Evaluation of the frequency of complications and affecting factors in children undergoing cardiac catheterisation
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Published on: April 29, 2013
Merve Barlas1, Alper Akin2, Mehmet Ture2
1Department of Pediatrics, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Insights
Low body weight and young age increase complication risks during pediatric cardiac catheterization. Identifying these factors helps reduce adverse events in children undergoing the procedure.
Area of Science:
- Pediatric Cardiology
- Interventional Cardiology
- Medical Complications Research
Background:
- Complications following pediatric cardiac catheterization require identification of associated risk factors.
- Understanding these factors is crucial for implementing preventative measures and improving patient outcomes.
Purpose of the Study:
- To identify factors influencing complication development in pediatric cardiac catheterization.
- To provide data that can inform strategies for reducing complication frequency.
Main Methods:
- Retrospective analysis of 609 patients aged 0-18 years undergoing cardiac catheterization (2012-2020).
- Evaluation of demographic data, procedure details, laboratory results, and post-procedure records.
Main Results:
- Complications occurred in 6.4% of patients, with vascular complications (41%) being most frequent, followed by bleeding (12.8%) and anemia (10.3%).
- Mortality was observed in 0.3% of patients.
- Risk factors identified for complications included low body weight (<10 kg) and age under 1 year (<12 months).
Conclusions:
- Vascular complications, bleeding, and anemia are the most common adverse events post-pediatric cardiac catheterization.
- Low body weight (<10 kg) and young age (<1 year) are significant risk factors for complications.
- This large-scale study encompassing diverse procedures contributes valuable data to the literature on pediatric cardiac catheterization complications.
Background:
This study aims to identify the factors affecting the development of complications and to present the necessary data to the literature in order to reduce the frequency of complications as a result of some measures that can be taken against them.
Methods:
This retrospective study included 609 patients between the ages of 0 and 18 who underwent cardiac catheterisation between 2012 and 2020 by our Department of Paediatric Cardiology. The patient's demographic data, cardiac catheterisation-related data, laboratory results, and all data in the post-procedure records are scanned and evaluated.
Results:
Of the patients aged between 0 and 216 months (mean 67.1 ± 55.8 months), 371 were female (60.9%). Interventional catheterisation was performed in 419 (68.4%) of the patients, and diagnostic catheterisation was performed in 193 (31.6%). Complications were detected in 39 patients (6.4%). The most frequent complications were vascular complications in 16 patients (41%), bleeding in 5 patients (12.8%), anaemia in 4 patients (10.3%), and arrhythmia in 3 patients (7.7%). Mortality occurred in 2 patients (0.3%). Risk factors for the development of complications were determined as <10 kg (p = 0.001) and <1 year of age (p = 0.002).
Conclusion:
The most common complications were vascular complications, followed by bleeding and anaemia. Low body weight (<10 kg) and being under 12 months of age are risk factors for the development of complications. Considering that most studies only include certain age groups or certain types of procedures, our study will make a significant contribution to the literature as it includes a larger scale and different types of procedures.
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