Incidence and management of life-threatening adverse events during cardiac catheterization for congenital heart disease

C. Huie Lin, Sanjeet Hegde, Audrey C. Marshall, Diego Porras, Kimberlee Gauvreau, David T. Balzer, Robert H. Beekman, Alejandro Torres, Julie A. Vincent, John W. Moore, Ralf Holzer, Laurie Armsby, Lisa Bergersen

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Continued advancements in congenital cardiac catheterization and interventions have resulted in increased patient and procedural complexity. Anticipation of life-threatening events and required rescue measures is a critical component to preprocedural preparation. We sought to determine the incidence and nature of life-threatening adverse events in congenital and pediatric cardiac catheterization, risk factors, and resources necessary to anticipate and manage events. Data from 8905 cases performed at the 8 participating institutions of the Congenital Cardiac Catheterization Project on Outcomes were captured between 2007 and 2010 [median 1,095/site (range 133-3,802)]. The incidence of all life-threatening events was 2.1 % [95 % confidence interval (CI) 1.8-2.4 %], whereas mortality was 0.28 % (95 % CI 0.18-0.41 %). Fifty-seven life-threatening events required cardiopulmonary resuscitation, whereas 9 % required extracorporeal membrane oxygenation. Use of a risk adjustment model showed that age

Original languageEnglish (US)
Pages (from-to)140-148
Number of pages9
JournalPediatric Cardiology
Volume35
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Cardiac Catheterization
Heart Diseases
Incidence
Confidence Intervals
Risk Adjustment
Extracorporeal Membrane Oxygenation
Cardiopulmonary Resuscitation
Pediatrics
Mortality

Keywords

  • Cardiac catheterization and intervention
  • Cardiac surgery
  • Congenital heart disease
  • ECMO
  • Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Lin, C. H., Hegde, S., Marshall, A. C., Porras, D., Gauvreau, K., Balzer, D. T., ... Bergersen, L. (2014). Incidence and management of life-threatening adverse events during cardiac catheterization for congenital heart disease. Pediatric Cardiology, 35(1), 140-148. https://doi.org/10.1007/s00246-013-0752-y

Incidence and management of life-threatening adverse events during cardiac catheterization for congenital heart disease. / Lin, C. Huie; Hegde, Sanjeet; Marshall, Audrey C.; Porras, Diego; Gauvreau, Kimberlee; Balzer, David T.; Beekman, Robert H.; Torres, Alejandro; Vincent, Julie A.; Moore, John W.; Holzer, Ralf; Armsby, Laurie; Bergersen, Lisa.

In: Pediatric Cardiology, Vol. 35, No. 1, 01.2014, p. 140-148.

Research output: Contribution to journalArticle

Lin, CH, Hegde, S, Marshall, AC, Porras, D, Gauvreau, K, Balzer, DT, Beekman, RH, Torres, A, Vincent, JA, Moore, JW, Holzer, R, Armsby, L & Bergersen, L 2014, 'Incidence and management of life-threatening adverse events during cardiac catheterization for congenital heart disease', Pediatric Cardiology, vol. 35, no. 1, pp. 140-148. https://doi.org/10.1007/s00246-013-0752-y
Lin, C. Huie ; Hegde, Sanjeet ; Marshall, Audrey C. ; Porras, Diego ; Gauvreau, Kimberlee ; Balzer, David T. ; Beekman, Robert H. ; Torres, Alejandro ; Vincent, Julie A. ; Moore, John W. ; Holzer, Ralf ; Armsby, Laurie ; Bergersen, Lisa. / Incidence and management of life-threatening adverse events during cardiac catheterization for congenital heart disease. In: Pediatric Cardiology. 2014 ; Vol. 35, No. 1. pp. 140-148.
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