講演情報
[I-OR04-04]Clinical Evaluation of Cardiac Catheterization in Cardiac Intensive Care Unit During the Early Postoperative Period for Congenital Heart Disease
○Yaping Mi (Cardiac intensive care unit, Cardiovascular center, Children"s Hospital, Fudan University, Shanghai, China)
キーワード：
cardiac catheterization、cardiac surgery、congenital heart disease
Objective: To assess the timing and safety of early unplanned cardiac catheterization following surgery for congenital heart disease (CHD). Methods: This retrospective cohort study reviewed the medical records of children who underwent unplanned cardiac catheterization after CHD surgery from 2013 to 2022. Results: A total of 24 children who underwent CHD surgery were enrolled. The main diagnosis of CHD included tetralogy of Fallot (33.33%), pulmonary atresia (25%) and single ventricular malformation (12.5%). The median interval between surgery and cardiac catheterization was 15 days (8 hours - 31 days). The reasons for initiating cardiac catheterization included low cardiac output, multiple organ dysfunction, repeated failure in ventilator weaning and hypoxia. The issues detected through cardiac catheterization included systemic pulmonary collaterals in 18 cases, left/right pulmonary artery stenosis/occlusion in 7 cases, residual ventricular septal defect in 4 cases and pulmonary hypertension in 7 cases. 21 patients (87.5%) received concurrent interventional therapy. The most frequently performed intervention involved systemic pulmonary collateral occlusion. 5 patients (20.83%) required reoperation. Only one adverse reaction related to cardiac catheterization occurred, which was one coil drift. No deaths associated with cardiac catheterization were reported. Conclusions: Cardiac catheterization can be safely performed in the early postoperative period following CHD surgery. This procedure has the potential to improve patient outcomes.