Arterial and Venous Complications Early After Cardiac Catheterization in Children and Adolescents: A Prospective Study
| Author | Hamid Amoozgar | en |
| Author | Amir Naghshzan | en |
| Author | Mohammad Reza Edraki | en |
| Author | Hamed Jafari | en |
| Author | Gholam Hossein Ajami | en |
| Author | Hamid Mohammadi | en |
| Author | Nima Mehdizadegan | en |
| Author | Mohammad Borzouee | en |
| Author | Kambiz Keshavarz | en |
| Orcid | Mohammad Reza Edraki [0000-0003-2026-2764] | en |
| Orcid | Hamed Jafari [0000-0001-5364-2566] | en |
| Orcid | Hamid Mohammadi [0000-0002-6606-2795] | en |
| Orcid | Nima Mehdizadegan [0000-0001-6538-1391] | en |
| Orcid | Kambiz Keshavarz [0000-0002-9728-4112] | en |
| Issued Date | 2019-10-31 | en |
| Abstract | 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. | en |
| DOI | https://doi.org/10.5812/ijp.91965 | en |
| URI | https://brieflands.com/journals/ijp/articles/91965 | en |
| Keyword | Cardiac Catheterization | en |
| Keyword | Congenital Heart Disease | en |
| Keyword | Arterial Injury | en |
| Keyword | Venous Injury | en |
| Keyword | Children | en |
| Publisher | Brieflands | en |
| Title | Arterial and Venous Complications Early After Cardiac Catheterization in Children and Adolescents: A Prospective Study | en |
| Type | Research Article | en |