Virtual stenting as a method for optimizing right ventricular outflow tract stenting prior to radical correction of tetralogy of fallot in children
https://doi.org/10.51922/2616-633X.2025.9.1.2447
Abstract
Objective. To evaluate the efficacy of right ventricular outflow tract (RVOT) stenting using virtual stenting (VS) technology in children with tetralogy of Fallot and Fallot-type congenital heart defects (CHD).
Materials and methods. We analyzed 22 cases of RVOT stenting in patients aged 2.36 [0.73–3.07] months (2018–2024). In 8 cases, stenting planning was performed using CT angiography and VS technology.
Results. The procedural success rate was 95%. Oxygen saturation increased from 80 [71–88]% to 95 [92–98]% (p < 0.001), systolic pressure gradient (SPG) decreased from 70 [41–80] mmHg to 30 [21–39] mmHg. VS implementation improved stent positioning accuracy to 95% (vs 78% without VS) and reduced reinterventions (1 vs 4 cases).
Conclusion. RVOT stenting using virtual modeling technology demonstrates high clinical efficacy, significantly improving oxygenation and hemodynamic parameters while reducing the need for repeat interventions.
About the Authors
P. F. Charnahla
Republican Scientific and Practical Center for Pediatric Surgery
Belarus
Belarus
Minsk
P. K. Marakhovskaya
Republican Scientific and Practical Center for Pediatric Surgery
Belarus
Belarus
Minsk
Yu. I. Linnik
Republican Scientific and Practical Center for Pediatric Surgery
Belarus
Belarus
Minsk
K. V. Drozdovski
Republican Scientific and Practical Center for Pediatric Surgery
Belarus
Belarus
Minsk
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For citations:
Charnahla P.F., Marakhovskaya P.K., Linnik Yu.I., Drozdovski K.V. Virtual stenting as a method for optimizing right ventricular outflow tract stenting prior to radical correction of tetralogy of fallot in children. Emergency Cardiology and Cardiovascular Risks journal. 2025;9(1):2447-2453. (In Russ.) https://doi.org/10.51922/2616-633X.2025.9.1.2447
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