Short-Term and Long-Term Outcomes of Endovascular Versus Surgical Palliation Procedures for Pulmonary Artery Atresia With Intact Ventricular Septum

Abstract

With the purpose to compare in-hospital and late outcomes of endovascular palliation, and surgical interventions in patients with pulmonary artery atresia 138 consecutive patients with the same pathology were analyzed since 2006 (115 patients underwent surgery – 160 surgical procedures, and 23 – underwent 32 endovascular procedures). Long-term outcomes studied on 12 years. The necessity for re-interventions following endovascular, and surgical procedures was analyzed. In surgical group mean length of hospital stay was 26±18.6 days, in endovascular group–22±5.7 days. Rate of surgical and endovascular procedures for pulmonary artery atresia Type I was 53.9 % and 56.5 %, respectively, whereas patients with pulmonary artery atresia Type II: 41.7 % vs.17.4 %, respectively (p<0.001). Patients with Types III and IV predominantly underwent endovascular procedures in 8.7 % and 17.4 %. Endovascular palliation follows with three-fold lower rate of fatal complications vs. surgical interventions: 4.3 % vs. 13 %. Endovascular interventions are choice of option for first stage palliation for infants with pulmonary artery atresia.