<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332022000300295</article-id>
<article-id pub-id-type="doi">10.24875/rccar.21000001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento intervencionista de las cardiopatías congénitas con hiperflujo pulmonar]]></article-title>
<article-title xml:lang="en"><![CDATA[Interventional treatment of congenital heart defects with pulmonary hyperflow]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mariño-Vigo]]></surname>
<given-names><![CDATA[Carlos R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salinas-Mondragón]]></surname>
<given-names><![CDATA[César A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alegre-Manrique]]></surname>
<given-names><![CDATA[Silvia A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lapoint-Montes]]></surname>
<given-names><![CDATA[María E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud del Niño Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>29</volume>
<numero>3</numero>
<fpage>295</fpage>
<lpage>302</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332022000300295&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332022000300295&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332022000300295&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: En los últimos años se han desarrollado diversos dispositivos oclusores que permiten evitar la cirugía cardíaca en los pacientes con cardiopatías congénitas con hiperflujo pulmonar.  Objetivo: Describir la experiencia en el cierre percutáneo de las cardiopatías con hiperflujo.  Método: Mediante un estudio descriptivo y retrospectivo se revisaron las historias clínicas de los pacientes sometidos a intervencionismo cardíaco de 2016 a 2020.  Resultados: De 706 procedimientos realizados en el periodo, el 35% fueron terapéuticos. De ellos, 189 correspondieron a nuestra serie de pacientes intervenidos con diagnósticos de persistencia del conducto arterioso (PCA) (n = 164), comunicación interauricular (CIA) (n = 21) y comunicación interventricular (CIV) (n = 4). Los datos clínicos y demográficos fueron en PCA 3.4 años (0.7-15) y 10.2 kg (6.1-46), en CIA 7.2 años (6-15) y 17.5 kg (15-38), y en CIV 7.25 años (6-9) y 20.75 kg (16-27). Referente al tamaño de los defectos cardíacos, el promedio fue para PCA 4.3 mm, para CIA 19.1 mm y para CIV 6.75 mm. Los dispositivos más utilizados fueron Amplatzer PDA y ASD, y Occlutech PDA. La tasa de éxito fue adecuada: PCA 95%, CIA 90% y CIV 75%. Reportamos una baja incidencia de complicaciones y generalmente menores, como shunt residual y hemólisis.  Conclusiones: El manejo intervencionista de las cardiopatías congénitas con hiperflujo pulmonar es cada vez más frecuente con la disponibilidad de oclusores en nuestro medio, así como por el desarrollo de nuevos centros y el mayor entrenamiento de cardiólogos intervencionistas, lo que ha permitido mejores tasas de éxito y menor índice de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: In recent years, various occlusive devices have been developed that make it possible to avoid cardiac surgery in patients with congenital heart disease with pulmonary hyperflow.  Objective: To describe the experience in percutaneous closure in heart disease with hyperflow.  Material and methods: Through a descriptive, retrospective study, the medical records of patients undergoing cardiac intervention were reviewed, from 2016 to 2020.  Results: Of 706 procedures performed in this time, 35% corresponded to various therapeutic cases. Of these, 189 corresponded to our series of operated patients with diagnoses of PDA (n = 164), ASD (n = 21) and VSD (n = 4). The clinical and demographic data were: in PDA 3.4 years (0.7-15) and 10.2 kg (6.1-46), in ASD 7.2 years (6-15) and 17.5 kg (15-38), and in VSD 7.25 years (6-9) and 20.75 kg (16-27). Regarding the size of the heart defects, the average was 4.3 mm PDA, 19.1 mm ASD and 6.75 mm VSD. The most used occluding devices were Amplatzer PDA and ASD, and Occlutech PDA. The success rate was adequate, PDA 95%, ASD 90% and VSD 75%. We report a low incidence of complications and generally minor ones such as residual shunt and hemolysis.  Conclusions: The interventional management of the congenital heart diseases with pulmonary hyperflow is increasingly frequent with the availability of occlusive as well as the development of new centers and more training of interventional cardiologists, which has allowed better success rates and lower complication rate.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cardiopatía congénita]]></kwd>
<kwd lng="es"><![CDATA[Conducto arterioso persistente]]></kwd>
<kwd lng="es"><![CDATA[Cateterismo cardíaco]]></kwd>
<kwd lng="es"><![CDATA[Niños]]></kwd>
<kwd lng="en"><![CDATA[Congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[Patent ductus arteriosus]]></kwd>
<kwd lng="en"><![CDATA[Cardiac catheterization]]></kwd>
<kwd lng="en"><![CDATA[Children]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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