Complications of pediatric cardiac catheterization: A 3-year study (original) (raw)
1992, Journal of the American College of Cardiology
Todeter:^^s the current risk ofpadiat ccardiaceathelerization, the complications and incidents of all catheterizations performed in a pediatric laboratory between January 1986 and October 1988 were prospectively recorded and compared wi results from a 1974 study from the same im:i. ition. In the current study 1 .037 catheterizations, 885 diagnostic and 152 diagnostielinleeventionat procedures, were performed in 888 patients (aged I Icy in 27, years, median 15.6 months). There were 15 major complications (1 .41-),70 minor complications (6.8%) and 30 incidents U.9%). Two patients died as a result of me procedure and two as a result of pericatheterization clinical deterioration caused by the cardiac abnormality. The great majority of complications were successfully treated or were self-limited and the 3atients had no residua. Of patients with 13 t)espite advances in the noninvasive evaluation of patients with congenital heart disease, cardiac catheterization continues to be essential for studying cardiac structure and hemodynamics but is associated with some risk. An earlier experience with complications of pediatric cardiac catheterization was reported from this laboratory in 1974 (1). Since that publication, changes in catheterization techniques, equipment, procedures, patient selection and peticarheterization medical management may have affected catheterization-related morbidity and mortality. This study was undertaken to determine the current risks of pediatric cardiac catheterization and to compare them with the results of the 1974 study from this institution. Factors considered significant in effecting changes in specific complications are discussed. Methods Study patients. Computerized records of diagnoses, hemodynaeoic data and complications for all patients undergo
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