Complications of Cardiac Catheterization in Structural Heart Disease

Overview

Journal Korean Circ J

Date 2016 Mar 26

PMID 27014356

Citations 3

Authors

Ko Eun Lee

Yeon Jeong Seo

Gi Beom Kim

Hyo Soon An

Young Hwan Song

Bo Sang Kwon

Eun Jung Bae

Chung Il Noh

Affiliations

Soon will be listed here.

Abstract

Background And Objectives: Cardiac catheterization is used to diagnose structural heart disease (SHD) and perform transcatheter treatment. This study aimed to evaluate complications of cardiac catheterization and the associated risk factors in a tertiary center over 10 years.

Subjects And Methods: Total 2071 cardiac catheterizations performed at the Seoul National University Children's Hospital from January 2004 to December 2013 were included in this retrospective study.

Results: The overall complication, severe complication, and mortality rates were 16.2%, 1.15%, and 0.19%, respectively. The factors that significantly increased the risk of overall and severe complications were anticoagulant use before procedure (odds ratio [OR] 1.83, p=0.012 and OR 6.45, p<0.001, respectively), prothrombin time (OR 2.30, p<0.001 and OR 5.99, p<0.001, respectively), general anesthesia use during procedure (OR 1.84, p=0.014 and OR 5.31, p=0.015, respectively), and total procedure time (OR 1.01, p<0.001 and OR 1.02, p<0.001, respectively). Low body weight (OR 0.99, p=0.003), severe SHD (OR 1.37, p=0.012), repetitive procedures (OR 1.7, p=0.009), and total fluoroscopy time (OR 1.01, p=0.005) significantly increased the overall complication risk. High activated partial thromboplastin time (OR 1.04, p=0.001), intensive care unit admission state (OR 14.03, p<0.001), and concomitant electrophysiological study during procedure (OR 3.41, p=0.016) significantly increased severe complication risk.

Conclusion: Currently, the use of cardiac catheterization in SHD is increasing and becoming more complex; this could cause complications despite the preventive efforts. Careful patient selection for therapeutic catheterization and improved technique and management during the peri-procedural period are required to reduce complications.

Citing Articles

Congenital heart disease cardiac catheterization at Uganda Heart Institute, a 12-year retrospective study of immediate outcomes.

Mbabazi N, Aliku T, Namuyonga J, Tumwebaze H, Ndagire E, Obongonyinge B BMC Cardiovasc Disord. 2024; 24(1):463.

PMID: 39210275 PMC: 11360719. DOI: 10.1186/s12872-024-04085-6.

Vascular Reconstruction in a Neonate after Iatrogenic Injury during Cardiac Catheterization.

Amaro E, Pophal S, Zoldos J Plast Reconstr Surg Glob Open. 2018; 5(12):e1600.

PMID: 29632779 PMC: 5889463. DOI: 10.1097/GOX.0000000000001600.

Outcomes Associated with the Off-label Use of Medical Devices in Congenital Heart Disease at a Single Institute.

Kong Y, Song J, Huh J, Kang I Korean Circ J. 2017; 47(4):509-515.

PMID: 28765743 PMC: 5537153. DOI: 10.4070/kcj.2016.0311.

References

Mori Y, Nakazawa M, Yagihara T . Complications of pediatric cardiac catheterization and system of catheterization laboratories minimizing complications--a Japanese multicenter survey. J Cardiol. 2010; 56(2):183-8. DOI: 10.1016/j.jjcc.2010.05.001. View

de Bono D . Complications of diagnostic cardiac catheterisation: results from 34,041 patients in the United Kingdom confidential enquiry into cardiac catheter complications. The Joint Audit Committee of the British Cardiac Society and Royal College of.... Br Heart J. 1993; 70(3):297-300. PMC: 1025320. DOI: 10.1136/hrt.70.3.297. View

Vitiello R, McCrindle B, Nykanen D, Freedom R, Benson L . Complications associated with pediatric cardiac catheterization. J Am Coll Cardiol. 1998; 32(5):1433-40. DOI: 10.1016/s0735-1097(98)00396-9. View

Brotschi B, Hug M, Kretschmar O, Rizzi M, Albisetti M . Incidence and predictors of cardiac catheterisation-related arterial thrombosis in children. Heart. 2015; 101(12):948-53. DOI: 10.1136/heartjnl-2014-306713. View

Yetman A, Nykanen D, McCrindle B, Sunnegardh J, Adatia I, Freedom R . Balloon angioplasty of recurrent coarctation: a 12-year review. J Am Coll Cardiol. 1997; 30(3):811-6. DOI: 10.1016/s0735-1097(97)00228-3. View

Glatz A, Shah S, McCarthy A, Geisser D, Daniels K, Xie D . Prevalence of and risk factors for acute occlusive arterial injury following pediatric cardiac catheterization: a large single-center cohort study. Catheter Cardiovasc Interv. 2013; 82(3):454-62. DOI: 10.1002/ccd.24737. View

Busing K, Schulte-Sasse C, Fluchter S, Suselbeck T, Haase K, Neff W . Cerebral infarction: incidence and risk factors after diagnostic and interventional cardiac catheterization--prospective evaluation at diffusion-weighted MR imaging. Radiology. 2005; 235(1):177-83. DOI: 10.1148/radiol.2351040117. View

Rhodes J, Asnes J, Blaufox A, Sommer R . Impact of low body weight on frequency of pediatric cardiac catheterization complications. Am J Cardiol. 2000; 86(11):1275-8, A9. DOI: 10.1016/s0002-9149(00)01221-2. View

Krasemann T . Complications of cardiac catheterisation in children. Heart. 2015; 101(12):915. DOI: 10.1136/heartjnl-2015-307453. View

10.

Warnes C, Liberthson R, Danielson G, Dore A, Harris L, Hoffman J . Task force 1: the changing profile of congenital heart disease in adult life. J Am Coll Cardiol. 2001; 37(5):1170-5. DOI: 10.1016/s0735-1097(01)01272-4. View

11.

West R, Ellis G, Brooks N . Complications of diagnostic cardiac catheterisation: results from a confidential inquiry into cardiac catheter complications. Heart. 2005; 92(6):810-4. PMC: 1860678. DOI: 10.1136/hrt.2005.073890. View

12.

Mehta R, Lee K, Chaturvedi R, Benson L . Complications of pediatric cardiac catheterization: a review in the current era. Catheter Cardiovasc Interv. 2008; 72(2):278-85. DOI: 10.1002/ccd.21580. View

13.

Zeevi B, Berant M, Fogelman R, Galit B, Blieden L . Acute complications in the current era of therapeutic cardiac catheterization for congenital heart disease. Cardiol Young. 1999; 9(3):266-72. DOI: 10.1017/s1047951100004923. View

14.

Stone P, Campbell J, AbuRahma A . Femoral pseudoaneurysms after percutaneous access. J Vasc Surg. 2014; 60(5):1359-1366. DOI: 10.1016/j.jvs.2014.07.035. View

15.

Cassidy S, Schmidt K, Van Hare G, Stanger P, Teitel D . Complications of pediatric cardiac catheterization: a 3-year study. J Am Coll Cardiol. 1992; 19(6):1285-93. DOI: 10.1016/0735-1097(92)90336-l. View

16.

Lin C, Desai S, Nicolas R, Gauvreau K, Foerster S, Sharma A . Sedation and Anesthesia in Pediatric and Congenital Cardiac Catheterization: A Prospective Multicenter Experience. Pediatr Cardiol. 2015; 36(7):1363-75. DOI: 10.1007/s00246-015-1167-8. View

17.

Porter C, Gillette P, Mullins C, McNamara D . Cardiac catheterization in the neonate. A comparison of three techniques. J Pediatr. 1978; 93(1):97-101. DOI: 10.1016/s0022-3476(78)80614-3. View

18.

Zuckerman W, Turner M, Kerstein J, Torres A, Vincent J, Krishnan U . Safety of cardiac catheterization at a center specializing in the care of patients with pulmonary arterial hypertension. Pulm Circ. 2014; 3(4):831-9. PMC: 4070826. DOI: 10.1086/674752. View

19.

Kim G . Psychosocial adjustment and quality of life of adolescents and adults with congenital heart disease. Korean J Pediatr. 2014; 57(6):257-63. PMC: 4115066. DOI: 10.3345/kjp.2014.57.6.257. View

20.

Bobhate P, Guo L, Jain S, Haugen R, Coe J, Cave D . Cardiac catheterization in children with pulmonary hypertensive vascular disease. Pediatr Cardiol. 2015; 36(4):873-9. DOI: 10.1007/s00246-015-1100-1. View