Arterial and Venous Complications Early After Cardiac Catheterization in Children and Adolescents: A Prospective Study
| Autor: | Mohammad Borzouee, Nima Mehdizadegan, Hamid Mohammadi, Amir Naghshzan, Hamed Jafari, Kambiz Keshavarz, Mohammad Reza Edraki, Gholamhossein Ajami, Hamid Amoozgar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Fistula 030204 cardiovascular system & hematology medicine.disease Thrombosis Surgery 03 medical and health sciences Dissection 0302 clinical medicine medicine.anatomical_structure Axillary artery medicine.artery Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine Complication business Prospective cohort study Cardiac catheterization Artery |
| Zdroj: | Iranian Journal of Pediatrics. 29 |
| ISSN: | 2008-2150 2008-2142 |
| DOI: | 10.5812/ijp.91965 |
| Popis: | Objectives: This prospective study was designed with the aim to evaluate the prevalence and risk factors of arterial and venous complications among children and adolescents during cardiac catheterization. Methods: All patients younger than 18 years who underwent cardiac catheterization from April 2016 to April 2017 were consecutively enrolled in this study. Results: A total of 179 vascular accesses were performed, and most (70%) cases were interventional procedures. Totally 17 (14%) arterial and 16 (13%) venous events occurred, while 4% and 5% of them, respectively, were more serious. Half of the patients who underwent axillary artery access developed major or minor trauma, and these subtracted from total events of artery accesses, only 9% of femoral arteries developed minor or major complications. The more serious arterial complications were dissection, pseudo-aneurysm and fistula whereas in venous access they were pseudo-aneurysm and thrombosis. Serious and non-serious complications considered together, the mean age of those without complication was 1.9 ± 3.6 years and in complicated group it was 1.7 ± 2.6 years (P = 0.33), and the mean weight of non-complicated cases was 9.27 ± 7.9 kg and 8.51 ± 8.12 kg in the complicated group with no significant difference (P = 0.41), whereas the incidence of more serious vascular complications was highest among patients younger than 1 year of age, and less than 9 kilograms. 23% of the cases who underwent more than 3 tries for arterial and 100% for venous access showed the complications. Also few arterial tries resulted in unintentional venous complications and vice versa. None of the cases needed surgical or interventional therapy. Conclusions: Our study showed that venous complications are as high as arterial complications, although most of them are self-limited. |
| Databáze: | OpenAIRE |
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