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 Scopus citations

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 - 2002

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    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