Evaluation of Risk of Acute Complications following Cardiac Catheterization in Children with Congenital Heart Disease in Golestan Hospital, Ahvaz, Iran, During 2012-13

Document Type : Original Article

Authors

1 Department of Pediatric Cardiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objective: Cardiac catheterization is one of the most important procedures in the diagnosis of cardiovascular disorders. The main objective of this study was to evaluate the risk of acute complications associated with cardiac catheterization in children with congenital heart disease.
Subjects and Methods: This cross-sectional study was done on 304 patients with congenital heart diseases underwent cardiac catheterization in Golestan hospital, Ahvaz, Iran during 2012-13. Data were collected from patients’ cardiac catheterization information report sheets and retrieved information was analyzed using statistical T test and SPSS software, version 17.
Results: Enrolled cases had a mean age of 4.37±5.10 yr and a mean weight of 14.98 ±12.32 Kg (male 48.7% and 51.3% female). 93.8% of the cases had diagnostic catheterization and 6.2% had interventional catheterization. The most common adverse effects associated with vascular complications occurred in 7 cases (2.3%) and arrhythmia in 12 cases (3.9%). Fever after catheterization occurred in 28 patients (9.2%).
Conclusion: Although angiography and cardiac catheterization is an invasive modality in diagnosis and treatment in children with congenital heart disease, it can be performed safety in children by expert physicians and better equipment.

Keywords

References

1-Kliegman RM, Behrman RE, Jenson H, Stanton BF.Nelson  textbook of pediatric. 19th ed. Philadelphia: Elsevier, Saunder; 2011. P.1976-77.
2-Allen HD, Driscoll DJ, Shaddy RE, Feltes TF. Moss and Adam's heart disease in infants, children, and adolescencents. 7th ed. London: Lippincott Williams &wilkins; 2008. P. 208-237.
 
3-Timothy F, Emile B, Robert H, John P. Cheatham, FJ. Feinstein JA,"et al".Indication for catheterization and intervention in pediatric cardiac disease. Circulation 2011; 123: 2607-2652.
4-Warvnes CA, Williams RG, Bashore TM, "et al".ACC/AHA guidelines for the management of adults with congenital heart disease. J Am Coll Cardiol 2008; 52(23): 143-263.
5- Lange R, Hillis D. Diagnostic cardiac catheterization. Circulation 2003; 107: 111-113.
6-Davidson CJ, Mark DB, Pieper KS, "et al". Thrombotic and cardiovascular complications related to non-ionic contrast media during cardiac catheterization: analysis of 8517 patients. Am J Cardiol 1990; 65: 1481-1484.
7-Simovitch S, Hohn A, Wagner H, Vlad peter, Lambert E. percutaneous right and left catheterization in children experience in 1000 patients. Circulation 1970; 41: 513-517.
8-Mori Y, Takahashi K, Nakanishi T. complication of cardiac catheterization in adults and children with congenital heart disease in the current era. Heart vessels 2013May; 28(3): 494-499.
9-Mehboob S, Asif M, Maad U, Nadeem S, Khurram A, Hajira A. cardiac catheterization in grown-up patients with congenital heart diseases- indications and complications. Pak Heart J 2012; 45(3) : 174-179.
10-Noori N, Mahjoobifard M, Nikbakht F. Incidence of cardiac catheterization complication in patients with congenital heart disease. Circulation 2006; 116: 98-105.
11-Agnoletti G, Marini D, Bordese R, Villar AM, Gabbarini F. Interventional catheterization of stenotic or occluded systemic veins in children with or without congenital heart disease. EuroIntervention 2012; 7(11) : 1317-25.
12-Bergersen L, Marshall A, Gauvreau K, Beekman R, Hirsh R, Foester S,"et al". Adverse event rates in congenital cardiac catheterization—a multi-center experience. Catheter Cardiovasc Interv 2010; 75: 389–400.
13-Vitiello R, Mccrindle BW, FRCP, Nykanen D, Freedom RM, "et al". Complications associated with pediatric cardiac catheterization. J Am Coll Cardiol. 1999; 32(5): 1433-40.
14-Casidy SC, Schmidt KG, VanHar GF, Stanger P, Teitel DF. Complications of pediatric Cardiac catheterization: A 3-year study. J Am Coll Cardiol 1992; 19: 1285-93.
15-Ho CS, Krovetz JL, Rowe RD. Major complications of cardiac catheterization and angiocardiography in infant and children. Hopkins Med J 1972; 131: 247-58.
16-Ino T, Benson LN, Freedom RM, Barker GA, Aipursky A, Rowe RD. Thrombolytic therapy for femoral artery thrombosis after pediatric cardiac catheterization. Am Heart J 1998; 115(3): 633-639.
 
Jundishapur Scientific Medical Journal
Volume 13, Issue 6 - Serial Number 93
November and December 2017
Pages 681-688

Files

History

  • Receive Date: 24 July 2013
  • Revise Date: 24 December 2014
  • Accept Date: 09 June 2014

Share

How to cite

Statistics