TY - JOUR
T1 - Surgical emergencies during pediatric interventional catheterization
AU - Schroeder, Valerie A.
AU - Shim, David
AU - Spicer, Robert L.
AU - Pearl, Jeffery M.
AU - Manning, Peter J.
AU - Beekman, Robert H.
PY - 2002/1/1
Y1 - 2002/1/1
N2 - Objective: To determine the incidence of catheter-related surgical emergencies during pediatric interventional catheterization procedures. Study design: We reviewed all interventional catheter procedures (n = 578) over a 4-year period (April 1996 to April 2000) to determine any complication during interventional catheterization that required surgery within 24 hours after catheterization. Results: The overall incidence of surgical emergencies was 1.9% (70% confidence limits, 1.5% to 2.7%). Complications that required surgical intervention occurred with balloon dilation (valvuloplasty, angioplasty, n = 4), device deployment (coils, stents, atrial-septal defect devices, n = 5), transhepatic access (n = 1), and atrial transseptal puncture (n = 1). For the majority of interventions, the incidence of surgical emergencies was <4% except for two procedures (conduit and pulmonary artery angioplasty) with limited numbers of patients. There were no surgical emergencies during endomyocardial biopsy, coarctation angioplasty, or balloon atrial septostomy. Conclusions: Surgery was required in 1.9% of all interventional catheter procedures. Surgical emergencies occurred during a wide variety of catheter interventions and could not be predicted by the type of procedure performed.
AB - Objective: To determine the incidence of catheter-related surgical emergencies during pediatric interventional catheterization procedures. Study design: We reviewed all interventional catheter procedures (n = 578) over a 4-year period (April 1996 to April 2000) to determine any complication during interventional catheterization that required surgery within 24 hours after catheterization. Results: The overall incidence of surgical emergencies was 1.9% (70% confidence limits, 1.5% to 2.7%). Complications that required surgical intervention occurred with balloon dilation (valvuloplasty, angioplasty, n = 4), device deployment (coils, stents, atrial-septal defect devices, n = 5), transhepatic access (n = 1), and atrial transseptal puncture (n = 1). For the majority of interventions, the incidence of surgical emergencies was <4% except for two procedures (conduit and pulmonary artery angioplasty) with limited numbers of patients. There were no surgical emergencies during endomyocardial biopsy, coarctation angioplasty, or balloon atrial septostomy. Conclusions: Surgery was required in 1.9% of all interventional catheter procedures. Surgical emergencies occurred during a wide variety of catheter interventions and could not be predicted by the type of procedure performed.
UR - http://www.scopus.com/inward/record.url?scp=0036086049&partnerID=8YFLogxK
U2 - 10.1067/mpd.2002.122723
DO - 10.1067/mpd.2002.122723
M3 - Article
C2 - 12032524
AN - SCOPUS:0036086049
SN - 0022-3476
VL - 140
SP - 570
EP - 575
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 5
ER -