Selective coronary angiography in pediatric patients
M Vranicar1, R Hirsch, C E Canter
1Department of Pediatrics, Washington University School of Medicine and St. Louis Children's Hospital, MO 63110, USA.
Pediatric Cardiology
|May 20, 2000
Summary
Selective coronary angiography (SCA) is a safe and feasible diagnostic tool for pediatric cardiology patients of all ages, including neonates. Complications are infrequent, with serious adverse events being rare, supporting its use in young individuals.
Area of Science:
- Pediatric Cardiology
- Interventional Cardiology
- Diagnostic Imaging
Background:
- Selective coronary angiography (SCA) is crucial in pediatric cardiology.
- Limited data exists on SCA feasibility and safety in young patients.
Purpose of the Study:
- To evaluate the feasibility and safety of SCA in pediatric patients.
- To analyze complication rates associated with SCA in neonates, infants, and children.
Main Methods:
- Retrospective review of 158 cardiac catheterizations including SCA (July 1993 - December 1997).
- Patients ranged from 2 days to 46 years (median 5.3 years).
- Retrograde approach via femoral or umbilical artery; Judkins catheters used, size correlated with height.
Main Results:
- Common indication: post-heart transplant coronary vasculopathy surveillance.
- Complications: transient ST-T wave changes (11%), bradycardia (2.5%), ventricular fibrillation (0.6%).
- Vascular access complications: transient pulse loss (6%), hematoma (5%), rebleeding (0.6%); one femoral artery occlusion.
Conclusions:
- SCA is infrequently associated with complications in pediatric patients.
- Serious complications are rare, indicating a favorable safety profile.
- SCA can be safely performed in pediatric patients across all age groups, including neonates.
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