Systematic Reviews
Copyright ©The Author(s) 2020.
World J Clin Cases. Nov 6, 2020; 8(21): 5250-5283
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5250
Table 9 Classification of surgical and catheter-based procedures based on their relevance for the prognosis of the patients with congenital heart diseases and genetic heart diseases
Emergency cases (Not delay more than 24-48 h)
Urgent cases (Not delay more than days to weeks)
Elective cases (Delay > 2 mo)
Surgical or catheter procedures
ECMO in hemodynamically unstable patientTransposition of great vessels
PDA stent in unstable patient on prostaglandin treatmentNorwood procedure for hypoplastic left heart syndromeValvular regurgitations managed medically
Thrombosed shuntTruncus arteriosusSlow progressive aortic stenosis scheduled for Ross procedure
Pericardial tamponadeObstructive lesions stabilized with prostaglandinsPre-Fontan catheterization with adequate saturations on room air (> 75%)
Rashkind procedureGlenn procedure with decreasing saturations (< 75%)
Heart transplantPersistent heart failure in shunts on maximal anti congestive therapy
Obstructed total anomalous pulmonary venous returnEndocarditis in hemodynamically stable patient
ALCAPA
Stenotic right ventricle-Pulmonary artery conduit with severe ventricular dysfunction
Electrophysiological procedures
Emergency cases (Not delay more than 24-48 h)Urgent cases (Not delay more than days to weeks)Elective cases (Delay > 2 mo)
Cardiac arrest in association with pre-excited atrial fibrillationPrimary prevention defibrillator implants after life-threatening ventricular arrhythmiaTilt-table test
Arrhythmia causing need for ECMOCardiac resynchronization therapyImplantable loop recorder implants
Incessant arrhythmia with severe ventricular dysfunctionAblation for medically refractory ventricular tachycardiaAblation of stable arrhythmias adequate managed with drugs without cardiomyopathy
Pacemaker insertion for advanced AV-blockAblation of SVT though to contribute to cardiomyopathyUpgrades of devices
Defibrillator implant for secondary prevention of sudden deathGenerator replacements with > 6 wk of battery remaining
Pacemaker generator replacement for pacing-dependent patientsPacemaker implant for sinus node dysfunction, non-high-grade AV block and tachy-brady syndrome in middle symptomatic patients
Defibrillator generator replacement for patients with appropriate defibrillator therapies.
Ablation of supra ventricular arrhythmias causing hemodynamic deterioration and WPW syndrome associated with cardiac arrest
Transvenous lead extraction