Early Cardiac Catheterizations within 30 Days Post Congenital Heart Surgery in Children

作     者：Daniel Quandt Alessia Callegari Oliver Niesse Martin Christmann Anke Meinhold Hitendu Dave Walter Knirsch Oliver Kretschmar 

作者机构：Pediatric Heart Centre-Division of Pediatric CardiologyUniversity Children’s Hospital ZurichZurichSwitzerland Department Neonatology and Pediatric Intensive CareUniversity Children’s Hospital ZurichZurichSwitzerland Department of Congenital Cardiothoracic SurgeryUniversity Children’s Hospital ZurichZurichSwitzerland Children’s Research CentreZurichSwitzerlandUniversity Children’s Hospital ZurichZurichSwitzerland University of ZurichZurichSwitzerland 

出 版 物：《Congenital Heart Disease》 (先天性心脏病（英文）)

年 卷 期：2023年第18卷第1期

页      面：79-95页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 0703[理学-化学] 100214[医学-肿瘤学] 0702[理学-物理学] 1009[医学-特种医学] 10[医学] 

主　　题：Early postoperative cardiac catheterization congenital heart surgery children 

摘      要：Background:This study set out to assess the indications,feasibility,safety,and outcome of early cardiac catheterizations(CC)within 30 days after congenital heart surgery(CHS)in *** and Results:This is a retrospective,single-center case review study of all CC within 30 days after CHS between 1/2010-12/2020.A total of 317(138 diagnostic,179 interventional)CC were performed in 245 patients at a median of 4 days(IQR 13)after *** median age was 3 months(IQR 6),and body weight was 5 kg(IQR 4).A total of 194(61.2%)CC were performed in patients with univentricular *** revealed significant pathologies leading to early redo-surgery in 37 patients(12%).The transcatheter interventions primarily were needed in patients after cavo-pulmonary connection(n=69%,21.8%),right ventricle to pulmonary artery conduit(n=39%,12.3%),and Norwood-I surgery(n=34%,10.7%)presenting with hypoxemia,prolonged postoperative course,and suspected arterial stenosis on *** clinical impact of an early postoperative transcatheter intervention for the following clinical course was high in most *** were nine(2.8%)major and 20(6.3%)minor intra-procedural *** factor analysis revealed no difference for the occurrence of complications for patients’age,weight,and time from initial CHS,underlying *** heart disease,or ***:Early CC within 30 days after CHS in children can be performed safely with a high diagnostic and therapeutic *** rate of complications is low,while the therapeutic consequence is relevant.