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Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience

BACKGROUND: Cardiac catheterization after congenital heart surgery may play an important role in the diagnosis and management of patients with a complicated or unusual post-operative course. The main objective of this study was to evaluate the safety, efficacy, and outcome of cardiac catheterization...

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Autores principales: Bahaidarah, Saud, Al-Ata, Jameel, Abdelmohsen, Gaser, Alkhushi, Naif, Abdelsalam, Mohamed, Mujahed, Mohammed, Al-Radi, Osman, Elassal, Ahmed, Zaher, Zaher, Azhar, Ahmad, Dohain, Ahmed M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7683629/
https://www.ncbi.nlm.nih.gov/pubmed/33226532
http://dx.doi.org/10.1186/s43044-020-00117-6
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author Bahaidarah, Saud
Al-Ata, Jameel
Abdelmohsen, Gaser
Alkhushi, Naif
Abdelsalam, Mohamed
Mujahed, Mohammed
Al-Radi, Osman
Elassal, Ahmed
Zaher, Zaher
Azhar, Ahmad
Dohain, Ahmed M.
author_facet Bahaidarah, Saud
Al-Ata, Jameel
Abdelmohsen, Gaser
Alkhushi, Naif
Abdelsalam, Mohamed
Mujahed, Mohammed
Al-Radi, Osman
Elassal, Ahmed
Zaher, Zaher
Azhar, Ahmad
Dohain, Ahmed M.
author_sort Bahaidarah, Saud
collection PubMed
description BACKGROUND: Cardiac catheterization after congenital heart surgery may play an important role in the diagnosis and management of patients with a complicated or unusual post-operative course. The main objective of this study was to evaluate the safety, efficacy, and outcome of cardiac catheterization performed in the early post-operative period following congenital heart surgery. All patients who underwent cardiac catheterization after congenital heart surgery during the same admission of cardiac surgery from November 2015 to May 2018 were included in the study. RESULTS: Thirty procedures were performed for 27 patients (20 interventional and 10 diagnostic). The median age of the patients was 15 months (15 days to 20 years), median weight was 8.2 kg (3.4 to 53 kg), and median time from surgery was 3 days (0–32 days). Eleven procedures were performed for 11 patients on extracorporeal membrane oxygenation (ECMO) support. The main indications for catheterization included the inability to wean from ECMO (10 procedures) and cyanosis (10 procedures). Interventional procedures included angioplasty using stents (10 procedures, success rate of 90%), angioplasty using only balloons (2 procedures, success rate of 50%), and occlusion for residual shunts (8 procedures, success rate of 100%). No mortality was recorded during any procedure. Vasoactive–inotropic score had significantly decreased 48 h after catheterization when compared to pre-catheterization scores (p = 0.0001). Moreover, 72% of patients connected to ECMO support were successfully weaned from ECMO after catheterization. Procedural complications were recorded in 3 interventional procedures. Survival to hospital discharge was 55.5% and overall survival was 52%. Patients on ECMO support had a higher mortality than other patients. CONCLUSION: Cardiac catheterization can be performed safely in the early post-operative period, and it could improve the outcome of the patient (depending on the complexity of the cardiac lesions involved).
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spelling pubmed-76836292020-12-03 Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience Bahaidarah, Saud Al-Ata, Jameel Abdelmohsen, Gaser Alkhushi, Naif Abdelsalam, Mohamed Mujahed, Mohammed Al-Radi, Osman Elassal, Ahmed Zaher, Zaher Azhar, Ahmad Dohain, Ahmed M. Egypt Heart J Research BACKGROUND: Cardiac catheterization after congenital heart surgery may play an important role in the diagnosis and management of patients with a complicated or unusual post-operative course. The main objective of this study was to evaluate the safety, efficacy, and outcome of cardiac catheterization performed in the early post-operative period following congenital heart surgery. All patients who underwent cardiac catheterization after congenital heart surgery during the same admission of cardiac surgery from November 2015 to May 2018 were included in the study. RESULTS: Thirty procedures were performed for 27 patients (20 interventional and 10 diagnostic). The median age of the patients was 15 months (15 days to 20 years), median weight was 8.2 kg (3.4 to 53 kg), and median time from surgery was 3 days (0–32 days). Eleven procedures were performed for 11 patients on extracorporeal membrane oxygenation (ECMO) support. The main indications for catheterization included the inability to wean from ECMO (10 procedures) and cyanosis (10 procedures). Interventional procedures included angioplasty using stents (10 procedures, success rate of 90%), angioplasty using only balloons (2 procedures, success rate of 50%), and occlusion for residual shunts (8 procedures, success rate of 100%). No mortality was recorded during any procedure. Vasoactive–inotropic score had significantly decreased 48 h after catheterization when compared to pre-catheterization scores (p = 0.0001). Moreover, 72% of patients connected to ECMO support were successfully weaned from ECMO after catheterization. Procedural complications were recorded in 3 interventional procedures. Survival to hospital discharge was 55.5% and overall survival was 52%. Patients on ECMO support had a higher mortality than other patients. CONCLUSION: Cardiac catheterization can be performed safely in the early post-operative period, and it could improve the outcome of the patient (depending on the complexity of the cardiac lesions involved). Springer Berlin Heidelberg 2020-11-23 /pmc/articles/PMC7683629/ /pubmed/33226532 http://dx.doi.org/10.1186/s43044-020-00117-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research
Bahaidarah, Saud
Al-Ata, Jameel
Abdelmohsen, Gaser
Alkhushi, Naif
Abdelsalam, Mohamed
Mujahed, Mohammed
Al-Radi, Osman
Elassal, Ahmed
Zaher, Zaher
Azhar, Ahmad
Dohain, Ahmed M.
Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience
title Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience
title_full Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience
title_fullStr Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience
title_full_unstemmed Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience
title_short Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience
title_sort cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7683629/
https://www.ncbi.nlm.nih.gov/pubmed/33226532
http://dx.doi.org/10.1186/s43044-020-00117-6
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