{"id":9374,"date":"2025-11-18T12:17:26","date_gmt":"2025-11-18T08:17:26","guid":{"rendered":"https:\/\/medscriptum.org\/qarthuli-pediatriuli-interventsiuli-kardiologiisthvis-gadadgmuli-mnishvnelovani-nabiji-eqim-nikoloz-labartqhavas-publikatsia\/"},"modified":"2025-11-18T12:22:53","modified_gmt":"2025-11-18T08:22:53","slug":"qarthuli-pediatriuli-interventsiuli-kardiologiisthvis-gadadgmuli-mnishvnelovani-nabiji-eqim-nikoloz-labartqhavas-publikatsia","status":"publish","type":"post","link":"https:\/\/medscriptum.org\/en\/qarthuli-pediatriuli-interventsiuli-kardiologiisthvis-gadadgmuli-mnishvnelovani-nabiji-eqim-nikoloz-labartqhavas-publikatsia\/","title":{"rendered":"A Major Step Forward for Georgian Pediatric Interventional Cardiology"},"content":{"rendered":"

On November 5, 2025, an important milestone was achieved for Georgian pediatric
\ncardiology when a medical research paper by Dr. Nikoloz Labartkava, titled \u201cHybrid
\nProcedures in the Management of Hypoplastic Left Heart Syndrome,\u201d was published by
\nCambridge University Press in Cardiology in the young<\/a>. one of the world\u2019s leading
\nmedical-scientific journals. This journal is widely recognized for its excellence in congenital and pediatric cardiovascular. medicine. The article, \u201cHybrid Procedures in the Management of Hypoplastic Left Heart Syndrome,\u201d is the first study by a Georgian author in the field of pediatric interventional cardiology to be published in an internationally recognized journal.<\/p>\n

Dr. Labartkava conducted this research in Italy, at the University of Bergamo and the
\nBambino Ges\u00f9 Pediatric Hospital in Rome. He holds an international Master\u2019s degree in
\ncardiology and cardiac surgery techniques, jointly awarded by the University of Bergamo
\nand the University of Milano-Bicocca. This publication is significant not only for its scientific contribution but also because it\u00a0highlights the ability of Georgian researchers to advance pediatric interventional cardiology in Georgia and to contribute meaningfully to global discourse in the field.<\/p>\n

The Study and Its Scientific Significance<\/strong><\/span><\/h1>\n

Hypoplastic left heart syndrome (HLHS) remains one of the most complex and high-risk
\ncongenital heart defects, accounting for approximately 2\u20133% of all congenital heart
\nmalformations. The Norwood procedure is considered the standard palliative treatment approach. It involves extensive surgical reconstruction during the very first days of life. Despite improvements achieved over decades, this procedure still carries substantial risks due to its invasive nature and the challenges of cardiopulmonary bypass in neonates, including early mortality and neurological complications.
\nIn recent years, hybrid procedures have emerged as a potential alternative to the Norwood
\nprocedure. Hybrid approaches combine limited surgical and interventional (minimally
\ninvasive) techniques, such as bilateral pulmonary artery banding and stenting of the patent
\nductus arteriosus.<\/p>\n

Dr. Labartkava\u2019s work brings together eleven (11) major international studies involving a
\ntotal of 934 neonates with HLHS, of whom 371 underwent the hybrid procedure and 563
\nunderwent the Norwood procedure. The study is a high-quality, reliable, and well-structured synthesis that analyzes the effectiveness and safety of hybrid approaches, specifically their mortality rates and long-term outcomes in the management of HLHS.
\nThe analysis showed that long-term survival rates at one, three, and five years were
\ncomparable between hybrid procedures and traditional surgical methods. It also found no
\nsignificant difference in mortality between the hybrid and Norwood procedures when
\nadjusted for neonatal weight.The publication further emphasized the necessity of
\nstandardized protocols, refinement of patient-selection criteria, and additional long-term
\nresearch aimed at optimizing outcomes.
\nBy consolidating existing data within a comparative framework, this systematic review fills
\nan important gap in the current literature. Dr. Nikoloz Labartkava\u2019s research represents a
\npractically valuable overview that will contribute meaningfully to contemporary knowledge
\nin pediatric interventional cardiology.<\/p>\n

Significance of the Study for Georgia<\/strong><\/span><\/h1>\n

The publication of a Georgian physician\u2019s research in Cardiology in the Young marks a
\nsignificant milestone for the country\u2019s medical and scientific community. It reflects the
\nongoing development of the field in Georgia and demonstrates the successful integration of
\nGeorgian researchers into the global academic sphere. This achievement sets an important
\nprecedent for the future international recognition of Georgian physicians.
\nFor Georgian pediatric interventional cardiology, this accomplishment represents tangible
\nprogress in both scientific capacity and clinical advancement. By examining the role of
\nhybrid procedures in the management of congenital heart defects, the study helps raise
\nawareness of minimally invasive techniques within Georgia and underscores the importance
\nof multidisciplinary collaboration among cardiologists, cardiac surgeons, and
\nanesthesiologists. Moreover, the publication serves as an inspiring example for young Georgian physicians and researchers. It demonstrates that academic rigor, dedication, and adherence to international standards can lead to impactful, globally recognized contributions.<\/p>\n","protected":false},"excerpt":{"rendered":"

On November 5, 2025, an important milestone was achieved for Georgian pediatric cardiology when a medical research paper by Dr. Nikoloz Labartkava, titled \u201cHybrid Procedures in the Management of Hypoplastic Left Heart Syndrome,\u201d was published by Cambridge University Press in Cardiology in the young. one of the world\u2019s leading medical-scientific journals. This journal is widely […]<\/p>\n","protected":false},"author":9,"featured_media":9372,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1651,1594,1635,1657,1633],"tags":[],"class_list":["post-9374","post","type-post","status-publish","format-standard","has-post-thumbnail","category-insight","category-news","category-pediatrics","category-science","category-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts\/9374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/comments?post=9374"}],"version-history":[{"count":2,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts\/9374\/revisions"}],"predecessor-version":[{"id":9378,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts\/9374\/revisions\/9378"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/media\/9372"}],"wp:attachment":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/media?parent=9374"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/categories?post=9374"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/tags?post=9374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}