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Procedural complications during congenital cardiac catheterization
Brandon Lane Phillips1, Allison K Cabalka, Donald J Hagler
1Department of Pediatrics/Division of Pediatric Cardiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Congenital Heart Disease
|April 24, 2010
Summary
Congenital cardiac catheterization (CCC) is a safe procedure for patients with congenital heart disease, with minimal serious complications. Procedural improvements include direct fellow supervision and pregnancy testing for menstruating females.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Interventional Cardiology
Background:
- Congenital heart disease (CHD) necessitates various cardiac procedures.
- Congenital cardiac catheterization (CCC) is a common diagnostic and interventional tool for CHD patients.
- Assessing complications and improving care quality in CCC is crucial.
Purpose of the Study:
- To identify complications during congenital cardiac catheterization (CCC).
- To determine factors that can enhance the quality of care for CHD patients undergoing CCC.
Main Methods:
- Retrospective review of 903 CCC cases from 2005-2007.
- Inclusion of pediatric and adult patients with CHD.
- Complication grading (1-4) and 3-month clinical follow-up.
Main Results:
- 89% of CCC procedures were performed without complications.
- 102 complications occurred in 97 cases; no deaths reported.
- Patient demographics and procedure type did not significantly impact complication risk.
Conclusions:
- CCC is a safe procedure for all ages with CHD, carrying minimal serious risks.
- Implemented changes: direct fellow supervision and mandatory pregnancy testing for menstruating females.
- Continuous quality improvement in CCC is essential for patient safety.
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