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Comparative risk of cardiac catheterisations performed on low birth weight neonates

Published online by Cambridge University Press:  07 February 2013

Meghan M. Mobley ,
Richard E. Stroup  and
Stephen F. Kaine
Meghan M. Mobley*
Affiliation:
Department of Pediatrics, Graduate Medical Education Office, Children's Mercy Hospital, Kansas City, Missouri, United States of America
Richard E. Stroup
Affiliation:
Department of Pediatric Cardiology & Cardiovascular Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States of America
Stephen F. Kaine
Affiliation:
Department of Pediatric Cardiology, Children's Mercy Hospital, Kansas City, Missouri, United States of America
*
Correspondence to: Dr Meghan M. Mobley, MD, Department of Pediatrics, Graduate Medical Education Office, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, Missouri 64108, United States of America. Tel: +1(816) 234-3371; Fax: +816-234-3701; E-mail: [email protected]
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Abstract

To determine whether cardiac catheterisation procedures for low birth weight neonates ≤2.5 kg carries a greater risk of complications compared with neonates >2.5 kg, we conducted a single-centre retrospective case–control study. From 01/03 to 01/09, 46 consecutive neonates <2.5 kg at the time of cardiac catheterisation were identified. For each low birth weight case, three control patients >2.5 kg were randomly selected from our heart centre database during the same time period. Data included demographic characteristics, type of intervention, fluoroscopy time, contrast volume, pre- and post-blood urea nitrogen to creatinine ratio, physician performing procedure, procedural risk category, and all major and minor complications. The overall incidence of complications was higher in neonates ≤2.5 kg compared with neonates >2.5 kg (34.8% versus 17.6%, p = 0.023) because of a greater proportion of minor complications (34.8% versus 16.9%, p = 0.021). When specific minor complications were stratified, there was a greater incidence of hypotension requiring intravenous fluids in neonates ≤2.5 kg (6.5% versus 0%, p = 0.015). After controlling for physician performing procedure and risk category, neonates ≤2.5 kg remained at a higher risk for any complication (adjusted odds ratio = 3.2, 95% confidence interval 1.4–7.2, p = 0.005). The percentage of neonates having at least one major complication was not higher in the ≤2.5-kg group (2.2% versus 2.2%). No procedural deaths occurred in either group.

Keywords

Outcomescomplicationsprocedure-type risk categories
Type
Original Articles
Information
Cardiology in the Young , Volume 23 , Issue 5 , October 2013 , pp. 722 - 726
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Cassidy, SC, Schmidt, KG, Van Hare, GF, Stanger, P, Teitel, DF. Complications of pediatric cardiac catheterization: a 3-year study. J Am Coll Cardiol 1992; 19: 1285–1293.CrossRefGoogle Scholar
2. Cohn, HE, Freed, MD, Hellenbrand, WF, Fyler, DC. Complications and mortality associated with cardiac catheterization in infants under one year: a prospective study. Pediatr Cardiol 1985; 6: 123–131.CrossRefGoogle ScholarPubMed
3. McCrindle, BW. Independent predictors of long-term results after balloon pulmonary valvuloplasty. Circulation 1994; 89: 1751–1759.CrossRefGoogle ScholarPubMed
4. Mok, Q, Darvell, F, Mattos, S, et al. Survival after balloon atrial septostomy for complete transposition of great arteries. Arch Dis Child 1987; 62: 549–553.CrossRefGoogle ScholarPubMed
5. Vitiello, R, McCrindle, BW, Nykanen, D, Freedom, RM, Benson, LN. Complications associated with pediatric cardiac catheterization. J Am Coll Cardiol 1998; 32: 1433–1440.CrossRefGoogle ScholarPubMed
6. Chen, MR, Hwang, HK, Yu, CH, Lin, YC. Cardiac catheterization in low birth weight infants. J Formos Med Assoc 2005; 104: 408–411.Google ScholarPubMed
7. Kretschmar, O, Dahnert, I, Berger, F, Ewert, P, Lange, PE. Interventional treatment of congenital heart defects in infants with a body weight up to 2500 grams. Z Kardiol 2000; 89: 1126–1132.CrossRefGoogle ScholarPubMed
8. Simpson, JM, Moore, P, Teitel, DF. Cardiac catheterization of low birth weight infants. Am J Cardiol 2001; 87: 1372–1377.CrossRefGoogle ScholarPubMed
9. McMahon, CJ, Price, JF, Salerno, JC, et al. Cardiac catheterization in infants weighing less than 2500 grams. Cardiol Young 2003; 13: 117–122.CrossRefGoogle ScholarPubMed
10. Sutton, N, Lock, JE, Geggel, RL. Cardiac catheterization in infants weighing less than 1,500 grams. Catheter Cardiovasc Interv 2006; 68: 948–956.CrossRefGoogle Scholar
11. Bergersen, L, Gauvreau, K, Marshall, A, et al. Procedure-type risk categories for pediatric and congenital cardiac catheterization. Circ Cardiovasc Interv 2001; 4: 188–194.CrossRefGoogle Scholar
12. Rhodes, JF, Asnes, JD, Blautox, AD, Sommer, RJ. Impact of low body weight on frequency of pediatric cardiac catheterization complications. Am J Cardiol 2000; 86: 1275–1278.CrossRefGoogle ScholarPubMed
13. Zeevi, B, Berant, M, Fogelman, R, Galit, BM, Blieden, LC. Acute complications in the current era of therapeutic cardiac catheterization for congenital heart disease. Cardiol Young 1999; 9: 266–272.CrossRefGoogle ScholarPubMed
14. Martin, GR, Beekman, RH, Ing, FF, et al. The IMPACT registry: IMproving pediatric and adult congenital treatments. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2010; 13: 20–25.CrossRefGoogle ScholarPubMed