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Outcomes following cardiac catheterization after congenital heart surgery. Catheter Cardiovasc Interv 2014 Oct 01;84(4):622-8

Date

03/25/2014

Pubmed ID

24659225

DOI

10.1002/ccd.25490

Scopus ID

2-s2.0-84927697853 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

OBJECTIVES: Describe outcomes following unplanned cardiac catheterization after congenital heart surgery.

BACKGROUND: Utility of cardiac catheterization following congenital heart surgery is relatively understudied.

METHODS: Retrospective study examining demographics, indications, and outcomes of unplanned cardiac catheterization after congenital heart surgery at a single institution.

RESULTS: Between October 2004 and April 2011, 120 patients underwent 150 unplanned postoperative cardiac catheterizations. Median day of catheterization was postoperative day 20 (range 1-269 days). Survival 30 days postcatheterization was 85%; overall survival to hospital discharge was 72%. Indications for catheterization: 63 for hemodynamic evaluation, 46 for likely intervention, and 41 for assessment of surgical repair. Of the 150 hemodynamic/interventional catheterizations, 103 (69%) were associated with a change in clinical management: 59 trans-catheter interventions, 22 re-operations, 11 changes in medication, six changes in surgical plan, and five withdrawals of support. Complications included hemorrhage in two patients, supraventricular tachycardia in two patients, and transient complete heart block requiring cardiopulmonary resuscitation in one patient.

CONCLUSIONS: Cardiac catheterization following congenital heart surgery may enable important diagnostic and therapeutic changes in clinical and surgical management. Complications were rare.

Author List

Siehr SL, Martin MH, Axelrod D, Efron B, Peng L, Roth SJ, Perry S, Shin AY

Author

Stephanie S. Handler MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
California
Cardiac Catheterization
Cardiac Surgical Procedures
Child
Child, Preschool
Female
Heart Defects, Congenital
Hemodynamics
Hospital Mortality
Humans
Infant
Infant, Newborn
Male
Postoperative Care
Postoperative Complications
Predictive Value of Tests
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Young Adult