Transumbilical Balloon Atrial Septostomy in 16 Infants With Transposition of the Great Arteries

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Abstract
The accessibility of the umbilical vein for cardiac catheterization and BAS offers certain advantages over the use of the femoral vein in the newborn with transposition of the great arteries. The need for time-consuming dissection of the inguinal fossa is avoided and the femoral vein is spared for future studies. Complications such as infection and hemorrhage can be avoided by exercising proper caution. Our studies found essentially no difference in results when using the umbilical vein rather than the femoral vein approach for BAS in newborn infants with transposition of the great arteries.

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