{"id":18777,"date":"2020-02-04T15:28:01","date_gmt":"2020-02-04T14:28:01","guid":{"rendered":"https:\/\/devhml.givememore.net\/specialites\/catheterisme-interventionnel-cardiovasculaire\/les-activites\/cardiaque-congenital\/"},"modified":"2022-02-10T15:39:59","modified_gmt":"2022-02-10T14:39:59","slug":"cardiaque-congenital","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/imagerie-therapeutique-et-interventionnelle\/les-activites\/cardiaque-congenital\/","title":{"rendered":"Cardiaque cong\u00e9nital"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Cath\u00e9t\u00e9risme diagnostique et interventionnel des cardiopathies cong\u00e9nitales.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le cath\u00e9t\u00e9risme diagnostique et interventionnel est \u00e9troitement intriqu\u00e9 avec la chirurgie des cardiopathies cong\u00e9nitales.<br>L\u2019H\u00f4pital Marie-Lannelongue, est le premier centre fran\u00e7ais de cath\u00e9t\u00e9risme des cardiopathies cong\u00e9nitales.<br>Nous prenons en charge des cardiopathies cong\u00e9nitales extr\u00eamement vari\u00e9es <strong>du nouveau-n\u00e9 \u00e0 l\u2019adulte.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;ensemble des actes de cath\u00e9t\u00e9risme possibles sont r\u00e9alis\u00e9s, incluant des actes de rythmologie interventionnelle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Histoire du cath\u00e9t\u00e9risme cardiaque p\u00e9diatrique : <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.youtube.com\/watch?v=PJe3J6CVPG0&amp;t=2s\" target=\"_blank\" rel=\"noopener noreferrer\">\u00e9coutez l&rsquo;interview du Dr PETIT<\/a><\/span> racontant l&rsquo;histoire du cath\u00e9t\u00e9risme cardiaque p\u00e9diatrique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les principales proc\u00e9dures possibles consistent \u00e0 fermer des orifices intra cardiaques anormaux, ouvrir des orifices lorsque cela est n\u00e9cessaire, dilater des valves ou vaisseaux st\u00e9nos\u00e9s, remplacer par voie percutan\u00e9e les valves ou conduits d\u00e9faillants.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fermetures percutan\u00e9es de canal art\u00e9riel,<\/li><li>fermetures de Communication Inter-Auriculaire (CIA),<\/li><li>fermetures de foramen ovale perm\u00e9able (PFO),<\/li><li>dilatations de st\u00e9nose de la valve pulmonaire,<\/li><li>perforations par radiofr\u00e9quence d\u2019atr\u00e9sie de la valve pulmonaire chez le nouveau-n\u00e9,<\/li><li>remplacement percutan\u00e9 de valve ou conduits d\u00e9faillants, en particulier de la valve pulmonaire ou tricuspide<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Les principaux actes de <strong>rythmologie interventionnelle<\/strong> consistent en l&rsquo;ablation par radiofr\u00e9quence de circuits \u00e9lectriques anormaux, au sein des oreillettes ou des ventricules ou entre les deux.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La liste de ces diff\u00e9rentes proc\u00e9dures est loin d\u2019\u00eatre exhaustive. Chacune est adapt\u00e9e au cas par cas apr\u00e8s une concertation m\u00e9dico-chirurgicale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Au 1er janvier 2020, 21 928 cath\u00e9t\u00e9rismes des cardiopathies cong\u00e9nitales ont \u00e9t\u00e9 r\u00e9alis\u00e9s \u00e0 l\u2019h\u00f4pital Marie Lannelongue depuis le 1er cath\u00e9t\u00e9risme interventionnel le 30 octobre 1984.<br>Parmi les interventions les plus fr\u00e9quentes, ont \u00e9t\u00e9 r\u00e9alis\u00e9s, 1 847 fermetures de CIA , 1 445 fermetures de Canal art\u00e9riel persistant, 1 197 dilatations de st\u00e9nose pulmonaire et 160 remplacements valvulaire par voie percutan\u00e9e.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les examens sont r\u00e9alis\u00e9s sous anesth\u00e9sie locale ou g\u00e9n\u00e9rale selon le type de proc\u00e9dures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les cath\u00e9t\u00e9rismes chez les enfants sont r\u00e9alis\u00e9s le plus souvent sous neuro analg\u00e9sie (anesth\u00e9sie g\u00e9n\u00e9rale douce, sans intubation oro-trach\u00e9ale et en ventilation spontan\u00e9e) ou anesth\u00e9sie g\u00e9n\u00e9rale selon le type d&rsquo;intervention.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/catheterisme-interventionnel-cardiovasculaire\/prendre-rendez-vous\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong><span style=\"text-decoration: underline;\">Prendre rendez-vous<\/span><\/strong><\/a><\/p>\n\n\n\n<div>Le futur du cath\u00e9t\u00e9risme &#8211; <a href=\"https:\/\/www.youtube.com\/watch?v=gtWZkFxhjWA\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"text-decoration: underline;\">Ecoutez l&rsquo;interview du Dr PETIT<\/span><\/a> donnant les perspectives du futur du cath\u00e9t\u00e9risme cardiaque p\u00e9diatrique.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Cath\u00e9t\u00e9risme diagnostique et interventionnel des cardiopathies cong\u00e9nitales. Le cath\u00e9t\u00e9risme diagnostique et interventionnel est \u00e9troitement intriqu\u00e9 avec la chirurgie des cardiopathies cong\u00e9nitales.L\u2019H\u00f4pital Marie-Lannelongue, est le premier centre fran\u00e7ais de cath\u00e9t\u00e9risme des cardiopathies cong\u00e9nitales.Nous prenons en charge des cardiopathies cong\u00e9nitales extr\u00eamement vari\u00e9es du nouveau-n\u00e9 \u00e0 l\u2019adulte. L&rsquo;ensemble des actes de cath\u00e9t\u00e9risme possibles sont r\u00e9alis\u00e9s, incluant des actes [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":0,"parent":18774,"menu_order":1,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-18777","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/charlotte-gmm\/","display_name":"Charlotte"},"relative_dates":{"created":"Publi\u00e9 6 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 4 f\u00e9vrier 2020","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 4 f\u00e9vrier 2020 15 h 28 min","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022 15 h 39 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18777","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":0,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18777\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18774"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=18777"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=18777"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=18777"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}