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Is it safe to perform cardiac catheterizations on adults with congenital heart disease in a pediatric catheterization laboratory?

dc.contributor.authorGarekar, Swatien_US
dc.contributor.authorPaules, Melissa M.en_US
dc.contributor.authorReddy, Surendranath V.en_US
dc.contributor.authorTurner, Daniel R.en_US
dc.contributor.authorSanjeev, Sanjeeven_US
dc.contributor.authorWynne, Joshuaen_US
dc.contributor.authorEpstein, Michael L.en_US
dc.contributor.authorKarpawich, Peter P.en_US
dc.contributor.authorRoss, Robert D.en_US
dc.contributor.authorForbes, Thomas J.en_US
dc.date.accessioned2006-12-07T16:53:09Z
dc.date.available2006-12-07T16:53:09Z
dc.date.issued2005-11en_US
dc.identifier.citationGarekar, Swati; Paules, Melissa M.; Reddy, Surendranath V.; Turner, Daniel R.; Sanjeev, Sanjeev; Wynne, Joshua; Epstein, Michael L.; Karpawich, Peter P.; Ross, Robert D.; Forbes, Thomas J. (2005)."Is it safe to perform cardiac catheterizations on adults with congenital heart disease in a pediatric catheterization laboratory?." Catheterization and Cardiovascular Interventions 66(3): 414-419. <http://hdl.handle.net/2027.42/48775>en_US
dc.identifier.issn1522-1946en_US
dc.identifier.issn1522-726Xen_US
dc.identifier.urihttps://hdl.handle.net/2027.42/48775
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16216015&dopt=citationen_US
dc.description.abstractObjective : To determine the complication rate during the catheterization in adults with congenital heart disease (CHD) in a pediatric catheterization laboratory (PCL). Background : An increasing number of patients with CHD are surviving into adulthood, with diagnostic and interventional cardiac catheterization being essential for the management of their disease. The complication rate during the catheterization of adults with CHD has not been reported. Methods : A retrospective chart review was performed on all adult patients (>18 years) with CHD who underwent diagnostic or interventional catheterization in our PCL within the past 8.5 years. Results : A total of 576 procedures were performed on 436 adult patients (median age 26 years). Complex heart disease was present in 387/576 (67%) procedures. An isolated atrial septal defect or patent foramen ovale was present in 115/576 (20%) procedures, and 51/576 (9%) procedures were performed on patients with structurally normal hearts with arrhythmias. Interventional catheterization was performed in 378/576 (66%) procedures. There were complications during 61/576 (10.6%) procedures; 19 were considered major and 42 minor. Major complications were death (1), ventricular fibrillation (1), hypotension requiring inotropes (7), atrial flutter (3), retroperitoneal hematoma, pneumothorax, hemothorax, aortic dissection, renal failure, myocardial ischemia and stent malposition (1 each). The most common minor complications were vascular entry site hematomas and hypotension not requiring inotropes. Procedures performed on patients ≥ 45 years of age had a 19% occurrence of complications overall compared with 9% occurrence rate in patients of age < 45 years ( P < 0.01). Conclusions : The complication rate during the catheterization of adults with CHD in a PCL is similar to the complication rate of children with CHD undergoing cardiac catheterization. The older subset of patients are more likely to encounter complications overall. The encountered complications could be handled effectively in the PCL. With screening in place, it is safe to perform cardiac catheterization on most adults with CHD in a PCL. © 2005 Wiley-Liss, Inc.en_US
dc.format.extent75157 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.language.isoen_US
dc.publisherWiley Subscription Services, Inc., A Wiley Companyen_US
dc.subject.otherLife and Medical Sciencesen_US
dc.subject.otherCardiovascular Medicineen_US
dc.titleIs it safe to perform cardiac catheterizations on adults with congenital heart disease in a pediatric catheterization laboratory?en_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationotherDivision of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michiganen_US
dc.contributor.affiliationotherCentral Michigan University, Mount Pleasant, Michiganen_US
dc.contributor.affiliationotherDepartment of Pediatrics, Hurley Medical Center, Michigan State University, Flint, Michiganen_US
dc.contributor.affiliationotherDivision of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michiganen_US
dc.contributor.affiliationotherDivision of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michiganen_US
dc.contributor.affiliationotherDivision of Cardiology, Harper Hospital, Wayne State University, Detroit, Michiganen_US
dc.contributor.affiliationotherDivision of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michiganen_US
dc.contributor.affiliationotherDivision of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michiganen_US
dc.contributor.affiliationotherDivision of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michiganen_US
dc.contributor.affiliationotherDivision of Cardiology, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan ; 3901 Beaubien Blvd, Children's Hospital of Michigan, Division of Pediatric Cardiology, Detroit, MI 48201en_US
dc.identifier.pmid16216015en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/48775/1/20537_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/ccd.20537en_US
dc.identifier.sourceCatheterization and Cardiovascular Interventionsen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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