Pediatric Cardiac Interventions

Best pediatric cardiologist in Mumbai- Dr Supratim Sen. Senior Interventional Pediatric Cardiologist Dr Supratim Sen doing a complex cardiac intervention in the biplane cardiac cathlab

In the present era, a lot of structural interventions can be done in the cath-lab by minimally invasive techniques

Cath-lab procedures are as effective as surgery with faster recovery in these specific situations

Types of Pediatric Cardiac Interventions done by Dr Sen

  • PDA device/ coil closure
  • ASD Device closure
  • VSD Device closure
  • Balloon Pulmonary Valvotomy
  • Balloon Aortic Valvotomy
  • Balloon Mitral Valvotomy
  • Balloon atrial septostomy
  • Coarctation balloon angioplasty and stenting
  • PA stenting
  • RVOT stenting

Types of Neonatal Cardiac Interventions done by Dr Sen

  • Balloon Aortic Valvotomy
  • Balloon coarctoplasty
  • Balloon Pulmonary Valvotomy
  • Balloon atrial septostomy
  • PDA stenting
  • RVOT stenting

The PDA Stenting Program at SRCC Children’s Hospital

  • Dr Sen was instrumental in setting up the PDA stenting program at NH SRCC Children’s Hospital
  • In the last few years, we have done around 50 PDA stents in neonates with a weight of 2.5-3 kg, with excellent immediate and midterm results
  • We do most of our stenting with a hybrid carotid cutdown and flip-technique
  • PDA stenting is a life-saving intervention required in critically ill neonates with duct-dependent systemic circulation

Can heart holes (ASD/VSD) be closed without open-heart surgery?

Yes. Most ASDs and many VSDs can be closed using a minimally invasive procedure called Transcatheter Device Closure. Dr. Supratim Sen performs these in the cath lab without any surgical incisions, allowing the child to go home within 48 hours.

What is the success rate of pediatric cardiac interventions?

With modern technology and experienced hands at NH SRCC Children’s Hospital, the success rate for procedures like balloon valvotomy and device closures is extremely high, often exceeding 98%.

Will my child have a scar after a device closure?

No. Unlike open-heart surgery, interventional procedures are done through a tiny needle prick in the groin (femoral vein/artery). There are no permanent surgical scars.

Is there a minimum age/ weight for cath-lab interventions?

  • No for balloon angioplasty
  • Timing depends on the lesion and symptoms
  • Even a 1 kg preterm baby can undergo balloon dilation of coarctation or BPV/ BAV if indicated
  • For PDA device, special PDA device for preterm infants as small as 800 g
  • For VSD device, around 5-6 kg
  • For ASD device, around 10 kg

Transcatheter Interventions vs Open Heart Surgery

Advantages of Transcatheter Interventions

  • Quicker recovery
  • Less pain
  • Quicker discharge
  • No surgical scar
  • No cardiopulmonary bypass

Disadvantages/ Limitations of Transcatheter Interventions

  • Not all congenital heart defects can be treated with transcatheter interventions- surgery is the only option in many
  • Age and weight limitations
  • Delivery sheath size required vs patient’s vessel size

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As a lead interventional cardiologist at NH SRCC Children’s Hospital, Mumbai, Dr. Supratim Sen provides advanced cardiac interventions for children from all over India, including specialized care for families in South Mumbai, Haji Ali, and Worli.

Book at NH SRCC Children’s Hospital or via the link, the NH Care App

or email me on supratim@drsupratimsen.com for guidance on how to set up a pediatric cardiac video consult.

Dr. Supratim Sen | Senior Consultant Interventional Pediatric Cardiologist | NH SRCC Children’s Hospital, Mumbai.

Clinic: NH SRCC Children’s Hospital. 1, 1A Haji Ali Park. K Khadye Marg. Mahalakshmi. Mumbai- 400034