Comparison Of Interventional Therapy And Surgical Therapy In Congenital Heart Diseases

ObjectiveTo compare sex rate, age, weight, diameter, PGmax, achievement rate, complicationrate, anesthesia, cardiopulmonary bypass (CPB), transfusion, length of stay and costsbetween interventional therapy and surgical therapy in congenital heart diseasesincluding patent ductus arteriosus (PDA), atrial septal defects (ASD), ventricularseptal defects (VSD), pulmonary stenosis (PS)MethodsFrom January to December in 2006, 40 PDA, 19 ASD, 38 VSD, 16 PS were treatedby interventional therapy in pediatrics of Shandong Provincial Hospital (SDPH).Meanwhile, 24 PDA, 60 ASD, 129 VSD, 5 PS were treated by surgical therapy incardiac surgery of SDPH. All of the cases were recruited in the study.After different treatments, following data were compared between interventionaltherapy and surgical therapy: sex rate, age, weight, diameter, PGmax, achievementrate, complication (including pulmonary infection, pneumothorax, pleural effusion,pericardial effusion) rate, anesthesia, CPB, transfusion, length of stay and costs. Theresults were analyzed with SPSS 11.5 software.Results1. There is no statistical significance in sex rate between interventional therapy and surgical therapy (P>0.05).2. Except for PDA and VSD, there is statistical significance in age between interventional therapy and surgical therapy (P<0.05). 3. Except for PDA (P=0.993), there is statistical significance in weight between interventional therapy and surgical therapy (P<0.05).4. Except for PDA (P=0.172), there is statistical significance in diameter measured by TTE between interventional therapy and surgical therapy (P<0.05).5. Except for VSD (P=0.001), there is no statistical significance in PGmax between interventional therapy and surgical therapy (P>0.05).6. There is statistical significance in diameter measured during the operation between interventional therapy and surgical therapy (P<0.05).7. There is no statistical significance in achievement rate between interventional therapy and surgical therapy (P>0.05).8. There is no statistical significance in complication (including pulmonary infection, pneumothorax, pleural effusion, pericardial effusion) rate between interventional therapy and surgical therapy (P>0.05).9. Except for PS (P=0.549), there is statistical significance in the rate of using general anesthesia between interventional therapy and surgical therapy (P<0.05).10. Except for PDA (P=0.375), there is statistical significance in the rate of using CPB between interventional therapy and surgical therapy (P<0.05).11. Except for PDA (P=0.375), there is statistical significance in the rate of transfusion between interventional therapy and surgical therapy (P<0.05).12. There is statistical significance in the length of stay between interventional therapy and surgical therapy (P<0.001).13. There is statistical significance in the costs between interventional therapy and surgical therapy (P<0.001).ConclusionsThe characteristics of interventional therapy are availability, security, no demand forCPB and transfusion, high achievement rate, little complication, little trauma, promptrecovery and little length of stay. However, the costs of interventional therapy arehigher than that of surgical therapy, not including PS. In the future, interventionaltherapy will gradually replace surgical therapy in congenital heart diseases.