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Efficacy of catheter interventions in the early and very early postoperative period after CHD operation

Takuro Kojima1, Tomohiko Imamura1, Yousuke Osada1

  • 1Division of Pediatric Cardiology,Saitama Medical University International MedicalCenter, Saitama,Japan.

Cardiology in the Young
|September 4, 2018
PubMed

Insights

Cardiac catheter interventions are safe and effective in the early postoperative period after congenital heart disease (CHD) operations. These procedures show high success rates and minimal complications, even in the hyper-acute phase.

Area of Science:

  • Interventional Cardiology
  • Pediatric Cardiac Surgery
  • Congenital Heart Disease

Background:

  • Catheter interventions for residual lesions post-CHD operations lack established reliability.
  • Early postoperative interventions require further investigation for safety and efficacy.

Purpose of the Study:

  • To evaluate the safety and effectiveness of cardiac catheterizations and interventions in the early postoperative period following CHD operations.
  • To compare outcomes between hyper-acute (≤7 days) and acute (7-30 days) postoperative phases.

Main Methods:

  • Retrospective review of institutional experience with cardiac catheterizations and interventions.
  • Classification of patients into hyper-acute and acute postoperative groups based on timing from operation to catheterization.
  • Analysis of intervention success rates and complication incidence.

Main Results:

  • Catheter interventions were performed in 81% of 47 patients.
  • High success rates: 96% in the acute phase group, 90% in the hyper-acute phase group, with an overall success rate of 95%.
  • Low complication rate: two self-limited complications in the acute phase group, none in the hyper-acute group. Interventions on reconstructed aortic arches were also safe and effective.

Conclusions:

  • Cardiac catheterizations and interventions are safe and effective in both early and very early postoperative periods after CHD operations.
  • Catheter interventions for left-sided heart conditions in the early postoperative phase are safe and effective.
Abstract

Keywords:
Catheter interventionballoon angioplastyintervention for the left-sided heartstent implantationvery early postoperative period

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