Comparative risk of cardiac catheterisations performed on low birth weight neonates

Mobley, Meghan M.; Stroup, Richard E.; Kaine, Stephen

doi:10.1017/s1047951112002247

Cited by 7 publications

(10 citation statements)

References 14 publications

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“…This inverse relationship has been well documented in other studies. [2][3][4][5]14,23,24 There was also a significant univariate effect of low age (<1 month) on complications, which is also in accordance with other studies. 2,5,6,8,14 As weight and age are highly correlated, we only included weight in our multivariate model, as we considered it the more clinically relevant variable.…”

Section: Risk Factorssupporting

confidence: 88%

“…9,10 The system for complication severity level first published by Bergersen et al in 2008 and, to a certain extent, the risk categories also developed by the Boston group have been previously adopted by other groups. 4,11,12 To our knowledge, no previous clinical reports have been based on the nomenclature proposed by ISNPCHD, namely, the IPCCC classification system for complications.…”

Section: S Ince the Introduction Of Cardiac Catheterisa-mentioning

confidence: 99%

“…On the basis of the study from the Boston group, the International Society for Nomenclature of Paediatric and Congenital Heart Disease (ISNPCHD) has proposed a new system of nomenclature for both procedures for and complications of cardiac catheterisation in children 9 10 The system for complication severity level first published by Bergersen et al in 2008 and, to a certain extent, the risk categories also developed by the Boston group have been previously adopted by other groups 4 11 , 12 To our knowledge, no previous clinical reports have been based on the nomenclature proposed by ISNPCHD, namely, the IPCCC classification system for complications.…”

mentioning

confidence: 99%

“…Recent studies have reported quite divergent findings with respect to complications – for example, a study including only interventional cases reported a complication rate of 4.1%, 1 whereas another contemporary study also including diagnostic procedures found a complication rate of 19% 2 . Although some reports have described each complication separately without further grading, 1 , 3 others have distinguished between minor and major complications 4 – 8 or used the more recent five-level system developed by Bergersen et al in Boston 2 . The classification of types of complications has also differed 2 …”

mentioning

confidence: 99%

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Paediatric cardiac catheterisation in Norway: rates and types of complications in new terms

et al. 2017

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We determined the incidence, type and severity of complications after cardiac catheterization in children with heart disease in Norway and present the results in terms of the International Paediatric and Congenital Cardiac Code (IPCCC) nomenclature for complications. All 2 pediatric cardiac catheterizations in Norway are performed in one clinical center. All procedures performed during a five-year period beginning in 2010 were prospectively registered, and medical records for cases with complications were reviewed to confirm the event and to re-classify the type, severity and attributability of the complication according to the IPCCC nomenclature. Univariate and multivariate analyses were performed to identify possible risk predictors. A total of 1318 catheterizations performed on 941 patients were included in the study, of which 68 % were interventional. The complication and major complication rates were 5.5 % and 1.4 %, respectively. Trauma to vessels or myocardium, hemodynamic adverse events and arrhythmias were the most common types of complications.In the multivariate model, weight < 4 kg (OR, 3.0; 95 % CI: 1.6 -5.8) and risk category 5 (OR, 5.1; 95 % CI: 2.1 -12.3) were significant risk predictors for any complication. In spite of a high rate of interventions, the complication rates in this study were similar to older studies, but diverging methods and terminology limit the comparability. We strongly suggest general use of the proposed IPCCC classification system for registration and reports of complications to pediatric heart catheterizations.

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Section: Risk Factorssupporting

confidence: 88%

Section: S Ince the Introduction Of Cardiac Catheterisa-mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Paediatric cardiac catheterisation in Norway: rates and types of complications in new terms

et al. 2017

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“…The risk of complication is high in the first 6 months of life, and 0.23% of deaths are reported in neonates [ 12 ]. In contrast, in neonatal cardiac catheterization, low-birth-weight infants weighing less than 2.5 kg have significantly more minor complications than those weighing more than 2.5 kg, but there is no difference in the frequency of serious complications, according to 1 report [ 13 ]. The relationship between the number of years of experience of the operators and adverse events has been reported from the United States in a multicenter registry; the incidence of adverse events was significantly higher among operators with less than 5 years of experience [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Occlusion of a Giant Coronary Artery Fistula in a Neonate

2021

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Patient: Female, newborn Final Diagnosis: Coronary arterial fistula Symptoms: Respiratory distress Medication: — Clinical Procedure: — Specialty: Cardiology • Pediatrics and Neonatology Objective: Congenital defects/diseases Background: Although large coronary artery fistulas are uncommon; they lead to substantial over-circulation in the pulmonary vascular beds and left heart system. Fistula occlusions are achieved via surgical or transcatheter technique; however, reports on successful outcomes of transcatheter treatment during the neonatal period are limited. Case Report: A female infant was born at the gestational age of 37 weeks with a birth weight of 2615 grams via normal vaginal delivery. Cardiac auscultation revealed a loud continuous murmur emanating from the fourth right intercostal space. A right coronary artery-to-right ventricle fistula was confirmed using transthoracic echocardiography. The newborn developed respiratory distress 3 days after birth and was administered continuous positive airway pressure to assist breathing. On day 8, the ventilator was used through tracheal intubation due to gradual worsening of dyspnea. A 6-mm Amplatzer Vascular Plug 4 (AGA Medical Corporation, Plymouth, MN) was chosen, as the minimum diameter of the coronary artery fistula was 5 mm. In view of the risk of myocar-dial ischemia with additional devices, the procedure was stopped despite persistent shunting. The newborn’s clinical condition significantly improved following the procedure and she was eventually weaned off ventilator support. Conclusions: A self-expanding occlusion device was useful for relieving this life-threatening condition. Complete elimination of shunting is not always necessary, to avoid compromising myocardial circulation.

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