Complications of Cardiac Catheterization in Structural Heart Disease
Korean Circulation Journal
; : 246-255, 2016.
Article
en En
| WPRIM
| ID: wpr-221721
Biblioteca responsable:
WPRO
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 ANDMETHODS:
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.Palabras clave
Texto completo:
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Índice:
WPRIM
Asunto principal:
Tiempo de Tromboplastina Parcial
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Tiempo de Protrombina
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Peso Corporal
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Cateterismo
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Fluoroscopía
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Cateterismo Cardíaco
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Estudios Retrospectivos
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Factores de Riesgo
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Mortalidad
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Selección de Paciente
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
País/Región como asunto:
Asia
Idioma:
En
Revista:
Korean Circulation Journal
Año:
2016
Tipo del documento:
Article