Use of cardiac catheterization in pediatric cardiac surgical decisions
| Autor: | Davis Jt, John J. Wheller, David P. Chan, Steven C. Cassidy, Jo M. Craenen, D.G. Rowland, Allen Hd, Douglas W. Teske, Cohen Dm, Franklin Wh |
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| Rok vydání: | 1994 |
| Předmět: |
Pulmonary and Respiratory Medicine
Heart Defects Congenital medicine.medical_specialty Cardiac Catheterization Diagnostic methods Cardiac anatomy medicine.medical_treatment Internal medicine medicine Humans Cardiac Surgical Procedures Intensive care medicine Child Cardiac catheterization Retrospective Studies medicine.diagnostic_test business.industry Infant Newborn Infant Magnetic resonance imaging Heart operations Magnetic Resonance Imaging Echocardiography Doppler Current practice Cardiology Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Thoracic and cardiovascular surgeon. 42(3) |
| ISSN: | 0171-6425 |
| Popis: | Current practice patterns relating to pediatric cardiac catheterization (Cath) have considerable economic implications. The decreased cost and risk of noninvasive methods such as echocardiography (ECHO) and magnetic resonance imaging (MRI) make them attractive alternative diagnostic methods if they can sufficiently define cardiac anatomy and the need for surgical intervention. We reviewed a recent cardiac surgical series of 465 cases in 1.5 years to determine how often a Cath was performed prior to surgery. Overall, 59.4% of the procedures were preceded by a Cath (76% of open heart operations, and 26.7% of closed heart operations). We specify the situations where we feel enough information is available for preoperative decision making from non-invasive testing, and we present some diagnostic pitfalls that have been encountered. |
| Databáze: | OpenAIRE |
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