Cardiac Catheterization Laboratory: Catheterization, Interventional Cardiology, and Ablation Techniques for Children

Hollinger, Ingrid; Mittnacht, Alexander J.C.

doi:10.1097/aia.0b013e31819417d7

Cited by 12 publications

(7 citation statements)

References 67 publications

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“…Studies reporting on ultrasound-guided vascular puncture in infants demonstrated lower complication rates [18]. In small children and after repetitive puncture, vascular access should be evaluated in detail and prior to the intervention, since the smallest possible devices should be used to minimize vascular damage [19].…”

Section: Discussionmentioning

confidence: 99%

Comparison of B-Mode with B-Flow Sonography for the Evaluation of Femoral Arteries in Infants

Groth

Dammann

Arndt

et al. 2017

Fortschr Röntgenstr

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To evaluate femoral arteries (FAs) in infants in the context of catheter angiography with B-mode (BMS) and B-flow sonography (BFS) and to compare both methods for vessel delineation and reliability of vessel diameter measurements. 21 consecutive infants who underwent ultrasound for the evaluation of FAs before or after cardiac catheterization were retrospectively included in this study. The diameter of the FAs and the maximum length of the vessel section displayed on a single ultrasound plane were recorded by two radiologists for BMS and BFS. The visual image quality was rated by one observer. Statistics included intraclass correlation coefficient, Bland-Altman analysis, Fisher´s exact test and t-test. The intraobserver as well as interobserver correlation was excellent for BMS (0.7922 and 0.6521) and BFS (0.8094 and 0.7637). The Bland-Altman analysis revealed limits of agreement for BMS between +/-0.73 mm (intraobserver) and +/-0.55 mm (interobserver) and for BFS between +/-0.83 mm (intraobserver) and +/-0.7 mm (interobserver). BFS allowed visualization of a longer stretch of the FA than BMS (length 3.54 +/-0.85 vs. 2.21 +/-0.9 cm, p < 0.0001). The image quality was significantly higher for BFS (p = 0.0043). Since BFS shows excellent reproducibility for vessel measurements and superior image quality in infants, if available, BFS should be included in standard protocols when realistic measurements are required. · B-flow sonography offers high image quality for the evaluation of femoral arteries.. · Femoral artery diameter measurements performed with B-flow sonography show excellent reproducibility.. · If available, additional B-flow sonography of femoral arteries in infants is recommended.. · Groth M, Dammann E, Arndt F et al. Comparison of B-Mode with B-Flow Sonography for the Evaluation of Femoral Arteries in Infants. Fortschr Röntgenstr 2017; 189: 1161 - 1167.

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Section: Discussionmentioning

confidence: 99%

Comparison of B-Mode with B-Flow Sonography for the Evaluation of Femoral Arteries in Infants

Groth

Dammann

Arndt

et al. 2017

Fortschr Röntgenstr

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“…Especially in children, in whom vascular walls are thinner, tissue easier intersected, a small amount of blood loss can represent a large percentage of their total blood volume and lengthy manipulations are less well tolerated, puncture site should be correctly settled from the beginning. In some cases, this is achieved via simple palpation of the target vessel and/or inspection of landmarks around, but ultrasonographic guidance may be necessary to facilitate correct puncture, as in the case of internal jugular vein (IJV) access [ 18 ]. Access to the heart can be antegrade (venous) for right heart catheterization or retrograde (arterial) for left heart catheterization, or even antegrade with left heart access through a transseptal puncture.…”

Section: Preoperative Perioperative and Postoperative Managementmentioning

confidence: 99%

“…Umbilical vessels can be cannulated in the newborn with a 3.5 or 5-Fr catheter, although smaller catheters used for femoral access make the latter preferable, due to the less tortuous vascular route. In transhepatic approach contrast injection is performed to confirm entrance in the hepatic, and not the portal vasculature [ 18 , 19 ].…”

Section: Preoperative Perioperative and Postoperative Managementmentioning

confidence: 99%

“…However, oxygen consumption estimation using this formula is poorer for children <3 years old [ 23 , 24 ]. In this age group we can approximately calculate VO 2 according to weight (2-5kg → 10-14mL/min/m 2 , 5-8kg → 7-10mL/min/m 2 ) [ 18 ]. A more precise and rapid method includes the direct measurement of oxygen consumption with a tight-fitting mask via respiratory mass spectrometry [ 23 ].…”

Section: Periprocedural Measurements Derived and Actions Performedmentioning

confidence: 99%

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Diagnostic Cardiac Catheterization in the Pediatric Population

Moustafa¹,

Kolokythas²,

Charitakis³

et al. 2016

CCR

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Although the utility of diagnostic cardiac catheterization in the clinical setting has diminished over the last years, due to the emergence of noninvasive imaging modalities, such as echocardiography, magnetic resonance imaging and computed tomography, catheterization for diagnostic reasons still constitutes a valuable tool in certain parts in the workup of pediatric heart disease. As a result, awareness of the main aspects of diagnostic catheterization is of great importance for the clinical cardiologist. In this article, the main variables measured and the main actions performed during diagnostic cardiac catheterization in children are discussed.

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“…During the catheterization, attention must be paid to the effects that the maintenance of anaesthesia, mechanical ventilation and inspired oxygen concentrations have on the measurement of flow, pressures and shunts. A detailed review of catheterization, interventional cardiology and ablation techniques for children has recently been published [17].…”

Section: Percutaneous Closure Of Septal Defectsmentioning

confidence: 99%

Anaesthetic Challenges in Cardiac Interventional Procedures

Thangavel¹,

Muthukumar²,

Karthekeyan³

et al. 2014

WJCS

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The increasing scope of interventions in the cardiac catheterization laboratory (CCL) and electrophysiological laboratory (EPL) has resulted in new challenges for the anaesthesia teams where they deal with different patient categories, complications and safety issues. Collaboration and planning between cardiologist and anaesthesiologist are required for both patient safety and procedural success. This review aims to discuss procedures performed in interventional cardiology and the importance of anaesthesiologists in managing such patients. Percutaneous interventions are being increasingly performed in adult as well as in pediatric patients. Procedures are usually done under mild to moderate sedation. General anaesthesia is required in certain conditions and also in pediatric patients. Knowledge of echocardiography, individual disease condition and fluoroscopy is important. Anaesthesiologists are assuming an increasingly important role in the multidisciplinary management of complex patients and interventions. A comprehensive understanding of procedures is essential to provide a high level of anaesthetic care and maintain patient safety.

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Cardiac Catheterization Laboratory: Catheterization, Interventional Cardiology, and Ablation Techniques for Children

Cited by 12 publications

References 67 publications

Comparison of B-Mode with B-Flow Sonography for the Evaluation of Femoral Arteries in Infants

Comparison of B-Mode with B-Flow Sonography for the Evaluation of Femoral Arteries in Infants

Diagnostic Cardiac Catheterization in the Pediatric Population

Anaesthetic Challenges in Cardiac Interventional Procedures

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