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Impact of low body weight on frequency of pediatric cardiac catheterization complications

J F Rhodes1, J D Asnes, A D Blaufox

  • 1Division of Pediatric Cardiology, The Mount Sinai Medical Center, New York, New York, USA. RhodesJ1@ccf.org

The American Journal of Cardiology
|November 25, 2000
PubMed

Insights

Pediatric cardiac catheterization is low-risk, but balloon interventions pose the highest risk for patients under 21. Infant weight under 5 kg is a risk factor, but not under 2.5 kg.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology

Background:

  • Interventional cardiac catheterization techniques have grown in complexity.
  • Assessing risks associated with pediatric cardiac catheterization is crucial.

Purpose of the Study:

  • To evaluate the risk factors associated with pediatric cardiac catheterization procedures.
  • To identify specific procedural types and patient characteristics that increase complication risk.

Main Methods:

  • Analysis of complication rates across different cardiac catheterization procedures in patients aged under 21 years.
  • Stratification of risk based on procedure type (diagnostic, balloon intervention, non-balloon intervention) and patient weight.

Main Results:

  • Overall risk of pediatric cardiac catheterization is low.
  • Balloon interventions present the highest risk compared to diagnostic and non-balloon interventions.
  • Patient weight less than or equal to 5 kg is a significant risk factor for complications.
  • Patient weight less than or equal to 2.5 kg did not significantly alter complication risk.

Conclusions:

  • While pediatric cardiac catheterization is generally safe, specific interventions like balloon angioplasty carry higher risks.
  • Infant weight, particularly under 5 kg, is an important consideration for risk assessment in pediatric cardiac procedures.

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