Congenital Heart Disease 
Congenital heart disease is a kind of abnormal diseases of the heart, vascular structure and function that exist at birth due to abnormal fetal development of normal heart and vascular tissue caused by various reasons, such as pulmonary artery stenosis, atrial septal defect, patent ductus arteriosus, etc.Pulmonary stenosis accounts for about 10% of congenital heart disease. Ductal artery - dependent congenital heart disease belongs to the category of complex congenital heart disease.The newborn of this kind of disease often has severe systemic circulation or pulmonary circulatory system involvement because it is difficult to bear the transition from fetal circulation to postnatal circulation, and its survival must rely on a variety of somato-pulmonary shunt, especially rely on the opening of ductus arteriosus to maintain the appropriate systemic circulation and pulmonary circulation.This type of congenital heart disease that relies on ductus arteriosus to maintain circulation is collectively referred to as "ductle-dependent congenital heart disease".
Congenital heart disease is a kind of abnormal diseases of the heart, vascular structure and function that exist at birth due to abnormal fetal development of normal heart and vascular tissue caused by various reasons, such as pulmonary artery stenosis, atrial septal defect, patent ductus arteriosus, etc.Pulmonary stenosis accounts for about 10% of congenital heart disease. Ductal artery - dependent congenital heart disease belongs to the category of complex congenital heart disease.The newborn of this kind of disease often has severe systemic circulation or pulmonary circulatory system involvement because it is difficult to bear the transition from fetal circulation to postnatal circulation, and its survival must rely on a variety of somato-pulmonary shunt, especially rely on the opening of ductus arteriosus to maintain the appropriate systemic circulation and pulmonary circulation.This type of congenital heart disease that relies on ductus arteriosus to maintain circulation is collectively referred to as "ductle-dependent congenital heart disease".
Congenital Heart Disease 
Patients with mild pulmonary stenosis are generally asymptomatic, but the symptoms gradually appear with age, mainly manifested as poor labor endurance, fatigue, and palpitations and shortness of breath after fatigue. People with severe stenosis may have dizziness or fainting after strenuous exercise. In advanced cases, symptoms of right heart failure such as jugular vein enlargement, liver enlargement, and lower extremity edema may occur. Newborns with ductus arteriosus dependent congenital heart disease may have no obvious symptoms after birth, and their clinical signs are also more concealed. However, with the sudden decrease of pulmonary vascular resistance and the significant increase of pulmonary blood flow, the symptoms will also appear . When the ductus arteriosus contraction occurs hours or days after birth, the infant is at high risk of death due to severe onset, shock, or circulatory failure.
描述
Ductus arteriosus dependent congenital heart disease
Infants with ductus arteriosus dependent congenital heart disease often require palliative care at an early stage to enhance or establish stable pulmonary blood flow channels until appropriate time for surgical repair
BT shunt: This operation is to establish a pipeline between the pulmonary artery and the aorta to shunt part of the systemic blood to the pulmonary circulation, increase the pulmonary circulation blood flow and improve the amount of oxygenated blood returning to the left heart, thereby reducing the bruising symptoms.
Stent: Through the percutaneous catheter intervention, the balloon stent system is delivered to the ductus arteriosus that has not been closed. The balloon is inflated to expand the stent. The stent supports the ductus arteriosus to maintain its long-term opening. The ductus arteriosus is closed after other congenital heart disease is corrected.

Pulmonary stenosis
Surgical treatment: The surgical patch enlarges the stenosis of pulmonary artery, but it is easy to be compressed by the aortic arch in different degrees due to the patch material and the anatomical structure of the left and right pulmonary artery branches. After the operation, the stenosis often occurs again, and the reoperation rate is 30% - 40% .
Balloon angioplasty: Femoral vein cannulation under general anesthesia or local anesthesia, the balloon catheter is delivered to the stenosis of the blood vessel through interventional technology. The pressure of the dilated balloon applied a certain pressure to the occluded lesion site of the artery, so as to expand the lumen of the artery to restore the blood flow. Balloon angioplasty has a much lower immediate success rate than scaffolding and has a higher restenosis rate.
Stent: The balloon stent system is delivered to the stenosis of the blood vessel through minimally invasive interventional technology. The stent is expanded with balloon inflation. The diameter of the stent after implantation into the blood vessel depends on the size of the expanding balloon and can be expanded again as needed to increase its diameter, so it can be used for the treatment of pulmonary artery stenosis in infants and young people.
1.IBS AngelTM iron-based absorbable scaffold system has the following features:
1) Using iron-based materials with good biocompatibility to improve the radial support strength while significantly reducing the thickness of the scaffold;
2) Innovation of surface composite coating:
Polylactic acid coating: accelerate the corrosion of the iron  and reduce the production of solid corrosion products;
Zinc corrosion inhibition layer: zinc corrosion inhibition layer is introduced between the scaffold matrix skeleton and the polylactic acid coating to slow down the early corrosion rate of the iron matrix. In the early stage,  the effective mechanical support can be maintained and the early fracture of the scaffold can be avoided.

2. Compared with the mainstream permanent metal stents:
A) it avoids the short-term and long-term risks associated with the permanent retention of the implant in the body, such as long-term inflammation, displacement and restenosis caused by the long-term stimulation of foreign bodies;
B) long-term dual antibody is not required to reduce the financial burden of patients and the risk of bleeding disease;
C) avoid the risk of stimulation or even perforation of blood vessels caused by long-term fatigue fracture;
D) to avoid long-term inflammation, displacement and restenosis caused by long-term stimulation of foreign bodies;
E) medical examination, the degradation of the stent does not affect imaging examination such as MRI, CT, etc.;
F) small profile, small external diameter stent can be implanted with 4F conveying sheath, which will not cause damage to the blood vessels of infants;
G) the degradation of iron-based absorbable stents makes it easier to perform Ductus arteriosus ligation, and can even avoid the trauma and surgical risk to the patient caused by the removal of the stents by reoperation;
H) after the degradation of iron-based absorbable scaffolds, the development of pulmonary blood vessels will no longer be bound and thickened. Patients do not have to bear the trauma, pain and economic loss of having to undergo secondary intervention to reexpand or surgical removal of the stents after the implantation of permanent metal stents.

3.Compared to absorbable polymer scaffolds
A)the safety and efficacy were inferior to that of the early stage of the permanent stent, and the incidence of thrombosis in the middle stage was higher than that of the permanent stent;Limited plasticity;Acute retraction;Poor overexpansion performance; higher strut thickness..
B) few specifications: due to the limitation of the properties of the intrinsic materials of polylactic acid, on the premise of ensuring the mechanical properties, the scaffold  is relatively thick with few specifications, which can only cover 8% or even lower patients with simple lesions in the permanent stent group.
C) strict operational requirements: due to the limitation of the properties of polylactic acid intrinsic materials and the poor mechanical properties of scaffolds, polylactic acid scaffolds can only be applied to simple lesions, while for highly calcified blood vessels, it is necessary to remove calcified plaques in advance to put scaffolds;Adequate balloon predilation was performed on the diseased vessels before stent implantation, and the stent should be slowly expanded, otherwise the stent will break.
D) polylactic acid scaffold double resistance for a long time, not only increase the cost, but also bring bleeding complications.
E) high storage and transportation requirements
Drug treatement
After the operation, the doctor will prescribe antithrombotic drugs. These drugs are designed to reduce the risk of new scaffolds or blood clots on the scaffold. Be sure to follow the doctor's instructions to use these drugs. In addition, doctors may prescribe drugs that improve heart health. The functions of these drugs include controlling blood pressure, blood sugar and cholesterol levels. Taking these drugs, as well as lifestyle changes, can effectively slow the progression of cardiovascular disease and reduce the possibility of future thrombosis.

Lifestyle change
Patients usually need to rest for 3 to 6 months after surgery. During the rest, Patients can adhere to appropriate physical activities, control emotions, and gradually increase the amount of activity, in order not to feel chest tightness and panic. Patients should ensure adequate sleep every day, maintain a happy spirit, avoid emotional excitement, in case of increased heart load. Pay attention to maintaining a healthy diet.

Regular medical examination
Regular medical check-ups at the hospital will help doctors track the patient's progress and study any successful experiences or problems encountered during recovery. Doctors also hope to understand any changes in symptoms and the patient's response to medications and lifestyle changes, so as to help patients better improve heart health problems by adjusting medications or recommended programs.
1. Patient age 
2. Whether the patient has other health conditions 
3. Patients with antiplatelet and/or anticoagulant contraindications 
4. Patients who cannot receive angioplasty at the implantation site with adequate balloon dilation or scaffold placement 
5. Patients with iron metabolism disorder or iron overload 
6. Allergic to polylactic acid and its degradation products 
7. Allergic to zinc, iron and their corrosion products 
8. Allergic to contrast media
描述