1. Current Status and Prospect of Interventional Congenital Heart Disease
先天性心脏病介入治疗现状及展望
Fu Wai Hospital
Cardiovascular Institute
Chinese Academy of Medical Sciences
Dai Ru Ping
戴汝平

2. Current Situation on CHD Intervention （2009）
In China, 0.15 million newborn have CHD per
year. 0.1millin patients need treat by surgery.
Up to the present, total million patients who
have various CHD in China.
50 thousand were treated by surgery per year.
30 thousand were treated by Intervention in
2009 （estimated）.
Homemade devices were used in 3/4--4/5 ps.

3. Current Status of CHD Interventions
CHD ASD PDA VSD PS Others Total
Case －－－

4. Current Status of CHD Interventions
Homemade Devices were used in 3/4--4/5 ps.
Hybrid procedure were performed
Good results with low complications

5. Homemade Devices Biocompatibility study of Domestic Devices VSD ASD
PDA
Biocompatibility study of Domestic Devices

6. Homemade Devices
PDA,ASD,VSD, Occluders
Quality
Price

7. Hybrid Procedure More than 20 hospitals performed Hybrid procedure
Balloon atrial septostomy
Embolization to occlude aortopulmonary collateral vessels
and shunts
Balloon angioplasty ，Stenting for branch pulmonary artery
stenoses
Stent implantation of the arterial duct in newborns with duct-
dependent circulation
Transcatheter occlusion of residual interatrial communications
after Fontan Procedure.
Laser valvotomy with balloon valvoplasty for pulmonary atresia
with intact ventricular septum

8. Hybrid Procedure for alternative treating complex CHD with cyanosis
Balloon atrial septostomy
for alternative treating complex CHD with cyanosis

9. Hybrid Procedure
Embolization to occlude aortopulmonary collateral vessels and shunts
for treating PA+VSD

10. Hybrid Procedure Stenting
for treating branch pulmonary artery stenoses

11. Hybrid Procedure for treating pulmonary atresia
Laser valvotomy with balloon valvoplasty
for treating pulmonary atresia

12. Complications of VSD intervention ( No 9311)
Complication Number %
III°AVB (8) %
TI %
Residual shunt (6 month) (8980) %
Hemolysis %
Device migration %
Outlet stenosis of RV %
AI %
Cardiomegaly %
Tamponade %
Stroke %
MI %
Death %
Total %
Successful rate：96.40% Mortality：0.05%
(Data from 2007 CHD Salon)

13. Later Complications ( 6m-2y after )
1, PH with right cardiac failure.
2, Arrhythmia (LBBB, II-III°AV-B； Pacemaker-6m)
3, Cardiomegaly with heart failure.
4, Device migration .
5, Tamponade ( Occluder Erosion ).
6, Stenosis of RV Outlet.
7, Valvular damage (AI ,TI, MI )

14. Later Complications Pulmonary hypertension with right heart failure RVLV LV
F 12y，ECG：RVH，TTE：ASD : 11mm，
Treated by Interventional technique with
Amplazer occluder of 18mm。
After 2 years, die from right heart failure ,
Pulmonary systolic pressure：153mmHg (by Echo)
Plex & arteritis

15. Later Complications Cardiomegaly with left heart failure. pre
Immediately
Post 1 year
M 3y，ECG：Normal，TTE：VSD : 4mm，
Treated by Interventional technique with Amplazer occluder of 6mm.
ECG : CLBBB ( QRS : 152mS), immediately after intervention.
After 1 years, Cardiomegaly with heart failure occurred.

16. Later Complications
Tamponade ( occluder erosion of left atrial wall)
Occlusion of ASD with Amplatzer device half year later,
Tamponade occurred , due to occluder erosion of left atrial wall .

17. Later Complications Tricuspid damage （VSD） Tricuspid Insufficiency :
Leaflet perforation due to procedure
Chord rupture due to procedure
Chord or / and leaflets were pressed by occluder
TV&M-Aneurysm VSD & Chord Chord rupture + TI

18. Prospect of Interventional CHD Develop New Technique and Device
National Support for Scientific Research
Natural Scientific Found
“863“ Scientific Found
“11-5” National Support Plan Found
Design New Occluder
Transcatheter valve replacement
Aortic Valve
Pulmonary Valve

19. Prospect of Interventional CHD
Transcatheter valve replacement

20. Prospect of Structural Heart Disease
1, Modify Guideline of Interventional SHD
2, National Permit: Interventional Technique
3, National Training Center.
4, “11-5” National Support Plan,
Long-term results and long-term follow-up
National registration of interventional cases
5, Develop new Technique

21. Thanks 谢谢