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Diagnostic pediatric cardiac catheterization: Experience of a tertiary care pediatric cardiac centre
Prabhat Kumar1, Vidya Sagar Joshi2, P V Madhu3
1Senior Advisor (Pediatrics & Pediatric Cardiology), Military Hospital (CTC) Pune 40, India.
Insights
Diagnostic cardiac catheterization remains a safe and crucial tool for managing congenital heart diseases in pediatric patients, providing vital information for treatment decisions in over 90% of cases.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease Diagnosis
Background:
- Cardiac catheterization is the gold standard for diagnosing and managing congenital heart diseases.
- Despite advancements in non-invasive methods, it remains essential for pediatric cardiac care.
Purpose of the Study:
- To evaluate the patient profile undergoing diagnostic cardiac catheterization.
- To assess the safety and management impact of the procedure in children.
Main Methods:
- Analysis of 300 consecutive diagnostic cardiac catheterizations performed since April 2007.
- Inclusion of pediatric patients across a wide weight and age range.
Main Results:
- Patients ranged from 1.6 kg to 35 kg and 0 days to 12 years old.
- Over 90% of cases yielded crucial information for subsequent management.
- The procedure demonstrated a high safety profile, even in the smallest infants.
Conclusions:
- Diagnostic cardiac catheterization is a safe and highly effective procedure for pediatric congenital heart disease.
- It provides essential data that significantly influences patient management strategies.
Background:
Cardiac catheterization was considered gold standard for confirmation of diagnosis and analyzing various management issues in congenital heart diseases. In spite of development of various non invasive tools for investigation of cardiac disorders diagnostic catheterization still holds an important place in pediatric patients.
Methods:
300 consecutive diagnostic cardiac catheterization performed since April 2007 were included in this study. The study was undertaken to evaluate the profile of patients undergoing diagnostic cardiac catheterization, its results, assess its safety and its contribution toward solving various management issues.
Result & Conclusion:
Children who underwent cardiac catheterization ranged in weight from 1.6 kg to 35 kg, with their age range 0 day-12 years. The information obtained was of great importance for further management in over 90% cases. The procedure of cardiac cath is invasive, still it was proved to be quite safe even in smallest baby.
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Cardiac Catheterization II: Right Heart Catheterization
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Acute Coronary Syndrome III: Diagnostic Studies

