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- W2104975732 abstract "Pediatric cardiac catheterization may be indicated under certain conditions, but is associated with some risk especially in newborns. These risks may ocur at all steps of procedure, and could be relevant to all structures of the circulation. In the present study, we evaluated the outcome and complication of therapeutic catheterization procedures, which were performed in 140 newborn between 2005 and 2013. All files and medical records of inpatients were assessed retrospectively and the demographics, procedure, outcome data were collected. Interventional therapy was applied to 140 newborn, 103 (73.6%) male and 37 (26.3%) female. The patients were aged from 1 to 30 days (9.4±8.7 days). The weight of patients was between 1.5 and 4.1 kilograms (3.1±0.5 kilograms). The right femoral vein (57.9%) and artery (29.3%) were used most commonly for vascular access. The most commonly used introducer sheats were 4 F and 5 F. NIH, Cobra and right Judkins catheters were used mainly. The fluoroscopy time was ranged between 6 and 28 minutes (14.1±4.6 minutes). The contrast material was used between 1 and 13 mililiters. Balloon atrial septostomy (n:63), coarctation angioplasty (32), pulmonary balloon valvuloplasty (25), aortic valvuloplasty (20) and ductal stent placement (5) were performed. No procedural death was noted. Significant adverse events (n:18) included arteriel thrombosis (12), transient arrhythmia (4), cardiopulmonary resuscitation (1), and apnea requiring intubation (1). The arterial thrombosis were treated with heparin (12) and/or tissue plasminogen activator (2) successfully. Interventional catheterization primarily serves as a palliative procedure to stabilize infants for definitive treatment. This is feasible with low procedural morbidity and mortality in high risk newborns. The most common major complication in this study was arterial thrombosis." @default.
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- W2104975732 date "2014-04-01" @default.
- W2104975732 modified "2023-10-18" @default.
- W2104975732 title "OP-093 Catheter Based Treatment in Newborn with Congenital Heart Disease: Eight Years Experience of a Single Center" @default.
- W2104975732 doi "https://doi.org/10.1016/j.amjcard.2014.01.067" @default.
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