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Adult Congenital Heart Disease Intervention: The Canadian Landscape.

Abstract Once considered a childhood disease, the number of adults living with congenital heart disease (CHD) has now exceeded the number of pediatric patients. The landscape of percutaneous intervention for adult congenital heart disease (ACHD) has evolved over the past decade and has yet to be characterized in Canada. The aim of this study was to begin to understand the current infrastructure underlying ACHD interventions in Canada and to characterize the type and number of interventions being carried out across the country. A cross-sectional national survey was distributed by e-mail to all cardiac catheterization laboratory directors in 2015. All Canadian laboratories involved in ACHD interventions responded, encompassing 19 institutions spanning 69 cardiac catheterization laboratories. A total of 1451 percutaneous interventions were recorded. Nationwide, the most common simple ACHD interventions were for atrial septal defect and patent foramen ovale closures. The most common ACHD interventions of increased complexity were for coarctation stenting and transcatheter pulmonary valve implantation. There was a marked clustering of procedures in Ontario, Québec, British Columbia, and Alberta in keeping with Canada's population-density distribution. A total of 23 ACHD operators were identified, half of whom had ACHD-specific fellowship training. These data can be used as a starting point to inform the present state of affairs in the area and lay the groundwork for further work to assess resource allocation and human resource planning for the care of patients with ACHD in Canada.
PMID
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Authors

Mayor MeshTerms

Surveys and Questionnaires

Keywords
Journal Title the canadian journal of cardiology
Publication Year Start




PMID- 28843330
OWN - NLM
STAT- MEDLINE
DA  - 20170827
DCOM- 20170901
LR  - 20170901
IS  - 1916-7075 (Electronic)
IS  - 0828-282X (Linking)
VI  - 33
IP  - 9
DP  - 2017 Sep
TI  - Adult Congenital Heart Disease Intervention: The Canadian Landscape.
PG  - 1201-1205
LID - S0828-282X(17)30268-4 [pii]
LID - 10.1016/j.cjca.2017.05.018 [doi]
AB  - Once considered a childhood disease, the number of adults living with congenital 
      heart disease (CHD) has now exceeded the number of pediatric patients. The
      landscape of percutaneous intervention for adult congenital heart disease (ACHD) 
      has evolved over the past decade and has yet to be characterized in Canada. The
      aim of this study was to begin to understand the current infrastructure
      underlying ACHD interventions in Canada and to characterize the type and number
      of interventions being carried out across the country. A cross-sectional national
      survey was distributed by e-mail to all cardiac catheterization laboratory
      directors in 2015. All Canadian laboratories involved in ACHD interventions
      responded, encompassing 19 institutions spanning 69 cardiac catheterization
      laboratories. A total of 1451 percutaneous interventions were recorded.
      Nationwide, the most common simple ACHD interventions were for atrial septal
      defect and patent foramen ovale closures. The most common ACHD interventions of
      increased complexity were for coarctation stenting and transcatheter pulmonary
      valve implantation. There was a marked clustering of procedures in Ontario,
      Quebec, British Columbia, and Alberta in keeping with Canada's population-density
      distribution. A total of 23 ACHD operators were identified, half of whom had
      ACHD-specific fellowship training. These data can be used as a starting point to 
      inform the present state of affairs in the area and lay the groundwork for
      further work to assess resource allocation and human resource planning for the
      care of patients with ACHD in Canada.
CI  - Copyright (c) 2017 Canadian Cardiovascular Society. Published by Elsevier Inc.
      All rights reserved.
FAU - Frankfurter, Claudia
AU  - Frankfurter C
AD  - Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
FAU - Asgar, Anita W
AU  - Asgar AW
AD  - Institut de Cardiologie de Montreal, Montreal, Canada.
FAU - Webb, John G
AU  - Webb JG
AD  - St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, 
      Canada.
FAU - Cantor, Warren J
AU  - Cantor WJ
AD  - Southlake Regional Health Centre, University of Toronto, Toronto, Ontario,
      Canada.
FAU - Velianou, James L
AU  - Velianou JL
AD  - Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
FAU - Gobeil, Francois
AU  - Gobeil F
AD  - Centre Hospitalier de l'Universite de Montreal, Montreal, Canada.
FAU - Chan, Albert W
AU  - Chan AW
AD  - Department of Cardiac Science, Royal Columbian Hospital, New Westminster, British
      Columbia, Canada.
FAU - Welsh, Robert C
AU  - Welsh RC
AD  - Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta,
      Canada.
FAU - Love, Michael P
AU  - Love MP
AD  - Dalhousie University, Queen Elizabeth II Health Sciences Centre, Halifax, Nova
      Scotia, Canada.
FAU - Wood, David A
AU  - Wood DA
AD  - Centre for Heart Valve Innovation, St Paul's and Vancouver General Hospital,
      Vancouver, British Columbia, Canada.
FAU - McKenzie, Kevin
AU  - McKenzie K
AD  - The Canadian Association of Interventional Cardiology, Halifax, Nova Scotia,
      Canada.
FAU - Horlick, Eric M
AU  - Horlick EM
AD  - Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto
      General Hospital, Toronto, Ontario, Canada. Electronic address:
      [email protected]
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170530
PL  - England
TA  - Can J Cardiol
JT  - The Canadian journal of cardiology
JID - 8510280
SB  - IM
MH  - Adult
MH  - Canada/epidemiology
MH  - Cardiac Catheterization/methods/*statistics & numerical data
MH  - Cardiac Surgical Procedures/methods/*statistics & numerical data
MH  - Cross-Sectional Studies
MH  - Heart Defects, Congenital/epidemiology/*surgery
MH  - Humans
MH  - Incidence
MH  - *Surveys and Questionnaires
EDAT- 2017/08/28 06:00
MHDA- 2017/09/02 06:00
CRDT- 2017/08/28 06:00
PHST- 2016/12/05 [received]
PHST- 2017/05/23 [revised]
PHST- 2017/05/23 [accepted]
AID - S0828-282X(17)30268-4 [pii]
AID - 10.1016/j.cjca.2017.05.018 [doi]
PST - ppublish
SO  - Can J Cardiol. 2017 Sep;33(9):1201-1205. doi: 10.1016/j.cjca.2017.05.018. Epub
      2017 May 30.