Skip to main content
×
Home
    • Aa
    • Aa

Comparative risk of cardiac catheterisations performed on low birth weight neonates

  • Meghan M. Mobley (a1), Richard E. Stroup (a2) and Stephen F. Kaine (a3)
Abstract
Abstract

To determine whether cardiac catheterisation procedures for low birth weight neonates ≤2.5 kg carries a greater risk of complications compared with neonates >2.5 kg, we conducted a single-centre retrospective case–control study. From 01/03 to 01/09, 46 consecutive neonates <2.5 kg at the time of cardiac catheterisation were identified. For each low birth weight case, three control patients >2.5 kg were randomly selected from our heart centre database during the same time period. Data included demographic characteristics, type of intervention, fluoroscopy time, contrast volume, pre- and post-blood urea nitrogen to creatinine ratio, physician performing procedure, procedural risk category, and all major and minor complications. The overall incidence of complications was higher in neonates ≤2.5 kg compared with neonates >2.5 kg (34.8% versus 17.6%, p = 0.023) because of a greater proportion of minor complications (34.8% versus 16.9%, p = 0.021). When specific minor complications were stratified, there was a greater incidence of hypotension requiring intravenous fluids in neonates ≤2.5 kg (6.5% versus 0%, p = 0.015). After controlling for physician performing procedure and risk category, neonates ≤2.5 kg remained at a higher risk for any complication (adjusted odds ratio = 3.2, 95% confidence interval 1.4–7.2, p = 0.005). The percentage of neonates having at least one major complication was not higher in the ≤2.5-kg group (2.2% versus 2.2%). No procedural deaths occurred in either group.

Copyright
Corresponding author
Correspondence to: Dr Meghan M. Mobley, MD, Department of Pediatrics, Graduate Medical Education Office, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, Missouri 64108, United States of America. Tel: +1(816) 234-3371; Fax: +816-234-3701; E-mail: mmobley@cmh.edu
References
Hide All
1. CassidySC, SchmidtKG, Van HareGF, StangerP, TeitelDF. Complications of pediatric cardiac catheterization: a 3-year study. J Am Coll Cardiol 1992; 19: 12851293.
2. CohnHE, FreedMD, HellenbrandWF, FylerDC. Complications and mortality associated with cardiac catheterization in infants under one year: a prospective study. Pediatr Cardiol 1985; 6: 123131.
3. McCrindleBW. Independent predictors of long-term results after balloon pulmonary valvuloplasty. Circulation 1994; 89: 17511759.
4. MokQ, DarvellF, MattosS, et al. Survival after balloon atrial septostomy for complete transposition of great arteries. Arch Dis Child 1987; 62: 549553.
5. VitielloR, McCrindleBW, NykanenD, FreedomRM, BensonLN. Complications associated with pediatric cardiac catheterization. J Am Coll Cardiol 1998; 32: 14331440.
6. ChenMR, HwangHK, YuCH, LinYC. Cardiac catheterization in low birth weight infants. J Formos Med Assoc 2005; 104: 408411.
7. KretschmarO, DahnertI, BergerF, EwertP, LangePE. Interventional treatment of congenital heart defects in infants with a body weight up to 2500 grams. Z Kardiol 2000; 89: 11261132.
8. SimpsonJM, MooreP, TeitelDF. Cardiac catheterization of low birth weight infants. Am J Cardiol 2001; 87: 13721377.
9. McMahonCJ, PriceJF, SalernoJC, et al. Cardiac catheterization in infants weighing less than 2500 grams. Cardiol Young 2003; 13: 117122.
10. SuttonN, LockJE, GeggelRL. Cardiac catheterization in infants weighing less than 1,500 grams. Catheter Cardiovasc Interv 2006; 68: 948956.
11. BergersenL, GauvreauK, MarshallA, et al. Procedure-type risk categories for pediatric and congenital cardiac catheterization. Circ Cardiovasc Interv 2001; 4: 188194.
12. RhodesJF, AsnesJD, BlautoxAD, SommerRJ. Impact of low body weight on frequency of pediatric cardiac catheterization complications. Am J Cardiol 2000; 86: 12751278.
13. ZeeviB, BerantM, FogelmanR, GalitBM, BliedenLC. Acute complications in the current era of therapeutic cardiac catheterization for congenital heart disease. Cardiol Young 1999; 9: 266272.
14. MartinGR, BeekmanRH, IngFF, et al. The IMPACT registry: IMproving pediatric and adult congenital treatments. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2010; 13: 2025.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 3
Total number of PDF views: 7 *
Loading metrics...

Abstract views

Total abstract views: 101 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 19th October 2017. This data will be updated every 24 hours.