blood vessel in the body up to the heart. When the balloon reaches the narrow artery it is inflated, which opens up the artery. The balloon is deflated and the catheter is removed.</figcaption></figure> <h2>What is heart catheterization?</h2><p>During <a href="/Article?contentid=59&language=English">heart catheterization</a>, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><h2>Key points</h2> <ul> <li>The pulmonary arteries carry blood from the heart to the lungs. A stenosis is a narrowing of an artery that disrupts blood flow. Pulmonary artery stenosis means that not enough blood is getting to your child's lungs. </li> <li>Balloon angioplasty is a method of opening up the narrowed artery using a thin tube called a catheter. </li> <li>Your child will have a general anaesthetic for the procedure. Your child may need to stay in the hospital overnight. </li> </ul><h2>What happens during the procedure</h2> <p>Your child will be given a special "sleep medicine" called a general anaesthetic. This means your child will be asleep during the procedure.</p> <p>During the catheterization, the doctor threads a special catheter through your child's blood vessels to the narrowed area. The team takes X-ray pictures and measurements of the coarctation. Then the team threads a deflated balloon on the tip of the catheter to the area of the coarctation. The balloon is then inflated to open up the narrowed area. Sometimes a second larger balloon is used to dilate the area further. </p> <p>Sometimes the doctor may choose to put in a <a href="/Article?contentid=60&language=English">stent</a>. A stent is a small metal tube made of stainless steel or another type of metal. The stent helps widen the narrowed passage by supporting the walls of the blood vessel to keep it open. </p> <p>After the coarctation is opened up, the team takes a second set of pictures and measurements. The doctor then takes out the balloons and catheters and covers the cuts on your child's legs with a bandage. </p> <h2>The procedure usually takes two to four hours</h2> <p>The procedure usually takes two to four hours. After the procedure your child will go to the recovery room for about two hours to wake up from the anaesthetic. </p><h2>After the procedure</h2> <p>The cardiologist will let you know when your child can go home. Your child will stay in the hospital for at least four to six hours <a href="/Article?contentid=1214&language=English">after the procedure</a>. Some children can go home on the same day as the procedure, but some children will need to stay in the hospital overnight. If your child needs to stay overnight, they will be transferred to the inpatient unit.</p>
Sténose de l’artère pulmonaire : angioplastie par ballonnet au laboratoire de cathétérismeSSténose de l’artère pulmonaire : angioplastie par ballonnet au laboratoire de cathétérismePulmonary artery stenosis: Balloon angioplasty in the heart catheterization labFrenchCardiologyChild (0-12 years);Teen (13-18 years)NAArteriesProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZLee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000065.0000000000000563.000000000000Health (A-Z) - ProcedureHealth A-Z<p>L'angioplastie par ballonnet est une opération qui ouvre un vaisseau sanguin rétréci dans le cœur.</p><h2>Qu'est-ce que la sténose de l'artère pulmonaire?</h2><p>Les artères pulmonaires sont les deux principaux vaisseaux sanguins qui transportent le sang du cœur aux poumons. La branche de droite apporte le sang au poumon droit, et la branche de gauche, au poumon gauche. </p><p>La sténose de l'artère pulmonaire est un rétrécissement de toute partie de ces vaisseaux sanguins. Le terme « sténose » signifie « rétrécissement ».</p><p>La sténose de l'artère pulmonaire signifie donc qu'une quantité insuffisante de sang se rend aux poumons. La région amincie doit être élargie pour que davantage de sang puisse y circuler. </p><h2>Qu'est-ce qu'une angioplastie par ballonnet?</h2><p>L'angioplastie par ballonnet est une intervention qui consiste à dilater (ouvrir) un vaisseau sanguin étroit et à augmenter la circulation. L'intervention se fait dans le laboratoire de cathétérisme cardiaque (cœur).</p> <figure><span class="asset-image-title">Angioplastie avec ballon en cas de coarctation aortique</span><img src="https://assets.aboutkidshealth.ca/akhassets/Pulm_artery_angio_MED_ILL_FR.png" alt="" /><figcaption class="asset-image-caption">On insère un cathéter muni d'un ballon dégonflé à l'une de ses extrémités, et ce, dans un vaisseau sanguin jusqu'au cœur. Lorsque le ballon atteint l'endroit de la coarctation aortique, on le gonfle afin d'ouvrir l'espace étroit. On dégonfle le ballon et on retire le cathéter.</figcaption></figure> <h2>Qu'est-ce que le cathétérisme du cœur?</h2><p>Pendant l'intervention, le médecin place délicatement un long tube mince appelé cathéter dans une veine ou une artère du cou ou de l'aine de votre enfant. L'aine est la région en haut de la jambe. Par la suite, le cathéter est acheminé par la veine ou l'artère jusqu'au cœur de votre enfant. </p><p>Le médecin qui fait l'intervention est un cardiologue, c'est-à-dire un médecin qui se spécialise dans le cœur et les vaisseaux sanguins. Il pourrait ne pas être le cardiologue habituel de votre enfant.</p><h2>À retenir</h2> <ul> <li>Les artères pulmonaires transportent le sang du cœur aux poumons. Une sténose est un rétrécissement d'une artère qui entrave la circulation sanguine. Si une artère pulmonaire est sténosée, cela signifie qu'une quantité insuffisante de sang se rend aux poumons.</li> <li>L'angioplastie par ballonnet est un moyen d'ouvrir l'artère sténosée au moyen d'un mince tube appelé cathéter.</li> <li>Votre enfant sera sous anesthésie générale et pourrait devoir passer la nuit à l'hôpital.</li> </ul><h2>Ce qui se passe pendant l'intervention</h2> <p>On donnera un médicament à votre enfant pour l'endormir, appelé anesthésique général. Cela fera en sorte que votre enfant dormira tout au long de l'opération.</p> <p>Pendant le cathétérisme, le médecin insère un cathéter spécial dans les vaisseaux sanguins de votre enfant jusqu'à la sténose. L'équipe prend des radiographies et mesure la coarctation. Par la suite, l'équipe place un ballonnet dégonflé sur le cathéter pour s'arrêter au site de la coarctation. Le ballonnet est ensuite gonflé pour ouvrir le passage rétréci. Parfois, un deuxième ballon plus grand est utilisé pour dilater le site davantage.</p> <p>Parfois, le médecin pourrait choisir d'installer une endoprothèse, un petit tube de métal fait d'acier inoxydable ou d'un autre type de métal. L'endoprothèse aide à élargir le passage rétréci en soutenant les parois du vaisseau sanguin pour le garder ouvert. Pour en savoir davantage sur les endoprothèses, consultez <a href="/Article?contentid=60&language=French">Endoprothèses cardiaques : Mise en place au laboratoire de cathétérisme cardiaque </a>. </p> <p>Une fois la coarctation ouverte, l'équipe prend d'autres photos et mesures. Le médecin retire ensuite les ballonnets et les cathéters, et recouvre les incisions sur les jambes de votre enfant d'un pansement.</p> <h2>L'intervention prend habituellement de deux à quatre heures</h2> <p>L'intervention prend habituellement deux à quatre heures. Après l'intervention, votre enfant se rendra à la salle de réveil, où il restera pendant deux heures pour se réveiller de l'anesthésique.</p><h2>Après l'intervention</h2> <p>Le cardiologue vous dira quand votre enfant peut retourner à la maison. Votre enfant demeurera à l'hôpital pendant au moins quatre à six heures après l'intervention. Certains enfants peuvent retourner à la maison le même jour que l'intervention, mais certains autres devront passer la nuit à l'hôpital. Si c'est le cas de votre enfant, il sera transféré à l'unité de soins. </p> <p>Pour en savoir davantage sur ce qu'il faut faire quand votre enfant retourne à la maison, consulter <a href="/Article?contentid=1214&language=French">« Cathétérisme cardiaque : Soigner votre enfant après l'intervention ».</a></p>

 

 

Pulmonary artery stenosis: Balloon angioplasty in the heart catheterization lab1015.00000000000Pulmonary artery stenosis: Balloon angioplasty in the heart catheterization labPulmonary artery stenosis: Balloon angioplasty in the heart catheterization labPEnglishCardiologyChild (0-12 years);Teen (13-18 years)NAArteriesProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZLee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000065.0000000000000563.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Balloon angioplasty is a surgery that is used to open a narrowed blood vessel in the heart. Learn about balloon angioplasty for pulmonary artery stenosis.</p><h2>What is pulmonary artery stenosis?</h2><p>The pulmonary arteries are the two major vessels that carry blood from the heart to the lungs. The right branch takes blood to the right lung, the left branch to the left lung.</p><p>Pulmonary artery stenosis is a narrowing of any part of these blood vessels. Stenosis means narrowing.</p><p>Pulmonary artery stenosis means that not enough blood flows to the lungs. The narrowed area needs to be expanded so that more blood can flow through it.</p><h2>What is a balloon angioplasty?</h2><p>A balloon angioplasty is a procedure to dilate (open up) the narrow blood vessel and increase blood flow. The procedure is done in the cardiac (heart) catheterization laboratory.</p> <figure><span class="asset-image-title">Balloon angioplasty of pulmonary artery </span> <span class="asset-image-title"> stenosis</span><img src="https://assets.aboutkidshealth.ca/akhassets/Pulm_artery_angio_MED_ILL_EN.png" alt="" /><figcaption class="asset-image-caption">A</figcaption><figcaption class="asset-image-caption"> catheter with a deflated balloon on its tip is threaded through a blood vessel in the body up to the heart. When the balloon reaches the narrow artery it is inflated, which opens up the artery. The balloon is deflated and the catheter is removed.</figcaption></figure> <h2>What is heart catheterization?</h2><p>During <a href="/Article?contentid=59&language=English">heart catheterization</a>, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><h2>Key points</h2> <ul> <li>The pulmonary arteries carry blood from the heart to the lungs. A stenosis is a narrowing of an artery that disrupts blood flow. Pulmonary artery stenosis means that not enough blood is getting to your child's lungs. </li> <li>Balloon angioplasty is a method of opening up the narrowed artery using a thin tube called a catheter. </li> <li>Your child will have a general anaesthetic for the procedure. Your child may need to stay in the hospital overnight. </li> </ul><h2>Coming back for a check-up</h2> <p>Your child will be given a date and time to see your cardiologist two to three months after the procedure. At this appointment a pulmonary perfusion scan is often done. This scan shows the amount of blood flow to the right and left lungs.</p> <p>Write the date and time of the appointment here:</p> <p> </p> <h2>Antibiotics to prevent infectious endocarditis</h2> <p>Depending on your child's specific heart condition, your child may need to take antibiotics before and after some dental and other procedures. These drugs help prevent a heart infection called infectious endocarditis. Speak to your cardiologist for more information. </p><h2>What happens during the procedure</h2> <p>Your child will be given a special "sleep medicine" called a general anaesthetic. This means your child will be asleep during the procedure.</p> <p>During the catheterization, the doctor threads a special catheter through your child's blood vessels to the narrowed area. The team takes X-ray pictures and measurements of the coarctation. Then the team threads a deflated balloon on the tip of the catheter to the area of the coarctation. The balloon is then inflated to open up the narrowed area. Sometimes a second larger balloon is used to dilate the area further. </p> <p>Sometimes the doctor may choose to put in a <a href="/Article?contentid=60&language=English">stent</a>. A stent is a small metal tube made of stainless steel or another type of metal. The stent helps widen the narrowed passage by supporting the walls of the blood vessel to keep it open. </p> <p>After the coarctation is opened up, the team takes a second set of pictures and measurements. The doctor then takes out the balloons and catheters and covers the cuts on your child's legs with a bandage. </p> <h2>The procedure usually takes two to four hours</h2> <p>The procedure usually takes two to four hours. After the procedure your child will go to the recovery room for about two hours to wake up from the anaesthetic. </p><h2>After the procedure</h2> <p>The cardiologist will let you know when your child can go home. Your child will stay in the hospital for at least four to six hours <a href="/Article?contentid=1214&language=English">after the procedure</a>. Some children can go home on the same day as the procedure, but some children will need to stay in the hospital overnight. If your child needs to stay overnight, they will be transferred to the inpatient unit.</p><h2>There are small risks of complications from the procedures</h2> <p>Generally, heart catheterization is a low-risk procedure, but it is not risk-free. The doctor will explain the <a href="/Article?contentid=59&language=English">risks</a>?to you in more detail before you give your consent for the procedure. The most common risks are as follows: </p> <h3>The catheter may break through a blood vessel</h3> <p>There is a very small risk that the catheter may break through a blood vessel or the heart wall. To reduce this risk, we use a type of X-ray called fluoroscopy to see where the catheters are at all times. </p> <h3>Your child may develop a tear in the artery wall</h3> <p>The artery wall may tear, causing bleeding into the chest. This is rare. But if it does happen, your child may need surgery to repair the tear. </p>https://assets.aboutkidshealth.ca/akhassets/Pulm_artery_angio_MED_ILL_EN.pngPulmonary artery stenosis: Balloon angioplasty in the heart catheterization lab

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