Surgical emergencies during pediatric interventional catheterization

Valerie A. Schroeder, David Shim, Robert L. Spicer, Jeffery M. Pearl, Peter J. Manning, Robert H. Beekman

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: To determine the incidence of catheter-related surgical emergencies during pediatric interventional catheterization procedures. Study design: We reviewed all interventional catheter procedures (n = 578) over a 4-year period (April 1996 to April 2000) to determine any complication during interventional catheterization that required surgery within 24 hours after catheterization. Results: The overall incidence of surgical emergencies was 1.9% (70% confidence limits, 1.5% to 2.7%). Complications that required surgical intervention occurred with balloon dilation (valvuloplasty, angioplasty, n = 4), device deployment (coils, stents, atrial-septal defect devices, n = 5), transhepatic access (n = 1), and atrial transseptal puncture (n = 1). For the majority of interventions, the incidence of surgical emergencies was <4% except for two procedures (conduit and pulmonary artery angioplasty) with limited numbers of patients. There were no surgical emergencies during endomyocardial biopsy, coarctation angioplasty, or balloon atrial septostomy. Conclusions: Surgery was required in 1.9% of all interventional catheter procedures. Surgical emergencies occurred during a wide variety of catheter interventions and could not be predicted by the type of procedure performed.

Original languageEnglish (US)
Pages (from-to)570-575
Number of pages6
JournalJournal of Pediatrics
Volume140
Issue number5
DOIs
StatePublished - Jan 1 2002

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Catheterization
Emergencies
Pediatrics
Catheters
Angioplasty
Incidence
Balloon Valvuloplasty
Equipment and Supplies
Balloon Angioplasty
Atrial Heart Septal Defects
Punctures
Pulmonary Artery
Stents
Dilatation
Biopsy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Schroeder, V. A., Shim, D., Spicer, R. L., Pearl, J. M., Manning, P. J., & Beekman, R. H. (2002). Surgical emergencies during pediatric interventional catheterization. Journal of Pediatrics, 140(5), 570-575. https://doi.org/10.1067/mpd.2002.122723

Surgical emergencies during pediatric interventional catheterization. / Schroeder, Valerie A.; Shim, David; Spicer, Robert L.; Pearl, Jeffery M.; Manning, Peter J.; Beekman, Robert H.

In: Journal of Pediatrics, Vol. 140, No. 5, 01.01.2002, p. 570-575.

Research output: Contribution to journalArticle

Schroeder, VA, Shim, D, Spicer, RL, Pearl, JM, Manning, PJ & Beekman, RH 2002, 'Surgical emergencies during pediatric interventional catheterization', Journal of Pediatrics, vol. 140, no. 5, pp. 570-575. https://doi.org/10.1067/mpd.2002.122723
Schroeder, Valerie A. ; Shim, David ; Spicer, Robert L. ; Pearl, Jeffery M. ; Manning, Peter J. ; Beekman, Robert H. / Surgical emergencies during pediatric interventional catheterization. In: Journal of Pediatrics. 2002 ; Vol. 140, No. 5. pp. 570-575.
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