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[Risks in heart catheterization and angiocardiography in infancy and childhood]
Insights
Cardiac catheterization mortality is low overall (0.95%) but higher in infants, especially those with severe congenital heart disease and poor health. Careful patient selection is crucial for pediatric cardiac procedures.
Area of Science:
- Pediatric Cardiology
- Interventional Cardiology
- Congenital Heart Disease
Context:
- Review of cardiac catheterization outcomes in 689 infants and 1311 children/adolescents.
- Analysis of mortality rates associated with diagnostic cardiac procedures.
Purpose:
- To evaluate the safety and mortality risks of cardiac catheterization in pediatric populations.
- To identify factors influencing mortality in infants and children undergoing cardiac procedures.
Summary:
- Overall mortality for cardiac catheterization was 0.95%.
- Mortality within the first week of life was 14.81%, decreasing to 7.41% in the first month and 2.78% in the first year.
- Infants who expired were in critical condition with severe cyanosis and congestive heart failure.
Impact:
- Highlights the increased risk in critically ill infants, emphasizing the need for careful patient selection.
- Provides essential data for risk-benefit assessments in pediatric interventional cardiology.
- Informs clinical decision-making regarding the timing and necessity of cardiac catheterization in vulnerable pediatric patients.
Abstract:
The results of cardiac catheterization with or without angiocardiography in 689 infants and 1311 children and adolescents were reviewed. In the first week of life 14,81% of the patients died within or after 24 hours of the procedure, 7,41% in the first month of life, 2,78% in the first year. And on the whole the mortality was 0,95%. Four expired after the first month of life and none after the fourth. All those infants who expired were in poor general condition with severe cyanosis and congestive heart failure.