Evaluation and Management Prior to Catheterization
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).
KeywordsCongenital Heart Disease Cardiac Catheterization Device Closure Primary Pulmonary Hypertension Single Ventricle
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