PV (Pulmonary Vein) Venoplasty

Pulmonary vein stenosis (narrowing) may be congenital, or acquired following surgery to correct other congenital cardiac anomalies. It is rare. Untreated, it leads to severe lung damage. It is often associated with other cardiac abnormalities.

Balloon angioplasty of pulmonary vein stenosis, sometimes combined with stenting, is a palliative treatment of children with a very poor prognosis, or sometimes a temporary measure for children awaiting further interventions.

The procedure involves inserting a catheter into a large blood vessel, and passing it into the narrowed area under X-ray control. A balloon is then inflated to relieve the narrowing. A stent may be inserted following dilatation to maintain patency. There is no reliable alternative treatment.

Equipment needed:

1 Barts Angiopack

1 6Fr femoral sheath

1 14Fr femoral sheath

1 12Fr Mullins 63cm femoral sheath

1 6Fr pigtail diagnostic catheter

1 6Fr multitrack catheter

1 6Fr MPA diagnostic catheter

1 Astato 20g 300cm angioplasty wire

1 Amplatz superstiff 260cm short taper guidewire

1 Confida guidewire

1 Terumo 260cm straight-tip guidewire

1 Diathermy pen and machine

1 Diathermy pad

1 20mL luerlock syringe

1 30mL luerlock syringe

1 3-way tap

1 500mL sterile saline bag

1 spike

Transseptal Puncture kits:

1 BRK transseptal needle

1 SL0 transseptal sheath

Venoplasty kits: *50/50 contrast/saline solution for balloon

1 Z-med balloon (ask for size)

1 Admiral balloon (ask for size)

1 Inflator (Boston)