Evaluation and Management Prior to Catheterization

  • James E. Lock


For the last three decades, improvements in the diagnosis and management of congenital heart disease have resulted in some of the most astounding survival increases in all of medical science. Despite this progress, deciding whether to catheterize a particular child remains a difficult, uneven, and poorly predictable event. Testimony to the difficulty of this decision is provided by a recent study by Kreutzer et al 1. Using administrative data bases from several states, and assuming that the indications for surgery are roughly equivalent across multiple centers, the frequency of catheterizations per open heart surgeries varies enormously (Fig. 1–1).


Congenital Heart Disease Cardiac Catheterization Device Closure Primary Pulmonary Hypertension Single Ventricle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kreutzer J, Jenkins KJ, Gavreau K, et al. Variability in use of diagnostic cardiac catheterization for common congenital heart defects in children. Book of Abstracts “The 2nd World congress of Pediatric Cardiology and Cardiac Surgery”, 1997, P514.Google Scholar
  2. 2.
    Vitello R., McCrindle BW, Nykanen D, et al. Complications associated with Pediatric Cardiac Catheterization. J Am Coll Cardiol 1998:32 1433–1440.CrossRefGoogle Scholar
  3. 3.
    Jenkins KJ, Newburger, JW, Faherty C, et al.: Midterm follow-up using the original Bard clamshell septal occluder; complete experience at one center. Circulation 1995: 92(8): 1–308 (abstr).Google Scholar
  4. 4.
    Bellinger DC, Jonas RA, Rappaport LA, et al: Developmental and Neurologic Status of Children After Heart Surgery with Hypothermic Circulatory Arrest or Low Flow Cardiopulmonary Bypass. N Engl J Med 1995: 332:549–555.PubMedCrossRefGoogle Scholar
  5. 5.
    Chung AM, Perry SB, Keane JF, et al: Late Hemodynamic and Anatomic Results of Balloon-Expanded Stent Implantation for Coarctation of the Aorta. Circ 1997, Vol. 96; Suppl 1 – 568(A).Google Scholar
  6. 6.
    Bridges ND, Hellenbrand W, Latson et al: Transcatheter Closure of Patient Foramen Ovale After Presumed Paradoxical Embolism. Circ 1992: 86: 1902–1908.CrossRefGoogle Scholar
  7. 7.
    Komp DM, Sparrow AW. Polycythemia in cyanotic congenital heart disease — a study of altered coagulation. J Pediatr 1970: 7:231–236.Google Scholar
  8. 8.
    Wedemeyer AL, Lewis JH. Improvement in hemostasis following phlebotomy in cyanotic patients with heart disease. J Pediatr 1973: 83:46–50.PubMedCrossRefGoogle Scholar
  9. 9.
    Cottrill CM, Kaplan S. Cerebral vascular accidents in cyanotic congenital heart disease. Am J Dis Child 1973:125:484–487.PubMedGoogle Scholar
  10. 10.
    Ruckman RN, Keane JF, Freed MD, et al. Sedation for cardiac catheterization: A controlled study. Pediatr Cardiol 1980:1:263–268.CrossRefGoogle Scholar
  11. 11.
    Moller JH, Rao S, Lucas RV. Exercise hemodynamics of pulmonary valvar stenosis. Circulation 1972: 46:864–874.CrossRefGoogle Scholar
  12. 12.
    Graham TP Jr, Atwood GF and Werner BW. Use of Droperidol-fentanyl sedation for cardiac catheterization in children. Am Heart J 1974: 87:287–293.PubMedCrossRefGoogle Scholar
  13. 13.
    Faithfiill NS, Harder R. Ketamine for cardiac catheterization. An evaluation of its use in children. Anesthesia 1971: 26:318.CrossRefGoogle Scholar
  14. 14.
    Cohn HE, Freed MD, Hellenbrand WE, et al. Complications and mortality associated with cardiac catheterization in infants under one year. Pediatr Cardiol 1986.Google Scholar
  15. 15.
    Stevie has his heart examined. Biomedical Graphic Communications, University of Minnesota Hospitals, Minneapolis 1983.Google Scholar
  16. 16.
    Waldman JD, Young TS, Pappelbaum SJ, et al. Pediatric cardiac catheterization with same day discharge. Am J Cardiol 1982: 50:800–80.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2000

Authors and Affiliations

  • James E. Lock

There are no affiliations available

Personalised recommendations