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Cardiac catheterization in the early post-operative period after congenital cardiac surgery.
- Source :
-
JACC. Cardiovascular interventions [JACC Cardiovasc Interv] 2014 Dec; Vol. 7 (12), pp. 1437-43. - Publication Year :
- 2014
-
Abstract
- Objectives: This study sought to demonstrate that early cardiac catheterization, whether used solely as a diagnostic modality or for the use of transcatheter interventional techniques, can be used effectively and with an acceptable risk in the post-operative period.<br />Background: Cardiac catheterization offers important treatment for patients with congenital heart disease. Early post-operative cardiac catheterization is often necessary to diagnose and treat residual anatomic defects. Experience with interventional catheterization to address post-operative concerns is limited.<br />Methods: This was a retrospective cohort study. The medical and catheterization data of pediatric patients who underwent a cardiac catheterization ≤30 days after congenital heart surgery between November 2004 and July 2013 were reviewed. Patients who underwent right heart catheterization and endomyocardial biopsy after heart transplantation were excluded.<br />Results: A total of 219 catheterizations (91 interventional procedures, 128 noninterventional catheterizations) were performed on 193 patients. Sixty-five interventions (71.43%) were dilations, either balloon angioplasty or stent implantation. There was no difference in survival to hospital discharge between those who underwent an interventional versus noninterventional catheterization (p = 0.93). One-year post-operative survival was comparable between those who underwent an intervention (66%) versus diagnostic (71%) catheterization (p = 0.58). There was no difference in the incidence of major or minor complications between the interventional and diagnostic catheterization cohorts (p = 0.21).<br />Conclusions: Cardiac catheterization, including transcatheter interventions, can be performed safely in the immediate post-operative period after congenital heart surgery.<br /> (Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Child
Child, Preschool
Heart Defects, Congenital mortality
Humans
Infant
Postoperative Care
Postoperative Complications diagnosis
Postoperative Complications mortality
Predictive Value of Tests
Retrospective Studies
Stents
Time Factors
Treatment Outcome
Angioplasty, Balloon, Coronary adverse effects
Angioplasty, Balloon, Coronary instrumentation
Angioplasty, Balloon, Coronary mortality
Balloon Occlusion adverse effects
Balloon Occlusion mortality
Cardiac Catheterization adverse effects
Cardiac Catheterization instrumentation
Cardiac Catheterization mortality
Cardiac Surgical Procedures adverse effects
Cardiac Surgical Procedures mortality
Heart Defects, Congenital surgery
Postoperative Complications therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1876-7605
- Volume :
- 7
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- JACC. Cardiovascular interventions
- Publication Type :
- Academic Journal
- Accession number :
- 25523535
- Full Text :
- https://doi.org/10.1016/j.jcin.2014.06.022