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Le cathétérisme droit pédiatrique est un examen diagnostique de cardiologie interventionnelle qui consiste par le biais d'une voie veineuse périphérique de mesurer les pressions intracardiaques et pulmonaires et d'imager les anomalies structurelles. Il permet de mieux orienter les investigations étiologiques en cas d'hypertension pulmonaire et de déterminer le traitement médicamenteux et/ou interventionnel adéquat dans le cas de cardiopathie congénitale. Balloon catheter Multi-lumen catheter for performing right heart catheterization Right heart catheterization The catheter is introduced into the different right heart chambers to take pressure and angiography measurements. RIGHT HEART CATHETERIZATION in pediatrics What is right heart catheterization? Right heart catheterization, abbreviated as RHC, is a procedure performed to check the functioning of your heart muscle. During this procedure, readings of cardiac and arterial pressure are taken, and blood samples are collected to measure oxygen levels in the heart. This examination is useful for identifying the cause of pulmonary hypertension, determining its treatment, and deciding on heart surgery in the case of congenital heart diseases. Should the child be kept fasting? Absolutely. For children under 16, the examination is performed under general anesthesia to prevent them from moving during the examination. It is imperative that they fast for at least 6 hours for solids and 3 hours for liquids. We try to do the children first so as not to leave them fasting for a long time. Performing pediatric straight catheterization: Pediatric right catheterization is performed in the catheterization room. The child is laid flat and given general anesthesia so as not to move during the procedure. The doctor performs a venipuncture in the groin and inserts a thin balloon catheter. The catheter is guided to the different heart chambers, to take pressure measurements and take a few milliliters of blood for analysis. Depending on the initial results, they may need to be repeated a second time under high oxygen therapy combined with nitric oxide. At the end of the procedure, gentle compression is applied for about ten minutes at the groin level and then a pressure bandage is applied. The child is monitored in the recovery room until full consciousness is regained and then returned to the parents. Feeding is only allowed two hours after the end of the procedure to avoid the risk of choking. Discharge can be done the same day 4 hours after the end of the procedure. Are there any risks with right heart catheterization? Straight catheterization is safe and usually well tolerated, but there are still some risks. There may be bleeding at the insertion site, as well as pain and bruising. Additional heartbeats or palpitations (rapid heartbeats) may occur at the time the catheter is placed in the heart. It is very rare for this to cause problems, or to persist after the test is completed. The risk of serious complications is very rare (less than 1%). General anesthesia for congenital heart disease itself has its share of complications, but when the indication for right catheterization is established, the benefit of the examination far outweighs the risks. Cardiac catheterization Our location Make an appointment LUH les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us map Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission! Demande d'information

Les différentes solutions thérapeutiques interventionnelles aux pathologies cardiaques congénitales et acquises: Coronarographie, angioplastie coronaire, cathétérisme droit, dilatation de la valve aortique / pulmonaire / mitrale. Perforation de la valve pulmonaire, TAVI, fermeture de FOP / CIA / CIV / fuite périprothétique. Fermeture et stenting canal artériel persistant, manœuvre de Rashkind, stenting de coarctation de l'aorte, ablation septale, récupération au lasso, embolisation vasculaire. Dr Réda JAKAMY Interventional Structural Cardiologist Contact: : +212 (0) 6 22 22 26 31 info@jakamyheartcenter.com For our patients Welcome to Jakamy Heart Center! We are committed to providing the best care to all of our patients. Our mission is to ensure that you receive the highest quality treatment and personal attention throughout your medical journey. At Jakamy Heart Center, we understand that every patient is unique and requires personalized care. We are committed to addressing your specific needs and concerns, guiding you toward a successful recovery. Areas of expertise Pediatric and congenital invasive cardiology Structural invasive cardiology Invasive coronary cardiology Geriatric invasive cardiology Diseases treated in pediatric and congenital cardiology Transposition of the great arteries with neonatal cyanosis Congenital aortic valve stenosis Pulmonary valve stenosis Pulmonary atresia with intact ventricular septum Coarctation of the aorta Patent ductus arteriosus Atrial septal defect Ventricular septal defect MAPCAs and veno-venous collaterals Ductal-dependent congenital heart disease Pulmonary hypertension Diseases treated in structural cardiology Degenerative calcified aortic valve stenosis Rheumatic mitral stenosis Pulmonary valve stenosis Coarctation of the aorta Cryptogenic ischemic stroke Atrial septal defect Ventricular septal defect Patent ductus arteriosus Paravalvular leak Hypertrophic obstructive cardiomyopathy Accidental migration of intracardiac or vascular material Diseases treated in coronary cardiology Angina on exertion Myocardial infarction Diseases treated in geriatric cardiology Pulmonary hypertension Degenerative calcified aortic valve stenosis Paravalvular leak

La dilatation de la valve aortique est une procédure de cardiologie interventionnelle qui consiste à dilater au ballon la valve aortique. Chez le nouveau-né, c'est généralement un geste de sauvetage. Aortic valve stenosis Narrowing of the aortic valve restrict blood flow from the heart to the aorta and the rest of the body. Balloon dilatation of the aortic valve The balloon is inflated at the aortic valve to widen it. Balloon aortic valvuloplasty Angiographic image of aortic valve dilatation AORTIC VALVE DILATATION in pediatrics What is aortic valve dilatation? The aortic valve is one of the four valves of the heart and separates the left ventricle (the heart's pump) from the aorta (the largest blood vessel in the body). It allows blood to pass from the heart to the rest of the body. Narrowing of the aortic valve prevents blood from flow normally and becomes responsible for symptoms such as shortness of breath, angina, and heart failure. Aortic valve dilatation, also called aortic valvuloplasty, is offered in cases of aortic valve narrowing. It is usually a life-saving procedure in newborns, or scheduled in children. The goal of the procedure is to delay the need for heart surgery until adulthood. Performing aortic valve dilatation: Aortic dilatation is performed in the catheterization room. The child is laid flat and given general anesthesia so as not to move during the procedure. The doctor performs an arterial puncture in the groin and inserts a thin catheter. The catheter is guided to the heart. An inflatable balloon is positioned at the aortic valve. Then, the balloon is inflated to widen the valve and improve blood flow. At the end of the procedure, the groin is compressed for about ten minutes and then a pressure bandage is applied. The child is monitored in the recovery room until he or she is fully conscious and then returned to the parents. Feeding is only allowed two hours after the end of the procedure to avoid the risk of aspiration. Discharge is usually the next day after an ultrasound check. Are there any risks associated with aortic valve dilatation? Despite technical progress and the experience of doctors, cardiac catheterization to dilate the aortic valve involves, as with any invasive or surgical procedure, a risk of incidents or accidents: Allergic complications: Most often linked to the use of iodinated radiological products or local anesthetics. If you have already experienced allergic manifestations, it is imperative to inform your doctor. Complications at the puncture site of the artery: The most common complication is the formation of a bruise or hematoma at the puncture site which can persist for several days, but is usually without consequence. Also, we can cite thrombosis, that is to say the occlusion of the artery. Cardiac and vascular complications: During the examination, palpitations may occur due to a rhythm disorder. Serious complications include cardiac perforation and aortic valve tear. These are rare but not negligible in the context of the emergency and the low weight of the infant. What benefits can be expected from aortic valve dilatation? Aortic valve dilatation offers several benefits for the child: Normal height and weight growth. Improved exercise capacity: The child will have no limitations when playing and running. Improved cognitive abilities: The child will have fewer difficulties in learning and performing. What is the follow-up after aortic dilatation? Aortic valve dilatation, in the absence of significant leakage, gives good results over about ten years. Follow-up with the cardiologist is mandatory. The goal is to postpone the need for heart valve replacement surgery to the latest possible age. Aortic valve stenosis Balloon aortic valvuloplasty Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information map

L'ablation septale est une procédure de cardiologie interventionnelle qui consiste à boucher une branche d'une artère coronaire pour provoquer une nécrose localisée dans le muscle cardiaque. Elle est indiquée en cas d'obstruction à l'éjection cardiaque et permet de lever cet obstacle qui peut causer une mort subite. Obstructive hypertrophic cardiomyopathy Hypertrophic cardiomyopathy: the left ventricle is hypertrophic and has an obstruction at its exit to the aorta. Alcohol septal ablation Injection of ethanol into the septal artery to induce a localized infarction and relieve the obstruction to the aortic outflow tract. SEPTAL ABLATION What is septal ablation? Alcohol septal ablation is a technique aimed at treating obstructive hypertrophic cardiomyopathy. This procedure is performed if the symptoms are too severe to be managed with medication. In obstructive hypertrophic cardiomyopathy, there is a thickening of the septum (the wall) that separates the ventricles of the heart, which eventually obstructs general blood flow. Alcohol septal ablation induces a very small controlled heart attack in the area where the heart tissue is abnormally thick. During alcohol septal ablation, the damaged tissues are destroyed and replaced by thinner scar tissue, allowing normal blood flow to be restored from the heart. How is an ablation procedure performed? A local anesthetic is injected at the catheter insertion site. The patient is also given a blood thinner and a sedative, if necessary. A contrast agent is also given to help doctors guide the catheter inside the body using real-time X-rays and echocardiography. A thin catheter (tube) with a balloon at the end is inserted into a blood vessel in the groin and then guided to the heart using imaging techniques. When the catheter reaches the blocked artery, the balloon is inflated to stop blood flow. A small amount of pure alcohol is then injected through the catheter into the artery to destroy excess tissue blocking circulation. The patient may feel some discomfort or mild chest pain during this part of the procedure. A few minutes later, the balloon and catheter are removed. The patient then remains under observation in the hospital for a few days. Afterwards, he must limit his activities for a few months, until complete recovery. Follow-up visits are scheduled to assess healing and heart function. What are the risks of septal ablation? Despite technical progress in catheters, balloons, and the experience of doctors, percutaneous septal ablation, like any invasive or surgical procedure, carries a risk of incidents or accidents. Complications such as heart attack, serious heart rhythm disorders, stroke or coronary perforation are very rare. Exceptionally, emergency heart surgery may be necessary. Death is very rare. Puncture site complications - These have become rare. The most common complication is a hematoma that can persist for several days, but is usually harmless. More rarely, an artery may become blocked or injured and require surgical repair and/or a blood transfusion. Allergic complications - These are exceptional. Most often linked to iodinated contrast products or anesthetic products. If you have already had allergic manifestations, it is absolutely necessary to inform the doctor. Conductive risk - the septal region to be ablated is close to the conduction pathways of the heart and the risk of a high degree conduction disorder requiring the implantation of a pacemaker is not negligible and is 10%. Obstructive hypertrophic cardiomyopathy Alcohol septal ablation Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us map Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information

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La fermeture de communication interventriculaire CIV est une procédure de la cardiologie interventionnelle qui consiste à fermer une communication anormale entre les ventricules. Cette communication est généralement présente dès la naissance (congénitale) ou acquise. Elle permet d'éviter la chirurgie classique de fermeture par patch et les risques liés à la circulation extracorporelle. Ventricular septal defect Ventricular septal defect is a hole between the ventricles Ventricular septal defect closure devices VSD Closure Percutaneous closure of ventricular septal defect using a device VENTRICULAR SEPTAL DEFECT CLOSURE in pediatrics What is a ventricular septal defect? In the normal heart, the wall separating the right and left ventricles, called the " interventricular septum ", is completely hermetic. Ventricular septal defect (VSD) corresponds to the presence of a more or less large orifice in this wall, allowing the direct passage of blood from one ventricle to the other. VSDs in children are said to be congenital (i.e. present at birth). The consequences of this malformation depend essentially on its size. Depending on the medical assessment, catheterization of the right heart cavities may be proposed before deciding on percutaneous closure of the VSD. So why is the closure of the VSD being proposed? Ventricular septal defect closure offers several benefits for patients. Here are some of them: Restore normal circulation: Closing the VSD restores normal blood circulation. Oxygenated blood can then be distributed efficiently throughout the body, without overloading the lungs. Preventing complications: Persistence of VSD can lead to complications, such as lung infections, valve infections, heart failure, and pulmonary arterial hypertension . Improved quality of life: After VSD closure, patients often experience a significant improvement in their quality of life. Dyspnea during feeding decreases, and growth retardation seen in infants improves. Procedure of VSD Closure: The examination takes place in the interventional cardiology unit. The child is laid flat and given general anesthesia so as not to move during the procedure. The doctor performs a venous and arterial puncture in the groin and inserts a thin catheter. The catheter is guided to the heart. The device is deployed in the VSD to close it. At the end of the procedure, the groin is compressed for about ten minutes and then a pressure bandage is applied. The child is monitored in the recovery room until he or she is fully conscious and then returned to the parents. Feeding is only allowed two hours after the end of the procedure to avoid the risk of aspiration. Discharge is usually the next day after an ultrasound check. What are the complications of a VSD closure procedure? The higher the child's weight, the lower the risk, but despite the experience of the operators and the significant technical progress in catheters and devices, it is an invasive procedure with complications: allergic complications most often linked to the use of anesthesia products. Vascular complications at the femoral puncture site: the most common is a hematoma which results in a bluish appearance usually without consequence and disappearing after a few days. Rarely (<1% of cases), a vascular injury may require surgical repair or transfusion. cardiovascular complications during the hospital period : they are very rare (<0.5% of cases) of stroke, hemorrhagic effusion around the heart or displacement of the devices, which may require additional intervention, sometimes surgical. Cardiac complications after hospital discharge : Very rarely, displacement of the device or localized infection may occur. complications leading to death : they are very exceptional (<0.1%). It is important to note that these complications are rare, and the benefits of VSD closure usually outweigh the risks. Ventricular septal defect Ventricular septal defect closure Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Demande d'information map

Le stenting du canal artériel est une procédure néonatale d'urgence dans les cardiopathies cyanogènes. Elle consiste à mettre un stent dans le canal artériel pour le garder ouvert et ainsi maintenir un débit suffisant au développement des artères pulmonaires. Normal heart Pulmonary atresia with intact ventricular septum The communication between the right ventricle and the pulmonary artery is closed. Blood goes from the right heart to the left heart through the foramen ovale. The ductus arteriosus is the only source of vascularization of the pulmonary circulation. Coronary stent Actual size of a stent used to keep the ductus arteriosus open. DUCTUS ARTERIOSIS STENTING in the newborn What is the ductus arteriosus? The ductus arteriosus is a normal connection between the aorta and the pulmonary artery in the fetus, allowing blood to bypass the lungs and go directly to its organs. However, after birth, blood must be oxygenated by the lungs, and the ductus arteriosus closes quickly, usually within a few days to two weeks. In some congenital pathologies (such as the example on the right of pulmonary atresia with intact ventricular septum ) affecting the pulmonary circulation, the lungs do not receive enough blood flow which causes desaturation in the newborn with a risk of death in the very short term. The ductus arteriosus then allows to maintain a sufficient supply of blood flow to the pulmonary circulation. To keep it open, stenting of the ductus arteriosus can be proposed. So why is ductus arteriosus stenting proposed? There are three ways to maintain sufficient flow to the pulmonary circulation: drug method: prostaglandin infusion. The advantage is the absence of invasive procedures. The disadvantage is the countless side effects of the medication. It is not advisable to leave it for more than a week. Interventional method: stenting of the ductus arteriosus. The advantage is that it is an invasive procedure without surgery. The disadvantage is the complications of the femoral arterial route. Surgical method: Blalock surgery. The advantage is that it is the oldest method. The disadvantage is the complications of surgery. Stenting of the ductus arteriosus in surgically risky situations may be the best alternative. Procedure for Stenting the Arterial Duct: The examination takes place in the interventional cardiology unit. The child is laid flat and placed under general anesthesia to prevent movement during the procedure. The doctor performs an arterial puncture in the groin area and inserts a thin catheter. The catheter is guided to the heart. The stent is deployed in the arterial duct to keep it open. At the end of the procedure, pressure is applied to the groin area for about ten minutes, and a compressive bandage is placed. The child is monitored in the recovery room until they fully regain consciousness and are then returned to their parents. Feeding is only allowed two hours after the end of the procedure. What are the complications of a ductus arteriosus stenting procedure? Despite the experience of the operators and the significant technical progress concerning catheters and prostheses, this is an invasive procedure involving risks: allergic complications most often linked to the use of anesthesia products. Vascular complications at the femoral puncture site: the most common is a hematoma, which results in a bluish appearance that is usually harmless and disappears after a few days. Sometimes, a vascular injury may require surgical repair or transfusion. Thrombosis of the artery may also occur. Complications leading to death : They are not rare, but the natural evolution of these pathologies leads to death in the very short term in the absence of intervention. Stenting remains a life-saving procedure. What benefits can be expected after ductus arteriosus stenting? Stenting of the ductus arteriosus allows normal height and weight growth, to be expected for a few months, after the next surgical step of correction of the congenital heart disease. Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Demande d'information map

La récupération au lasso est une procédure de cardiologie interventionnelle qui consiste à retrouver du matériel embolisé dans la circulation sanguine. C'est une procédure sous anesthésie locale et évite le risque d'une chirurgie cardiaque ou vasculaire. LASSO SNARING What is a snare and what can it be used for? The snare is a catheter with a loop at its end that is intended for the recovery of intravascular or intracardiac material. The snare is generally used to retrieve the ends of central catheters or implantable chambers that have become detached, as illustrated below. How does a snaring procedure work? The procedure is performed under local anesthesia with the puncture at the groin or jugular level. A catheter is introduced to the material to be extracted then the snare is used to catch it and remove it. The procedure lasts about an hour. Discharge is possible the same day after a monitoring time determined by the doctor. What are the risks of the procedure? The risks are very low and related to any catheterization procedure. One can cite the hematoma at the puncture site especially. That said, the risk of remaining with intravascular material exceeds that of the snaring procedure. Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank you for your submission ! Demande d'information map

L'hypertension pulmonaire est une pathologie qui résulte de l’augmentation de la pression artérielle dans l’artère pulmonaire. Elle peut être de causes multiples et le diagnostic est réalisé grâce au cathétérisme droit. Normal heart and lungs "The pulmonary arteries are of normal caliber Pulmonary hypertension The pulmonary arteries are narrowed PULMONARY HYPERTENSION What is pulmonary hypertension? The heart is a complex organ composed of several chambers and blood vessels. It works closely with several organs, including the lungs. The right heart pumps oxygen-poor blood to the lungs through the pulmonary artery. Pulmonary hypertension develops when there is an increase in pressure in the pulmonary vessels. This increase in pressure directly affects the right heart, as it has to work harder to eject the blood. The right heart then becomes larger, its cardiac muscle thicker and less functional. As the disease progresses and the heart becomes increasingly overloaded, shortness of breath becomes significant, and lower limb edema appears. Pulmonary hypertension is secondary when it is caused by an underlying disease: a heart disease, lung parenchyma, or pulmonary vessels. When no cause can be established, it is referred to as primary pulmonary hypertension. How is pulmonary hypertension diagnosed? The diagnosis of pulmonary hypertension is suspected by cardiac ultrasound. To confirm the diagnosis, you will be offered a catheterization of the right heart chambers (more commonly called right catheterization or right KT) . Attached is the link for the Adult Right Catheterization . Attached is the link for the Pediatric Right Catheterization . Is it necessary to do the right heart catheterization ? It is important to do this for several reasons: Confirm or rule out the diagnosis of pulmonary hypertension. Determining the origin of pulmonary hypertension and paving the way for specific treatments Establish the surgical indication in cases of pulmonary hypertension secondary to congenital heart disease . Pulmonary hypertension Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us

La coronarographie est un examen diagnostique qui permet de visualiser les artères coronaires et rechercher des obstructions. The coronary arteries "The coronary arteries originate at the base of the aorta and divide into two parts: a left coronary network and a right coronary network. Coronary angiography image Coronary arteries of the left network. CORONAROGRAPHY Why are you being offered a coronary angiography? Coronary artery disease can cause angina (chest pain), myocardial infarction, heart failure (which often results in shortness of breath) and can eventually lead to death. The progression can be largely slowed down by appropriate treatment, so it is important to make an accurate diagnosis. Coronary angiography allows us to make an accurate assessment of the damage to your coronary arteries (narrowing or occlusion) by means of an X-ray examination. Performing coronary angiography: Coronary angiography is performed in the catheterization room. The patient is conscious and lying flat. The doctor performs an arterial puncture under local anesthesia at the wrist or groin. It is from this route that the doctor introduces the probes to explore the coronary arteries. The examination is not painful and lasts on average 30 minutes. In the absence of complications, the patient returns to his room and is monitored for 2 to 4 hours until discharge. Are there any risks associated with coronary angiography? Despite technical progress and the experience of doctors, cardiac catheterization and coronary arteriography, as with any invasive or surgical procedure, carry a risk of incidents or accidents: Allergic complications: Most often linked to the use of iodinated radiological product or local anesthetic. If you have already had allergic manifestations, it is imperative to inform your doctor. Complications at the artery puncture site: The most common complication is the formation of a bruise or hematoma at the puncture site which may persist for several days, but is usually without consequence. Cardiac and vascular complications: During the examination, discomfort, chest pain, palpitations related to a rhythm disorder may occur. Serious complications are very rare. As an indication, in a review published in the medical literature, on a large series of patients, we note a risk of death of 0.2/1000, of neurological disturbances (notably paralysis) of 0.4/1000, of myocardial infarction of 0.3/1000. Other less severe complications have been reported, their frequency is less than 1%. What benefits can be expected from coronary angiography? Depending on the results of the coronary angiography and the overall clinical assessment, medications may be prescribed to you. Based on the observed lesions, it is possible that a revascularization procedure will be proposed after discussion with your cardiologist and/or your primary care physician: coronary artery bypass surgery or coronary angioplasty . Coronary angiography will help determine the most appropriate treatment for your condition, in order to reduce the risk of future complications and improve your quality of life. Coronary angiography Our location Make an appointment LUH Ambassadors : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Demande d'information Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer all your questions. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank you for your submission ! map

La fermeture de foramen ovale (FOP) perméable est une procédure de cardiologie interventionnelle qui consiste à placer une prothèse de part et d'autre du septum interauriculaire pour fermer le tunnel de communication entre les oreillettes. C'est une procédure réalisée sous AG dont l'objectif est de réduire la survenue des accidents vasculaires cérébraux. Patent foramen ovale Opening of the patent foramen ovale with passage of blood from the right atrium to the left atrium. Double disc device for closing PFO PFO device, composed of a flexible metal alloy (Nickel and Titanium). PFO closure with a double disc device PFO closure device is used to close the PFO. CLOSURE OF THE PATENT FORAMEN OVALE (PFO) Why are you being offered a closure of the PFO? The foramen ovale is a passage in the septum separating the two atria of the heart present at the embryonic stage of life and which closes spontaneously shortly after birth. It may happen that this closure does not occur or reopens (this is called a "patent" foramen ovale) and is responsible for symptoms in adulthood, the most serious of which is stroke, a neurological complication requiring closure of the PFO to prevent a recurrence. Performing the closing gesture: Your test will take place in the interventional cardiology unit. When you are admitted to the cardiology department, you will be asked to put on a hospital gown. You will need to remove all jewelry, underwear and socks. A small area of your groin will be shaved which will be the entrance route for the examination. A stretcher-bearer will take you to the catheterization room in your bed. You will be helped onto a narrow, hard table. It will be a little cold in the room. Around you, you will see X-ray machines and monitors. Small sticky patches will be placed on your chest. These will be connected to a heart monitoring machine. Your body will be covered with a large sterile drape. General anesthesia will begin. The procedure involves implanting a device comprising two metal mesh discs connected by a small connector and positioned on either side of the septum between the two atria to make it watertight. This flexible device is implanted by cardiac catheterization via a puncture of the femoral vein. This procedure is performed with ultrasound guidance (usually via transthoracic or transesophageal route), requiring general anesthesia or simple sedation. In more than 80% of cases, communication between the two atria disappears completely just after the implantation of the device. In other cases, the closure will be effective in the following weeks. You will be asked to lie down for a few hours after the procedure. You will generally be discharged the day after the procedure after a transthoracic ultrasound scan. Can I eat and drink before this test? You must be more than 12 hours before the exam. We try to respect the order and time of passage according to the organization of the day. However, depending on the emergencies of the day, the duration of the interventions of the day, it is possible to have a waiting time of several hours. What are the expected benefits? In large-scale studies, PFO closure combined with antiplatelet therapy reduces the risk of recurrent stroke by approximately 60% compared with antiplatelet therapy alone (most commonly low-dose aspirin). What are the risks involved? Despite the experience of the operators and the significant technical progress concerning catheters and devices, this is an invasive procedure involving risks: Allergic complications most often linked to the use of anesthesia products. Vascular complications at the femoral puncture site: the most common is a hematoma which results in a bluish appearance usually without consequence and disappearing after a few days. Rarely (<1% of cases), a vascular injury may require surgical repair or transfusion. Cardiovascular complications during the hospital period: they are very rare (<0.5% of cases) of stroke, hemorrhagic effusion around the heart or displacement of the device, which may require additional intervention, sometimes surgical. Cardiac complications after hospital discharge: the most common complication is the occurrence of palpitations linked to a rhythm disorder (<5% of cases): generally early (first weeks) and transient, this arrhythmia may require an action or additional treatment if it persists. Much more rarely (<0.5% of cases), the formation of clots on the device or a displacement of the device may occur. Complications leading to death : these are very exceptional (<0.1%). What follow-up after the device implantation? The implantation of the device requires taking antiplatelet treatment for a minimum period of 6 months, which is generally continued at a lower dose in the long term. No special physical or professional precautions are necessary after implantation of the device. This device also does not contraindicate any future exploration or intervention. Antibacterial prophylaxis will be offered in the event of risky extracardiac procedures during the 6 months following implantation of the device. An ultrasound follow-up will be offered between 6 and 12 months to ensure the absence of significant residual communication between the 2 atria. Patent foramen ovale closure Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Vérifier votre assurance Request for informations Contact us thank you for your submission ! Demande d'information map

La fermeture de la communication interauriculaire (CIA) est une procédure de cardiologie interventionnelle qui consiste à fermer à l'aide d'une prothèse la communication entre les oreillettes. C'est une procédure sous anesthésie générale chez l'enfant éligible qui permet d'éviter les risques d'une chirurgie de fermeture par patch sous circulation extracorporelle. Atrial septal defect The ASD is a hole between the atria ASD closure device The device is an alloy of flexible metals (nickel and titanium). It contains a PTFE (Teflon) coating to make it waterproof. ASD Closure The device is implanted between the two atria to close the ASD. ATRIAL SEPTAL DEFECT CLOSURE in pediatrics What is an atrial septal defect closure? An atrial septal defect (ASD) is a hole in the septum separating the two atria of the heart that is present at the embryonic stage and does not close after birth. Depending on the size of the ASD, it can cause discomfort during exercise from a young age or only appear in adulthood after the age of thirty. It can also cause a stroke, a neurological complication that requires its closure to prevent a recurrence. In children, the indication for closure is made when the weight has reached 20 - 25 kilos to limit complications related to the device that is too large. ASD Closure procedure: The child must fast for 12 hours before the examination. The ASD is closed in the catheterization room. The child is laid flat and given general anesthesia so as not to move during the procedure and to allow the transesophageal ultrasound. The doctor performs a venipuncture in the groin and inserts a thin catheter. The catheter is guided to the heart. The device is positioned through the interatrial septum. At the end of the procedure, the groin is compressed for about ten minutes and then a pressure bandage is applied. The child is monitored in the recovery room until he or she is fully conscious and then returned to the parents. Food is only allowed two hours after the end of the procedure to avoid the risk of aspiration. Discharge is generally the next day after an ultrasound check. What are the expected benefits? Closing the CIA will balance the volumes between the heart chambers and reduce the dilation of the heart and therefore eliminate discomfort during exercise. What are the risks involved? Despite the experience of the operators and the significant technical progress concerning catheters and devices, this is an invasive procedure involving risks: allergic complications most often linked to the use of anesthesia products. Vascular complications at the femoral puncture site: the most common is a hematoma which results in a bluish appearance usually without consequence and disappearing after a few days. Rarely (<1% of cases), a vascular injury may require surgical repair or transfusion. cardiovascular complications during the hospital period : they are very rare (<0.5% of cases) of stroke, hemorrhagic effusion around the heart or displacement of the devices, which may require additional intervention, sometimes surgical. Cardiac complications after hospital discharge : the most common complication is the occurrence of palpitations linked to a rhythm disorder (<5% of cases): generally early (first weeks) and transient, this arrhythmia may require an action or additional treatment if it persists. Much more rarely (<0.5% of cases), the formation of clots on the device or a displacement of the device may occur. complications leading to death : they are very exceptional (<0.1%). What follow-up after the device implantation? The implantation of the device requires taking a double antiplatelet treatment for a period of three to six months. No special physical or professional precautions are necessary after implantation of the prosthesis. This device also does not contraindicate any future exploration or intervention. Antibacterial prophylaxis will be offered in the event of risky extracardiac procedures during the 6 months following implantation of the device. Atrial septal defect closure Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information map