Mariana Velasquez - Academia.edu (original) (raw)
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University of the Basque Country, Euskal Herriko Unibertsitatea
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Archivos de cardiolog�a de M�xico (English ed. Internet), 2022
Introduction: Congenital heart diseases are the most common congenital abnormalities in newborns ... more Introduction: Congenital heart diseases are the most common congenital abnormalities in newborns with a prevalence of 1%. Therapeutic and diagnostic cardiac catheterization has revolutionized the treatment of these diseases; however, it can be associated with complications. Objective: To describe the incidence and type of complications associated with pediatric cardiac catheterization in a reference center for congenital heart defects. Methodology: Retrospective observational study, with analytical intention based on records of cardiac catheterization, performed on patients with congenital and acquired heart disease. Results: Two thousand six hundred and eighty-eight records were included for nine consecutive years. About 53.9% were men, 21.3% with ages between 2 and 5 years, and 20.3% between 6 months and 2 years. About 63.5% of the procedures were elective. The prevalence of complications in the first 24 h after catheterization was 6.7% (4.2% minor and 2.4% major). Early death occurred in 0.8% of the procedures. Factors associated with complications were age at catheterization < 28 days (odds ratio OR 2.18, 95% Confidence Interval CI [1.28-3.70]), precatheter oxygen saturation < 79% (OR 2.15, 95% CI [1.02-4.53]), use of pre-catheter inotropics (OR 3.00, 95% CI [1.68-5.33]). The variables included in the model explain 38% of the variance of post-cardiac catheterization complications in patients younger than 18 years. Discussion: Cardiac catheterization is associated with major and minor complications including death. The associated factors were < 28 days, lower oxygen saturation, and use of pre-catheter inotropics.
Archivos de cardiolog�a de M�xico (English ed. Internet), 2022
Introduction: Congenital heart diseases are the most common congenital abnormalities in newborns ... more Introduction: Congenital heart diseases are the most common congenital abnormalities in newborns with a prevalence of 1%. Therapeutic and diagnostic cardiac catheterization has revolutionized the treatment of these diseases; however, it can be associated with complications. Objective: To describe the incidence and type of complications associated with pediatric cardiac catheterization in a reference center for congenital heart defects. Methodology: Retrospective observational study, with analytical intention based on records of cardiac catheterization, performed on patients with congenital and acquired heart disease. Results: Two thousand six hundred and eighty-eight records were included for nine consecutive years. About 53.9% were men, 21.3% with ages between 2 and 5 years, and 20.3% between 6 months and 2 years. About 63.5% of the procedures were elective. The prevalence of complications in the first 24 h after catheterization was 6.7% (4.2% minor and 2.4% major). Early death occurred in 0.8% of the procedures. Factors associated with complications were age at catheterization < 28 days (odds ratio OR 2.18, 95% Confidence Interval CI [1.28-3.70]), precatheter oxygen saturation < 79% (OR 2.15, 95% CI [1.02-4.53]), use of pre-catheter inotropics (OR 3.00, 95% CI [1.68-5.33]). The variables included in the model explain 38% of the variance of post-cardiac catheterization complications in patients younger than 18 years. Discussion: Cardiac catheterization is associated with major and minor complications including death. The associated factors were < 28 days, lower oxygen saturation, and use of pre-catheter inotropics.