10 years' retrospective evaluations of pediatric patients who were made cardiac catheterization

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Thesis Type: Expertise In Medicine

Institution Of The Thesis: Gazi University, Tıp Fakültesi, Turkey

Approval Date: 2015

Thesis Language: Turkish

Student: BURCU ÇAPRAZ YAVUZ

Supervisor: Ayşe Deniz Oğuz

Open Archive Collection: AVESIS Open Access Collection

Abstract:

10 Years' Retrospective Evaluations of Pediatric Patients Who Were Made Cardiac Catheterization In twenty years, the application of pediatric cardiac catheterization have changed dramatically. Pediatric cardiac catheterization laboratories are still being used for both diagnostic and therapeutic interventional procedures. In this presented study, 1216 pediatric cardiac catheterization procedures which were performed between January 1th 2004- September 1th, 2014 were evaluated. 1002 diagnostic, 214 therapeutic cardiac catheterization and angiocardiography procedure were applied to 1007 cases. It was determined that 70.3% part of the procedures were applied to the cases with a diagnoses of acyanotic and 14.8%part of the procedures were applied to the cases with a diagnoses of cyanotic heart disease respectively. Transcatheter percutaneous therapeutic procedures were consisted of closing PDA with coil or ADO in 31.7%, endomyocardial biopsy in 20%, closing ASD in 17.7%, pulmoner balloon valvuloplasty in 12.1%, coarctation balloon angioplasty in 5.1%, atrial balloon septostomy in 3.7%, aortic balloon valvuloplasty in 3.2%, pacemaker implantation in 3.2%, coarctation stent implantation in 0.9%, embolization of AV fistula in 0.9%, patent ductus arteriosus stenting in 0.4%and aortopulmonary collateral angioplasty in 0.4% of all procedures. Complications were detected in 12.4% of all procedures (2.6% major, 9.8% minor complication). The most detected minor complication was transient vascular disturbance which was found as 33.7% of all complications and the most detected major complication was arrhythmia which was found as 17.7% of all complications. The progresses in the technology, equipment and materials that can be used in children have become smaller in recent years. Despite all developments in cardiac catheterization procedure, it still has serious complication risks. A basic understanding of radiation doses, contrast agents, the risks of their administration, the choice of the available agents and premedication regimens for high-risks patients beneficial in preparing patients for their contrast enhanced imaging examinations. Physicians should be able to recognize and threat the various types of possible adverse reactions and should use as less contrast agents and radiation as they can.