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Archivos de cardiología de México
versión On-line ISSN 1665-1731versión impresa ISSN 1405-9940
Resumen
LINCE-VARELA, Rafael et al. Complications associated to pediatric cardiac catheterization and congenital heart diseases. Arch. Cardiol. Méx. [online]. 2021, vol.91, n.4, pp.422-430. Epub 06-Dic-2021. ISSN 1665-1731. https://doi.org/10.24875/acm.200003191.
Introduction:
Congenital heart diseases are the most common congenital abnormalities in newborns with a prevalence of 1%. Therapeutic and diagnostic cardiac catheterization has revolutionized the treatment of these diseases; however, it can be associated with complications.
Objective:
To describe the incidence and type of complications associated with pediatric cardiac catheterization in a reference center for congenital heart defects.
Methodology:
Retrospective observational study, with analytical intention based on records of cardiac catheterization performed on patients with congenital and acquired heart disease.
Results:
2,688 records were included for nine consecutive years. 53.9% were men, 21.3% with ages between 2 and 5 years and 20.3% between 6 months and 2 years. 63.5% of the procedures were elective. The prevalence of complications in the first 24 hours after catheterization was 6.7% (4.2% minor and 2.4% major). Early death occurred in 0.8% of the procedures. Factors associated with complications were age at catheterization <28 days (OR 2.18, 95% CI [1.28-3.70]), precatheter oxygen saturation <79% (OR 2.15, 95% CI [1.02-4.53]), use of pre-catheter inotropics (OR 3.00, 95% CI [1.68-5.33]). The variables included in the model explain 38% of the variance of post-cardiac catheterization complications in patients younger than 18 years.
Discussion:
Cardiac catheterization is associated with major and minor complications including death. The associated factors were less than 28 days, lower oxygen saturation and use of pre-catheter inotropics.
Palabras llave : Complications; Cardiac catheterization; Child; Mortality; Incidence.