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Related Experiment Videos

Surgical emergencies during pediatric interventional catheterization.

Valerie A Schroeder1, David Shim, Robert L Spicer

  • 1Heart Center, Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.

The Journal of Pediatrics
|May 29, 2002
PubMed
Summary
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Surgical emergencies occurred in 1.9% of pediatric interventional catheterizations. These complications, requiring surgery, happened across various procedures and were unpredictable by intervention type.

Area of Science:

  • Pediatric Cardiology
  • Interventional Radiology
  • Surgical Emergencies

Background:

  • Pediatric interventional catheterization is a common procedure.
  • Catheterization can lead to complications requiring surgical intervention.
  • Understanding the incidence of these emergencies is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence of catheter-related surgical emergencies during pediatric interventional catheterization.
  • To identify specific procedures associated with a higher risk of surgical complications.

Main Methods:

  • A retrospective review of 578 interventional catheter procedures was conducted.
  • Procedures were performed over a 4-year period (April 1996 to April 2000).
  • Complications requiring surgery within 24 hours of catheterization were identified.

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Main Results:

  • The overall incidence of surgical emergencies was 1.9% (95% CI: 1.5% to 2.7%).
  • Surgical interventions were needed following balloon dilation, device deployment, transhepatic access, and atrial transseptal puncture.
  • Most procedures had <4% incidence of surgical emergencies, with exceptions for conduit and pulmonary artery angioplasty.

Conclusions:

  • Surgery was required in 1.9% of all pediatric interventional catheter procedures.
  • Surgical emergencies arose from diverse catheter interventions.
  • The type of procedure did not reliably predict the occurrence of surgical emergencies.