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Utility and Safety of Combined Interventional Catheterization and Electrophysiology Procedures in a Children's Hospital

Authors :
Athar M. Qureshi
Caridad M. de la Uz
S. Yukiko Asaki
Henri Justino
Christina Y. Miyake
Santiago O. Valdes
Jeffrey W. Orcutt
Jeffrey J. Kim
Source :
Pacing and Clinical Electrophysiology. 40:661-666
Publication Year :
2017
Publisher :
Wiley, 2017.

Abstract

BACKGROUND Interventional cardiac catheterization (cath) and electrophysiology (EP) procedures are not routinely performed together. There are several perceived barriers affecting this practice, though there are also advantages for both the patient and practitioner to a combined approach. METHODS This was a single-center retrospective study reviewing combined cath and EP procedures with a preprocedural intention to intervene at Texas Children's Hospital from 2001 to 2014. We excluded procedures in which the intended procedure was purely diagnostic in nature. RESULTS A total of 121 patients requiring 125 procedures were identified, of which 61 patients underwent 62 procedures that met our inclusion criteria. Potential subgroups of interest included adult congenital heart disease patients (26% of cohort), single ventricle anatomy (34%), and heterotaxy (19%) and collectively 58% of procedures involved a patient in one of these groups. The combined nature of the procedure did not preclude a cath or EP intervention in any patient. There were no mortalities. There were three adverse events, affecting 4.8% of procedures. CONCLUSIONS Combined interventional cardiac cath and EP procedures in pediatric patients and those with congenital heart disease can be performed safely in a high-volume center. These combined procedures save patients the risk and inconvenience of multiple procedures, and further investigation into cost savings is warranted.

Details

ISSN :
01478389
Volume :
40
Database :
OpenAIRE
Journal :
Pacing and Clinical Electrophysiology
Accession number :
edsair.doi...........f39ae9ced2ea0ac6e776c2faa1c7a91d
Full Text :
https://doi.org/10.1111/pace.13047